Evidence-Based Practices for Acute Respiratory Failure and Acute Respiratory Distress Syndrome: A Systematic Review of Reviews.

Chest
Jennifer N ErvinAnne E Sales

Abstract

The recent pandemic highlights the essential nature of optimizing the use of invasive mechanical ventilation (IMV) in complex critical care settings. This review of reviews maps evidence-based practices (EBPs) that are associated with better outcomes among adult patients with acute respiratory failure or ARDS on the continuum of care, from intubation to liberation. What EPBs are recommended to reduce the duration of IMV and mortality rate among patients with acute respiratory failure/ARDS? We identified an initial set of reports that links EBPs to mortality rates and/or duration of IMV. We conducted a review of reviews, focusing on preappraised guidelines, meta-analyses, and systematic reviews. We searched Scopus, CINAHL, and PubMed from January 2016 to January 2019 for additional evidence that has not yet been incorporated into current guidelines. Our initial search produced 61 publications that contained 42 EBPs. We excluded 42 manuscripts during the data extraction process, primarily because they were not associated with improved patient outcomes. The remaining 19 preappraised guidelines, meta-analyses, and systematic reviews met our full inclusion criteria and spanned the continuum of IMV care from intubation to liberation....Continue Reading

References

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Feb 24, 2016·JAMA : the Journal of the American Medical Association·Giacomo BellaniUNKNOWN ESICM Trials Group
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Nov 1, 2016·American Journal of Respiratory and Critical Care Medicine·Timothy D GirardUNKNOWN ATS/CHEST Ad Hoc Committee on Liberation from Mechanical Ventilation in Adults
Nov 1, 2016·American Journal of Respiratory and Critical Care Medicine·Gregory A SchmidtUNKNOWN ATS/CHEST Ad Hoc Committee on Liberation from Mechanical Ventilation in Adults
May 2, 2017·American Journal of Respiratory and Critical Care Medicine·Eddy FanUNKNOWN American Thoracic Society, European Society of Intensive Care Medicine, and Society of Critical Care Medicine
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May 22, 2019·The New England Journal of Medicine·UNKNOWN National Heart, Lung, and Blood Institute PETAL Clinical Trials NetworkDerek C Angus

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Citations

Jun 3, 2021·Bioengineering·Sanjay Sarma Oruganti VenkataRamana M Pidaparti
Jul 16, 2021·Critical Care Medicine·Juliana BarrRuth Kleinpell

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Methods Mentioned

BETA
sedation

Software Mentioned

Scopus

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