ARDS clinical practice guideline 2021
Collaborators
-
ARDS Clinical Practice Guideline Committee 2021 from the Japanese Respiratory Society, the Japanese Society of Intensive Care Medicine, and the Japanese Society of Respiratory Care Medicine:
Takuro Nakashima 44 , Aiko Masunaga 45 , Aiko Tanaka 46 , Akihiko Inoue 47 , Akiko Higashi 48 , Atsushi Tanikawa 49 , Atsushi Ujiro 50 , Chihiro Takayama 51 , Daisuke Kasugai 52 , Daisuke Kawakami 53 , Daisuke Ueno 54 , Daizoh Satoh 55 , Shinichi Kai 56 , Kohei Ota 57 , Yoshihiro Hagiwara 58 , Jun Hamaguchi 59 , Ryo Fujii 60 , Takashi Hongo 61 , Yuki Kishihara 62 , Naohisa Masunaga 63 , Ryohei Yamamoto 64 , Satoru Robert Okazaki 65 , Ryo Uchimido 66 , Tetsuro Terayama 67 , Satoshi Hokari 68 , Hitoshi Sakamoto 69 , Dongli 70 , Emiko Nakataki 71 , Erina Tabata 72 , Seisuke Okazawa 73 , Futoshi Kotajima 74 , Go Ishimaru 75 , Haruhiko Hoshino 76 , Hideki Yoshida 77 , Hidetaka Iwai 78 , Hiroaki Nakagawa 79 , Hiroko Sugimura 80 , Hiromichi Narumiya 81 , Hiromu Okano 82 , Hiroshi Nakamura 83 , Hiroshi Sugimoto 84 , Hiroyuki Hashimoto 85 , Hiroyuki Ito 86 , Hisashi Dote 87 , Hisashi Imahase 88 , Hitoshi Sato 89 , Masahiro Katsurada 90 , Ichiro Osawa 91 , Jun Kamei 92 , Jun Maki 93 , Jun Sugihara 94 , Jun Takeshita 95 , Junichi Fujimoto 96 , Junichi Ishikawa 97 , Junko Kosaka 98 , Junpei Shibata 99 , Katsuhiko Hashimoto 100 , Yasushi Nakano 101 , Kazuki Kikuyama 102 , Kazushige Shimizu 103 , Kazuya Okada 104 , Keishi Kawano 98 , Keisuke Anan 105 , Keisuke Ota 106 , Ken-Ichi Kano 107 , Kengo Asano 108 , Kenichi Hondo 109 , Kenji Ishii 110 , Kensuke Fujita 60 , Kenta Ogawa 108 , Kentaro Ito 111 , Kentaro Tokunaga 44 , Kenzo Ishii 112 , Kohei Kusumoto 113 , Kohei Takimoto 66 , Kohei Yamada 114 , Koichi Naito 115 , Koichi Yamashita 116 , Koichi Yoshinaga 117 , Kota Yamauchi 118 , Maki Murata 119 , Makiko Konda 120 , Manabu Hamamoto 32 , Masaharu Aga 121 , Masahiro Kashiura 122 , Masami Ishikawa 123 , Masayuki Ozaki 124 , Michihiko Kono 125 , Michihito Kyo 57 , Minoru Hayashi 126 , Mitsuhiro Abe 127 , Mitsunori Sato 128 , Mizu Sakai 129 , Motoshi Kainuma 130 , Naoki Tominaga 131 , Naoya Iguchi 46 , Natsuki Nakagawa 132 , Nobumasa Aoki 69 , Norihiro Nishioka 133 , Norihisa Miyashita 134 , Nozomu Seki 135 , Ryo Ikebe 136 , Ryosuke Imai 137 , Ryota Tate 138 , Ryuhei Sato 139 , Sachiko Miyakawa 140 , Satoshi Kazuma 141 , Satoshi Nakano 32 , Satoshi Tetsumoto 142 , Satoshi Yoshimura 133 , Shigenori Yoshitake 143 , Shin-Etsu Hoshi 144 , Shingo Ohki 57 , Shintaro Sato 145 , Shodai Yoshihiro 146 , Shoichi Ihara 147 , Shota Yamamoto 148 , Shunichi Koide 149 , Shunsuke Kimata 150 , Shunsuke Saito 151 , Shunsuke Yasuo 152 , Shusuke Sekine 153 , Soichiro Mimuro 154 , Soichiro Wada 155 , Sosuke Sugimura 156 , Tadashi Ishihara 157 , Tadashi Kaneko 158 , Tadashi Nagato 159 , Takaaki Maruhashi 160 , Takahiro Tamura 161 , Takanori Ohno 162 , Takashi Ichiyama 163 , Takashi Niwa 164 , Takashi Ueji 165 , Takayuki Ogura 166 , Takeshi Kawasaki 167 , Takeshi Tanaka 168 , Takeshi Umegaki 169 , Taku Furukawa 170 , Taku Omura 171 , Takumi Nagao 172 , Takuya Mayumi 173 , Takuya Taniguchi 174 , Takuya Yoshida 124 , Tatsutoshi Shimatani 175 , Teppei Murata 176 , Tetsuya Sato 177 , Tohru Sawamoto 178 , Yoshifumi Koukei 179 , Tomohiro Takehara 180 , Tomomi Ueda 181 , Tomoya Katsuta 182 , Tomoya Nishino 183 , Toshiki Yokoyama 184 , Ushio Higashijima 185 , Wataru Iwanaga 149 , Yasushi Inoue 186 , Yoshiaki Iwashita 187 , Yoshie Yamada 64 , Yoshifumi Kubota 188 , Yoshihiro Suido 189 , Yoshihiro Tomioka 190 , Yoshihisa Fujimoto 191 , Yoshihito Fujita 192 , Yoshikazu Yamaguchi 193 , Yoshimi Nakamura 194 , Yoshinobu Abe 195 , Yoshitomo Eguchi 196 , Yoshiyasu Oshima 197 , Yosuke Fukuda 198 , Yudai Iwasaki 199 , Yuichi Yasufuku 200 , Yuji Shono 201 , Yuka Nakatani 202 , Yuki Nakamori 203 , Yukie Ito 204 , Yuko Tanabe 205 , Yusuke Nagamine 206 , Yuta Nakamura 207 , Yutaro Kurihara 160
Affiliations
- 1 Department of Respiratory Medicine, Hirosaki University Graduate School of Medicine, Aomori, Japan. Electronic address: tasaka@hirosaki-u.ac.jp.
- 2 Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
- 3 Department of Intensive Care Medicine, Osaka Women's and Children's Hospital, Osaka, Japan.
- 4 Department of Emergency and Critical Care Medicine, Jichi Medical University, Saitama Medical Center, Saitama, Japan.
- 5 Division of Respiratory Medicine, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
- 6 International University of Health and Welfare, Tokyo, Japan.
- 7 Department of Anesthesiology, Kobe University Hospital, Hyogo, Japan.
- 8 Department of Anesthesiology and Intensive Care Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
- 9 Department of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
- 10 Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
- 11 Division of Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan.
- 12 Department of Family Medicine, Seibo International Catholic Hospital, Tokyo, Japan.
- 13 Department of Primary Care and Emergency Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
- 14 Department of Pediatrics, The University of Tokyo Hospital, Tokyo, Japan.
- 15 Department of Emergency and Intensive Care Medicine, JA Hiroshima General Hospital, Hiroshima, Japan.
- 16 Emergency and Critical Care Center, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan.
- 17 Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
- 18 Paediatric Intensive Care Unit, The Royal Children's Hospital Melbourne, Melbourne, Australia.
- 19 Department of Emergency and Critical Care Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
- 20 Department of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Chiba, Japan.
- 21 Department of Critical Care Medicine, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
- 22 Department of Anesthesiology, Nishichita General Hospital, Aichi, Japan.
- 23 Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan.
- 24 Department of Anesthesiology and Intensive Care Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan.
- 25 Department of Anesthesiology and Critical Care Medicine, Jichi Medical University Saitama Medical Center, Saitama, Japan.
- 26 Department of Emergency Medicine, Shizuoka General Hospital, Shizuoka, Japan.
- 27 Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Hyogo, Japan.
- 28 Department of Critical Care and Emergency Medicine, National Hospital Organization Yokohama Medical Center, Kanagawa, Japan.
- 29 Department of Anesthesiology, Osaka Women's and Children's Hospital, Osaka, Japan.
- 30 Department of Intensive Care Medicine, Kameda Medical Center, Chiba, Japan.
- 31 Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan.
- 32 Pediatric Emergency and Critical Care Center, Saitama Children's Medical Center, Saitama, Japan.
- 33 Department of Cardiovascular Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan.
- 34 Department of Psychiatry, School of Medicine, National Defense Medical College, Saitama, Japan.
- 35 Department of Infectious Diseases, Kameda Medical Center, Chiba, Japan.
- 36 Division of Emergency and Disaster Medicine, Tohoku Medical and Pharmaceutical University, Miyagi, Japan.
- 37 Department of Anesthesiology and Perioperative Medicine, Tohoku University Graduate School of Medicine, Miyagi, Japan.
- 38 Department of Emergency Medicine, Japanese Red Cross Musashino Hospital, Tokyo, Japan.
- 39 Department of Critical Care Medicine, Nerima Hikarigaoka Hospital, Tokyo, Japan.
- 40 Department of Traumatology and Critical Care Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.
- 41 Department of Anesthesiology and Pain Medicine, Fujita Health University Bantane Hospital, Aichi, Japan.
- 42 Division of Respiratory Medicine and Allergology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.
- 43 Intensive Care Unit, Department of Anesthesiology, Jikei University School of Medicine, Tokyo, Japan.
- 44 Department of Intensive Care Medicine, Kumamoto University Hospital.
- 45 Department of Respiratory Medicine, Kumamoto University Hospital.
- 46 Department of Anesthesiology and Intensive Care Medicine, Graduate School of Medicine, Osaka University.
- 47 Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center.
- 48 Department of Emergency and Critical Care Medicine/Chiba University Graduate School of Medicine.
- 49 Department of Emergency and Critical Care, Tohoku University Hospital.
- 50 Department of Critical Care, Osaka City General Hospital.
- 51 Takatsuki General Hospital.
- 52 Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine.
- 53 Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital.
- 54 Department of Acute Medicine, Kawasaki Medical School.
- 55 Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine.
- 56 Department of Anesthesia, Kyoto University Hospital.
- 57 Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University.
- 58 Department of Emergency and Critical Care Medicine, Saiseikai Utsunomiya Hospital.
- 59 Department of Emergency and Critical Care Medicine, Tokyo Metropolitan Tama Medical Center.
- 60 Department of Emergency Medicine and Critical Care Medicine, Tochigi Prefectural Emergency and Critical Care Center, Imperial Foundation Saiseikai Utsunomiya Hospital.
- 61 Department of Emergency Medicine Okayama Saiseikai General Hospital.
- 62 Department of Emergency Medicine, Japanese Red Cross Musashino Hospital.
- 63 Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University.
- 64 Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan.
- 65 Department of Intensive Care Medicine, Kameda Medical Center.
- 66 Department of Intensive Care Medicine, Tokyo Medical and Dental University Hospital.
- 67 Department of Psychiatry, National Defense Medical College.
- 68 Department of Respiratory Medicine and Infectious Diseases, Niigata University Graduate School of Medical and Dental Sciences.
- 69 Department of Thoracic Surgery, Shimane Prefectural Central Hospital.
- 70 Department of Anesthesia, Kyoto University Hospital; Department of Healthcare Epidemiology, Kyoto University Graduate School of Medicine and Public Health.
- 71 Department of Critical Care Medicine, Tokushima Central Prefectural Hospital.
- 72 Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Medicine.
- 73 First Department of Internal Medicine, Toyama University Hospital, Toyama.
- 74 Department of Intensive Care Medicine, Saitama Medical School International Medical Center.
- 75 Soka Municipal Hospital.
- 76 Department of Nursing, International University of Health and Welfare.
- 77 Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine.
- 78 Department of Anesthesia, Social Medical Corporation Hakuaikai Kaisei Hospital.
- 79 Division of Respiratory Medicine, Department of Internal Medicine, Shiga University of Medical Science.
- 80 Department of Critical Care, Chiba Children's Hospital.
- 81 Division of Emergency and Critical Care, Japanese Red Cross Kyoto Daini Hospital.
- 82 Department of Critical Care and Emergency Medicine, National Hospital Organization Yokohama Medical Center.
- 83 Department of General Medicine, Kure Medical Center and Chugoku Cancer Center.
- 84 Department of Respiratory Medicine, Konan Medical Center.
- 85 Department of Pharmacoepidemiology, Graduate School of Medicine and Public Health, Kyoto University.
- 86 Department of Pulmonology, Kameda Medical Center.
- 87 Department of Emergency and Critical Care Medicine, Seirei Hamamatsu General Hospital.
- 88 Graduate School of Medicine, Tokyo University.
- 89 Department of Critical Care, National Cerebral and Cardiovascular Center.
- 90 Hyogo Prefectural Tamba Medical Center.
- 91 Department of Critical Care and Anesthesia, National Center for Child Health and Development.
- 92 Emergency and Critical Care Center, Kurashiki Central Hospital.
- 93 Department of Critical Care Medicine, Kyushu University Hospital.
- 94 Department of Pulmonology, Kashiwa Municipal Hospital.
- 95 Department of Anesthesiology, Osaka Women's and Children's Hospital.
- 96 Department of Intensive Care Medicine, Yokohama Rosai Hospital.
- 97 Emergency and Critical Care Medical Center & Pediatric Emergency Medicine Osaka City General Hospital.
- 98 Department of Anesthesiology and Resuscitology, Okayama University Hospital.
- 99 Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine.
- 100 Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan.
- 101 Kawasaki Municipal Ida Hospital.
- 102 Department of Intensive Care Unit, Showa University Hospital.
- 103 Department of Clinical Engineer.
- 104 Department of Intensive Care, Yokosuka General Hospital Uwamachi.
- 105 Division of Respiratory Medicine, Saiseikai Kumamoto Hospital.
- 106 Intensive Care Center,Shizuoka General Hospital.
- 107 Department of Emergency Medicine, Fukui Prefectural Hospital.
- 108 Intensive Care Unit, Department of Anesthesiology, Jikei University School of Medicine.
- 109 Department of Trauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital.
- 110 Intesive Care Unit, St Lukes International Hospital.
- 111 Respiratory Center, Matsusaka Municipal Hospital.
- 112 Department of Anesthesiology, Intensive Care Unit, Fukuyama City Hospital.
- 113 Department of Pediatric Critical Care Medicine, Hyogo Prefectural Amagasaki General Medical Center.
- 114 Department of Traumatology and Critical Care Medicine, National Defense Medical College.
- 115 Department of Cardiac Rehabilitation, Iwama Cardiovascular and Dental Clinic for Prevention and Care.
- 116 Division of Critical Care Center, Kochi Red Cross Hospital.
- 117 Department of Anesthesiology and Critical Care, Jichi Medical University, Saitama Medical Center.
- 118 Department of Rehabilitation, Steel Memorial Yawata Hospital.
- 119 Department of Healthcare Epidemiology, Kyoto University of Graduate School of Medicine.
- 120 Department of Anesthesiology, Nara Medical University.
- 121 Department of Respiratory Medicine, Yokohama Municipal Citizen's Hospital.
- 122 Department of Emergency and Critical Care Medicine, Jichi Medical University Saitama Medical Center.
- 123 Department of Anesthesiology and Critical Care Medicine of Kure Kyousai Hospital.
- 124 Department of Emergency and Critical Care Medicine, Komaki City Hospital.
- 125 Department of Intensive Care Unit,Sakai City Medical CenterMedicalcare Unit.
- 126 Fukui Prefectural Hospital.
- 127 Respiratory Medicine, Chiba University Hospital.
- 128 Department of Pediatric Critical Care, Shizuoka Children's Hospital.
- 129 Department of Respiratory Medicine and Allergology, Kochi Medical School, Kochi University.
- 130 Anesthesiology, Emergency Medicine, and Intensive Care Division Inazawa Municipal Hospital.
- 131 Department of Emergency and Critical Care Medicine, Nippon Medical School.
- 132 Department of Respiratory Medicine, Kanto Central Hospital of the Mutual Aid of Association of Public School Teachers.
- 133 Department of Preventive Services, Kyoto University Graduate School of Medicine.
- 134 Division of Pediatric Critical Care Medicine, Hyogo Prefectural Kobe Children's Hospital.
- 135 Department of Emergency, Toyama University Hospital.
- 136 Department of Nursing, Osaka Women's and Children's Hospital.
- 137 Department of Pulmonary Medicine, St. Luke's International Hospital.
- 138 Department of Critical Care Medicine, Tokyo Bay Urayasu-Ichikawa Medical Center.
- 139 Department of Critical Care Nursing, Graduate School of Medicine Kyoto University.
- 140 Emergency Life-Saving Technique Academy of Kyushu.
- 141 Department of Intensive Care Medicine, Sapporo Medical University School of Medicine.
- 142 Department of Respiratory Medicine and Clinical Immunology, Suita Municipal Hospital.
- 143 Department of Health Science, Kyusyu University of Health and Welfare.
- 144 Iwate Prefectural Kamaishi Public Health Center.
- 145 Department of Respirology, Saitama Red Cross Hospital.
- 146 Department of Pharmacy, Onomichi General Hospital.
- 147 Osaka Police Hospital, Respiratory Medicine.
- 148 Department of Radiology, Tokai University Hachioji Hospital, Tokyo, Japan.
- 149 Department of Emergency and Critical Care Medicine, Urasoe General Hospital.
- 150 Department of Preventive Medicine, Kyoto University Graduate School of Public Health.
- 151 Department of Emergency, Okinawa Prefectural Chubu Hospital.
- 152 Department of Emergency Medicine, Kyoto Katsura Hospital.
- 153 Department of Anesthesiology, Tokyo Medical University.
- 154 Department of Anesthesiology and Intensive Care Hamamatsu University School of Medicine.
- 155 Department of Pediatrics, Teine Keijinkai Hospital.
- 156 Department of Medical Engineering, Faculty of Health Care Science, Himeji Dokkyo University.
- 157 Department of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital.
- 158 Emergency and Critical Care Center, Mie University Hospital.
- 159 Department of Respiratory Medicine, JCHO Tokyo Yamate Medical Center.
- 160 Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine.
- 161 Department of Anesthesiology, Nagoya University Graduate School of Medicine.
- 162 Department of Emergency, SHOWA University Fujigaoka Hospital.
- 163 Intensive Care Unit, Shinshu University Hospital.
- 164 Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center.
- 165 National Hospital Organization Osaka National Hospital.
- 166 Department of Emergency Medicine and Critical Care Medicine, Tochigi Prefectural Emergency and Critical Care Center, Imperial Gift Foundation SAISEIKAI, Utsunomiya Hospital.
- 167 Department of Respirology, Graduate School of Medicine, Chiba University.
- 168 Infection Control and Education Center, Nagasaki University Hospital.
- 169 Department of Anesthesiology, Kansai Medical University.
- 170 Department of Anesthesiology and Critical Care, Jichi Medical University Saitama Medical Center.
- 171 Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine.
- 172 Department of Sakakibara Heart Institute.
- 173 Department of Cardiovascular Medicine, Graduate School of Medical Science, Kanazawa University.
- 174 Department of Cardiovascular Medicine, Otsu City Hospital.
- 175 Chugoku Rosai Hospital.
- 176 Department of Cardiology Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology.
- 177 Department of Emergency and Critical Care Medicine, Tohoku University Hospital.
- 178 Department of Emergency and Critical Care Medicine, Tokai University School of Medicine.
- 179 Tokyo Metropolitan Tama Medical Center, Department of Emergency Medicine Trauma and Resuscitation Center.
- 180 Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
- 181 Department of Anesthesiology, Saiseikai Yokohamashi Tobu Hospital.
- 182 Department of Respiratory Medicine, Ehime Prefecture Central Hospital.
- 183 Department of Emergency and Critical Care, Tokai University School of Medicine.
- 184 Department of Respiratory Medicine and Allergy and Department of Emergency and Intensive Care Medicine, Intensive Care Unit/Tosei General Hospital.
- 185 Department of Anesthesiology and Intensive Care Medicine, Nagasaki University Graduate School of Biomedical Sciences.
- 186 International University of Health and Welfare, Mita Hospital, Respiratory Diseases Center.
- 187 Emergency and Critical Care Medicine, Shimane University.
- 188 Kameda Medical Center Department of Infectious Diseases.
- 189 Department of Respiratory Medicine, Asao General Hospital.
- 190 Department of Anesthesiology, Todachuo General Hospital.
- 191 TMG Asaka Medical Center.
- 192 Department of Anesthesiology and Intensive Care Medicine, Aichi Medical University.
- 193 Department of Anesthesiology, Yokohama Municipal Citizen's Hospital.
- 194 Department of Emergency and Critical Care Medicine, Japanese Red Cross Kyoto Daini Hospital.
- 195 Division of Emergency and Disaster Medicine Tohoku Medical and Pharmaceutical University.
- 196 Saiseikai Kumamoto Hospital.
- 197 Bachelor of Pharmacy/Department of Pharmacy, Kobe Tokushukai Hospital.
- 198 Department of Medicine, Division of Respiratory Medicine and Allergology, Showa University School of Medicine.
- 199 Department of Anesthesiology and Perioperative Medicine, Tohoku University Graduate School of Medicine.
- 200 Department of Health Policy and Management, School of Medicine, Keio University.
- 201 Emergency and Critical Care Center, Kyushu University Hospital.
- 202 Department of Internal Medicine, Showa Inan General Hospital.
- 203 Department of Molecular Pathobiology and Cell Adhesion Biology, Mie University Graduate School of Medicine.
- 204 Department of Intensive Care Medicine, Osaka Women's and Children's Hospital.
- 205 Department of Clinical Oncology, Toranomon Hospital.
- 206 Department of Anesthesiology and Critical Care Medicine, Yokohama City University Hospital.
- 207 Emergency and Critical Care Centre, Saiseikai Kumamoto Hospital.
- PMID: 35753956
- DOI: 10.1016/j.resinv.2022.05.003
ARDS clinical practice guideline 2021
Authors
Collaborators
-
ARDS Clinical Practice Guideline Committee 2021 from the Japanese Respiratory Society, the Japanese Society of Intensive Care Medicine, and the Japanese Society of Respiratory Care Medicine:
Takuro Nakashima 44 , Aiko Masunaga 45 , Aiko Tanaka 46 , Akihiko Inoue 47 , Akiko Higashi 48 , Atsushi Tanikawa 49 , Atsushi Ujiro 50 , Chihiro Takayama 51 , Daisuke Kasugai 52 , Daisuke Kawakami 53 , Daisuke Ueno 54 , Daizoh Satoh 55 , Shinichi Kai 56 , Kohei Ota 57 , Yoshihiro Hagiwara 58 , Jun Hamaguchi 59 , Ryo Fujii 60 , Takashi Hongo 61 , Yuki Kishihara 62 , Naohisa Masunaga 63 , Ryohei Yamamoto 64 , Satoru Robert Okazaki 65 , Ryo Uchimido 66 , Tetsuro Terayama 67 , Satoshi Hokari 68 , Hitoshi Sakamoto 69 , Dongli 70 , Emiko Nakataki 71 , Erina Tabata 72 , Seisuke Okazawa 73 , Futoshi Kotajima 74 , Go Ishimaru 75 , Haruhiko Hoshino 76 , Hideki Yoshida 77 , Hidetaka Iwai 78 , Hiroaki Nakagawa 79 , Hiroko Sugimura 80 , Hiromichi Narumiya 81 , Hiromu Okano 82 , Hiroshi Nakamura 83 , Hiroshi Sugimoto 84 , Hiroyuki Hashimoto 85 , Hiroyuki Ito 86 , Hisashi Dote 87 , Hisashi Imahase 88 , Hitoshi Sato 89 , Masahiro Katsurada 90 , Ichiro Osawa 91 , Jun Kamei 92 , Jun Maki 93 , Jun Sugihara 94 , Jun Takeshita 95 , Junichi Fujimoto 96 , Junichi Ishikawa 97 , Junko Kosaka 98 , Junpei Shibata 99 , Katsuhiko Hashimoto 100 , Yasushi Nakano 101 , Kazuki Kikuyama 102 , Kazushige Shimizu 103 , Kazuya Okada 104 , Keishi Kawano 98 , Keisuke Anan 105 , Keisuke Ota 106 , Ken-Ichi Kano 107 , Kengo Asano 108 , Kenichi Hondo 109 , Kenji Ishii 110 , Kensuke Fujita 60 , Kenta Ogawa 108 , Kentaro Ito 111 , Kentaro Tokunaga 44 , Kenzo Ishii 112 , Kohei Kusumoto 113 , Kohei Takimoto 66 , Kohei Yamada 114 , Koichi Naito 115 , Koichi Yamashita 116 , Koichi Yoshinaga 117 , Kota Yamauchi 118 , Maki Murata 119 , Makiko Konda 120 , Manabu Hamamoto 32 , Masaharu Aga 121 , Masahiro Kashiura 122 , Masami Ishikawa 123 , Masayuki Ozaki 124 , Michihiko Kono 125 , Michihito Kyo 57 , Minoru Hayashi 126 , Mitsuhiro Abe 127 , Mitsunori Sato 128 , Mizu Sakai 129 , Motoshi Kainuma 130 , Naoki Tominaga 131 , Naoya Iguchi 46 , Natsuki Nakagawa 132 , Nobumasa Aoki 69 , Norihiro Nishioka 133 , Norihisa Miyashita 134 , Nozomu Seki 135 , Ryo Ikebe 136 , Ryosuke Imai 137 , Ryota Tate 138 , Ryuhei Sato 139 , Sachiko Miyakawa 140 , Satoshi Kazuma 141 , Satoshi Nakano 32 , Satoshi Tetsumoto 142 , Satoshi Yoshimura 133 , Shigenori Yoshitake 143 , Shin-Etsu Hoshi 144 , Shingo Ohki 57 , Shintaro Sato 145 , Shodai Yoshihiro 146 , Shoichi Ihara 147 , Shota Yamamoto 148 , Shunichi Koide 149 , Shunsuke Kimata 150 , Shunsuke Saito 151 , Shunsuke Yasuo 152 , Shusuke Sekine 153 , Soichiro Mimuro 154 , Soichiro Wada 155 , Sosuke Sugimura 156 , Tadashi Ishihara 157 , Tadashi Kaneko 158 , Tadashi Nagato 159 , Takaaki Maruhashi 160 , Takahiro Tamura 161 , Takanori Ohno 162 , Takashi Ichiyama 163 , Takashi Niwa 164 , Takashi Ueji 165 , Takayuki Ogura 166 , Takeshi Kawasaki 167 , Takeshi Tanaka 168 , Takeshi Umegaki 169 , Taku Furukawa 170 , Taku Omura 171 , Takumi Nagao 172 , Takuya Mayumi 173 , Takuya Taniguchi 174 , Takuya Yoshida 124 , Tatsutoshi Shimatani 175 , Teppei Murata 176 , Tetsuya Sato 177 , Tohru Sawamoto 178 , Yoshifumi Koukei 179 , Tomohiro Takehara 180 , Tomomi Ueda 181 , Tomoya Katsuta 182 , Tomoya Nishino 183 , Toshiki Yokoyama 184 , Ushio Higashijima 185 , Wataru Iwanaga 149 , Yasushi Inoue 186 , Yoshiaki Iwashita 187 , Yoshie Yamada 64 , Yoshifumi Kubota 188 , Yoshihiro Suido 189 , Yoshihiro Tomioka 190 , Yoshihisa Fujimoto 191 , Yoshihito Fujita 192 , Yoshikazu Yamaguchi 193 , Yoshimi Nakamura 194 , Yoshinobu Abe 195 , Yoshitomo Eguchi 196 , Yoshiyasu Oshima 197 , Yosuke Fukuda 198 , Yudai Iwasaki 199 , Yuichi Yasufuku 200 , Yuji Shono 201 , Yuka Nakatani 202 , Yuki Nakamori 203 , Yukie Ito 204 , Yuko Tanabe 205 , Yusuke Nagamine 206 , Yuta Nakamura 207 , Yutaro Kurihara 160
Affiliations
- 1 Department of Respiratory Medicine, Hirosaki University Graduate School of Medicine, Aomori, Japan. Electronic address: tasaka@hirosaki-u.ac.jp.
- 2 Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
- 3 Department of Intensive Care Medicine, Osaka Women's and Children's Hospital, Osaka, Japan.
- 4 Department of Emergency and Critical Care Medicine, Jichi Medical University, Saitama Medical Center, Saitama, Japan.
- 5 Division of Respiratory Medicine, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
- 6 International University of Health and Welfare, Tokyo, Japan.
- 7 Department of Anesthesiology, Kobe University Hospital, Hyogo, Japan.
- 8 Department of Anesthesiology and Intensive Care Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
- 9 Department of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
- 10 Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
- 11 Division of Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan.
- 12 Department of Family Medicine, Seibo International Catholic Hospital, Tokyo, Japan.
- 13 Department of Primary Care and Emergency Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
- 14 Department of Pediatrics, The University of Tokyo Hospital, Tokyo, Japan.
- 15 Department of Emergency and Intensive Care Medicine, JA Hiroshima General Hospital, Hiroshima, Japan.
- 16 Emergency and Critical Care Center, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan.
- 17 Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
- 18 Paediatric Intensive Care Unit, The Royal Children's Hospital Melbourne, Melbourne, Australia.
- 19 Department of Emergency and Critical Care Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
- 20 Department of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Chiba, Japan.
- 21 Department of Critical Care Medicine, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
- 22 Department of Anesthesiology, Nishichita General Hospital, Aichi, Japan.
- 23 Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan.
- 24 Department of Anesthesiology and Intensive Care Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan.
- 25 Department of Anesthesiology and Critical Care Medicine, Jichi Medical University Saitama Medical Center, Saitama, Japan.
- 26 Department of Emergency Medicine, Shizuoka General Hospital, Shizuoka, Japan.
- 27 Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Hyogo, Japan.
- 28 Department of Critical Care and Emergency Medicine, National Hospital Organization Yokohama Medical Center, Kanagawa, Japan.
- 29 Department of Anesthesiology, Osaka Women's and Children's Hospital, Osaka, Japan.
- 30 Department of Intensive Care Medicine, Kameda Medical Center, Chiba, Japan.
- 31 Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan.
- 32 Pediatric Emergency and Critical Care Center, Saitama Children's Medical Center, Saitama, Japan.
- 33 Department of Cardiovascular Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan.
- 34 Department of Psychiatry, School of Medicine, National Defense Medical College, Saitama, Japan.
- 35 Department of Infectious Diseases, Kameda Medical Center, Chiba, Japan.
- 36 Division of Emergency and Disaster Medicine, Tohoku Medical and Pharmaceutical University, Miyagi, Japan.
- 37 Department of Anesthesiology and Perioperative Medicine, Tohoku University Graduate School of Medicine, Miyagi, Japan.
- 38 Department of Emergency Medicine, Japanese Red Cross Musashino Hospital, Tokyo, Japan.
- 39 Department of Critical Care Medicine, Nerima Hikarigaoka Hospital, Tokyo, Japan.
- 40 Department of Traumatology and Critical Care Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.
- 41 Department of Anesthesiology and Pain Medicine, Fujita Health University Bantane Hospital, Aichi, Japan.
- 42 Division of Respiratory Medicine and Allergology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.
- 43 Intensive Care Unit, Department of Anesthesiology, Jikei University School of Medicine, Tokyo, Japan.
- 44 Department of Intensive Care Medicine, Kumamoto University Hospital.
- 45 Department of Respiratory Medicine, Kumamoto University Hospital.
- 46 Department of Anesthesiology and Intensive Care Medicine, Graduate School of Medicine, Osaka University.
- 47 Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center.
- 48 Department of Emergency and Critical Care Medicine/Chiba University Graduate School of Medicine.
- 49 Department of Emergency and Critical Care, Tohoku University Hospital.
- 50 Department of Critical Care, Osaka City General Hospital.
- 51 Takatsuki General Hospital.
- 52 Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine.
- 53 Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital.
- 54 Department of Acute Medicine, Kawasaki Medical School.
- 55 Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine.
- 56 Department of Anesthesia, Kyoto University Hospital.
- 57 Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University.
- 58 Department of Emergency and Critical Care Medicine, Saiseikai Utsunomiya Hospital.
- 59 Department of Emergency and Critical Care Medicine, Tokyo Metropolitan Tama Medical Center.
- 60 Department of Emergency Medicine and Critical Care Medicine, Tochigi Prefectural Emergency and Critical Care Center, Imperial Foundation Saiseikai Utsunomiya Hospital.
- 61 Department of Emergency Medicine Okayama Saiseikai General Hospital.
- 62 Department of Emergency Medicine, Japanese Red Cross Musashino Hospital.
- 63 Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University.
- 64 Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan.
- 65 Department of Intensive Care Medicine, Kameda Medical Center.
- 66 Department of Intensive Care Medicine, Tokyo Medical and Dental University Hospital.
- 67 Department of Psychiatry, National Defense Medical College.
- 68 Department of Respiratory Medicine and Infectious Diseases, Niigata University Graduate School of Medical and Dental Sciences.
- 69 Department of Thoracic Surgery, Shimane Prefectural Central Hospital.
- 70 Department of Anesthesia, Kyoto University Hospital; Department of Healthcare Epidemiology, Kyoto University Graduate School of Medicine and Public Health.
- 71 Department of Critical Care Medicine, Tokushima Central Prefectural Hospital.
- 72 Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Medicine.
- 73 First Department of Internal Medicine, Toyama University Hospital, Toyama.
- 74 Department of Intensive Care Medicine, Saitama Medical School International Medical Center.
- 75 Soka Municipal Hospital.
- 76 Department of Nursing, International University of Health and Welfare.
- 77 Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine.
- 78 Department of Anesthesia, Social Medical Corporation Hakuaikai Kaisei Hospital.
- 79 Division of Respiratory Medicine, Department of Internal Medicine, Shiga University of Medical Science.
- 80 Department of Critical Care, Chiba Children's Hospital.
- 81 Division of Emergency and Critical Care, Japanese Red Cross Kyoto Daini Hospital.
- 82 Department of Critical Care and Emergency Medicine, National Hospital Organization Yokohama Medical Center.
- 83 Department of General Medicine, Kure Medical Center and Chugoku Cancer Center.
- 84 Department of Respiratory Medicine, Konan Medical Center.
- 85 Department of Pharmacoepidemiology, Graduate School of Medicine and Public Health, Kyoto University.
- 86 Department of Pulmonology, Kameda Medical Center.
- 87 Department of Emergency and Critical Care Medicine, Seirei Hamamatsu General Hospital.
- 88 Graduate School of Medicine, Tokyo University.
- 89 Department of Critical Care, National Cerebral and Cardiovascular Center.
- 90 Hyogo Prefectural Tamba Medical Center.
- 91 Department of Critical Care and Anesthesia, National Center for Child Health and Development.
- 92 Emergency and Critical Care Center, Kurashiki Central Hospital.
- 93 Department of Critical Care Medicine, Kyushu University Hospital.
- 94 Department of Pulmonology, Kashiwa Municipal Hospital.
- 95 Department of Anesthesiology, Osaka Women's and Children's Hospital.
- 96 Department of Intensive Care Medicine, Yokohama Rosai Hospital.
- 97 Emergency and Critical Care Medical Center & Pediatric Emergency Medicine Osaka City General Hospital.
- 98 Department of Anesthesiology and Resuscitology, Okayama University Hospital.
- 99 Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine.
- 100 Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima, Japan.
- 101 Kawasaki Municipal Ida Hospital.
- 102 Department of Intensive Care Unit, Showa University Hospital.
- 103 Department of Clinical Engineer.
- 104 Department of Intensive Care, Yokosuka General Hospital Uwamachi.
- 105 Division of Respiratory Medicine, Saiseikai Kumamoto Hospital.
- 106 Intensive Care Center,Shizuoka General Hospital.
- 107 Department of Emergency Medicine, Fukui Prefectural Hospital.
- 108 Intensive Care Unit, Department of Anesthesiology, Jikei University School of Medicine.
- 109 Department of Trauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital.
- 110 Intesive Care Unit, St Lukes International Hospital.
- 111 Respiratory Center, Matsusaka Municipal Hospital.
- 112 Department of Anesthesiology, Intensive Care Unit, Fukuyama City Hospital.
- 113 Department of Pediatric Critical Care Medicine, Hyogo Prefectural Amagasaki General Medical Center.
- 114 Department of Traumatology and Critical Care Medicine, National Defense Medical College.
- 115 Department of Cardiac Rehabilitation, Iwama Cardiovascular and Dental Clinic for Prevention and Care.
- 116 Division of Critical Care Center, Kochi Red Cross Hospital.
- 117 Department of Anesthesiology and Critical Care, Jichi Medical University, Saitama Medical Center.
- 118 Department of Rehabilitation, Steel Memorial Yawata Hospital.
- 119 Department of Healthcare Epidemiology, Kyoto University of Graduate School of Medicine.
- 120 Department of Anesthesiology, Nara Medical University.
- 121 Department of Respiratory Medicine, Yokohama Municipal Citizen's Hospital.
- 122 Department of Emergency and Critical Care Medicine, Jichi Medical University Saitama Medical Center.
- 123 Department of Anesthesiology and Critical Care Medicine of Kure Kyousai Hospital.
- 124 Department of Emergency and Critical Care Medicine, Komaki City Hospital.
- 125 Department of Intensive Care Unit,Sakai City Medical CenterMedicalcare Unit.
- 126 Fukui Prefectural Hospital.
- 127 Respiratory Medicine, Chiba University Hospital.
- 128 Department of Pediatric Critical Care, Shizuoka Children's Hospital.
- 129 Department of Respiratory Medicine and Allergology, Kochi Medical School, Kochi University.
- 130 Anesthesiology, Emergency Medicine, and Intensive Care Division Inazawa Municipal Hospital.
- 131 Department of Emergency and Critical Care Medicine, Nippon Medical School.
- 132 Department of Respiratory Medicine, Kanto Central Hospital of the Mutual Aid of Association of Public School Teachers.
- 133 Department of Preventive Services, Kyoto University Graduate School of Medicine.
- 134 Division of Pediatric Critical Care Medicine, Hyogo Prefectural Kobe Children's Hospital.
- 135 Department of Emergency, Toyama University Hospital.
- 136 Department of Nursing, Osaka Women's and Children's Hospital.
- 137 Department of Pulmonary Medicine, St. Luke's International Hospital.
- 138 Department of Critical Care Medicine, Tokyo Bay Urayasu-Ichikawa Medical Center.
- 139 Department of Critical Care Nursing, Graduate School of Medicine Kyoto University.
- 140 Emergency Life-Saving Technique Academy of Kyushu.
- 141 Department of Intensive Care Medicine, Sapporo Medical University School of Medicine.
- 142 Department of Respiratory Medicine and Clinical Immunology, Suita Municipal Hospital.
- 143 Department of Health Science, Kyusyu University of Health and Welfare.
- 144 Iwate Prefectural Kamaishi Public Health Center.
- 145 Department of Respirology, Saitama Red Cross Hospital.
- 146 Department of Pharmacy, Onomichi General Hospital.
- 147 Osaka Police Hospital, Respiratory Medicine.
- 148 Department of Radiology, Tokai University Hachioji Hospital, Tokyo, Japan.
- 149 Department of Emergency and Critical Care Medicine, Urasoe General Hospital.
- 150 Department of Preventive Medicine, Kyoto University Graduate School of Public Health.
- 151 Department of Emergency, Okinawa Prefectural Chubu Hospital.
- 152 Department of Emergency Medicine, Kyoto Katsura Hospital.
- 153 Department of Anesthesiology, Tokyo Medical University.
- 154 Department of Anesthesiology and Intensive Care Hamamatsu University School of Medicine.
- 155 Department of Pediatrics, Teine Keijinkai Hospital.
- 156 Department of Medical Engineering, Faculty of Health Care Science, Himeji Dokkyo University.
- 157 Department of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital.
- 158 Emergency and Critical Care Center, Mie University Hospital.
- 159 Department of Respiratory Medicine, JCHO Tokyo Yamate Medical Center.
- 160 Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine.
- 161 Department of Anesthesiology, Nagoya University Graduate School of Medicine.
- 162 Department of Emergency, SHOWA University Fujigaoka Hospital.
- 163 Intensive Care Unit, Shinshu University Hospital.
- 164 Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center.
- 165 National Hospital Organization Osaka National Hospital.
- 166 Department of Emergency Medicine and Critical Care Medicine, Tochigi Prefectural Emergency and Critical Care Center, Imperial Gift Foundation SAISEIKAI, Utsunomiya Hospital.
- 167 Department of Respirology, Graduate School of Medicine, Chiba University.
- 168 Infection Control and Education Center, Nagasaki University Hospital.
- 169 Department of Anesthesiology, Kansai Medical University.
- 170 Department of Anesthesiology and Critical Care, Jichi Medical University Saitama Medical Center.
- 171 Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine.
- 172 Department of Sakakibara Heart Institute.
- 173 Department of Cardiovascular Medicine, Graduate School of Medical Science, Kanazawa University.
- 174 Department of Cardiovascular Medicine, Otsu City Hospital.
- 175 Chugoku Rosai Hospital.
- 176 Department of Cardiology Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology.
- 177 Department of Emergency and Critical Care Medicine, Tohoku University Hospital.
- 178 Department of Emergency and Critical Care Medicine, Tokai University School of Medicine.
- 179 Tokyo Metropolitan Tama Medical Center, Department of Emergency Medicine Trauma and Resuscitation Center.
- 180 Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine.
- 181 Department of Anesthesiology, Saiseikai Yokohamashi Tobu Hospital.
- 182 Department of Respiratory Medicine, Ehime Prefecture Central Hospital.
- 183 Department of Emergency and Critical Care, Tokai University School of Medicine.
- 184 Department of Respiratory Medicine and Allergy and Department of Emergency and Intensive Care Medicine, Intensive Care Unit/Tosei General Hospital.
- 185 Department of Anesthesiology and Intensive Care Medicine, Nagasaki University Graduate School of Biomedical Sciences.
- 186 International University of Health and Welfare, Mita Hospital, Respiratory Diseases Center.
- 187 Emergency and Critical Care Medicine, Shimane University.
- 188 Kameda Medical Center Department of Infectious Diseases.
- 189 Department of Respiratory Medicine, Asao General Hospital.
- 190 Department of Anesthesiology, Todachuo General Hospital.
- 191 TMG Asaka Medical Center.
- 192 Department of Anesthesiology and Intensive Care Medicine, Aichi Medical University.
- 193 Department of Anesthesiology, Yokohama Municipal Citizen's Hospital.
- 194 Department of Emergency and Critical Care Medicine, Japanese Red Cross Kyoto Daini Hospital.
- 195 Division of Emergency and Disaster Medicine Tohoku Medical and Pharmaceutical University.
- 196 Saiseikai Kumamoto Hospital.
- 197 Bachelor of Pharmacy/Department of Pharmacy, Kobe Tokushukai Hospital.
- 198 Department of Medicine, Division of Respiratory Medicine and Allergology, Showa University School of Medicine.
- 199 Department of Anesthesiology and Perioperative Medicine, Tohoku University Graduate School of Medicine.
- 200 Department of Health Policy and Management, School of Medicine, Keio University.
- 201 Emergency and Critical Care Center, Kyushu University Hospital.
- 202 Department of Internal Medicine, Showa Inan General Hospital.
- 203 Department of Molecular Pathobiology and Cell Adhesion Biology, Mie University Graduate School of Medicine.
- 204 Department of Intensive Care Medicine, Osaka Women's and Children's Hospital.
- 205 Department of Clinical Oncology, Toranomon Hospital.
- 206 Department of Anesthesiology and Critical Care Medicine, Yokohama City University Hospital.
- 207 Emergency and Critical Care Centre, Saiseikai Kumamoto Hospital.
- PMID: 35753956
- DOI: 10.1016/j.resinv.2022.05.003
Abstract
Background: The joint committee of the Japanese Society of Intensive Care Medicine/Japanese Respiratory Society/Japanese Society of Respiratory Care Medicine on ARDS Clinical Practice Guideline has created and released the ARDS Clinical Practice Guideline 2021.
Methods: The 2016 edition of the Clinical Practice Guideline covered clinical questions (CQs) that targeted only adults, but the present guideline includes 15 CQs for children in addition to 46 CQs for adults. As with the previous edition, we used a systematic review method with the Grading of Recommendations Assessment Development and Evaluation (GRADE) system as well as a degree of recommendation determination method. We also conducted systematic reviews that used meta-analyses of diagnostic accuracy and network meta-analyses as a new method.
Results: Recommendations for adult patients with ARDS are described: we suggest against using serum C-reactive protein and procalcitonin levels to identify bacterial pneumonia as the underlying disease (GRADE 2D); we recommend limiting tidal volume to 4-8 mL/kg for mechanical ventilation (GRADE 1D); we recommend against managements targeting an excessively low SpO2 (PaO2) (GRADE 2D); we suggest against using transpulmonary pressure as a routine basis in positive end-expiratory pressure settings (GRADE 2B); we suggest implementing extracorporeal membrane oxygenation for those with severe ARDS (GRADE 2B); we suggest against using high-dose steroids (GRADE 2C); and we recommend using low-dose steroids (GRADE 1B). The recommendations for pediatric patients with ARDS are as follows: we suggest against using non-invasive respiratory support (non-invasive positive pressure ventilation/high-flow nasal cannula oxygen therapy) (GRADE 2D); we suggest placing pediatric patients with moderate ARDS in the prone position (GRADE 2D); we suggest against routinely implementing NO inhalation therapy (GRADE 2C); and we suggest against implementing daily sedation interruption for pediatric patients with respiratory failure (GRADE 2D).
Conclusions: This article is a translated summary of the full version of the ARDS Clinical Practice Guideline 2021 published in Japanese (URL: https://www.jrs.or.jp/publication/jrs_guidelines/). The original text, which was written for Japanese healthcare professionals, may include different perspectives from healthcare professionals of other countries.
Keywords: ARDS; Acute lung injury; Clinical practice guideline; Systematic review.
Copyright © 2022 [The Author/The Authors]. Published by Elsevier B.V. All rights reserved.
Conflict of interest statement
Conflict of Interest All committee members and panelists submitted disclosure forms of financial and academic conflict of interest (COI) prior to being requested to participate in individual activities. If panelists have any COI concerning each CQ, other panelists were assigned to replace the vacancy. All COI were collected according to the guideline written by Japanese Society of Intensive Care Medicine. Detailed information of COI and the roles in creating this clinical guideline are summarized in Additional file 7.
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