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ARDS Ventilation 

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  • For ARDS, a low tidal volume ventilation strategy (6 ml/kg) is recommended

  • For moderate to severe* ARDS: 

    • ​Use higher PEEP over lower PEEP

    • Use traditional recruitment manoeuvres.  The use of incremental PEEP titration strategy is not recommended

    • Use prone ventilation for greater than 12 hours daily 

    • Use intermittent neuromuscular blocking agents  (NMBAs) over continuous infusion of these agents.  If NMBAs are used, clinicians must ensure adequate patient sedation and analgesia 

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Reference: Evans, Laura et al. “Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021.” Critical care medicine vol. 49,11 (2021): e1063-e1143. doi:10.1097/CCM.0000000000005337

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