Differences and similarities between the new guidelines of ESICM and ATS in 2023 for acute respiratory dis-tress syndrome
YUAN Xueyan
LIU Ling
QIU Haibo
Abstract：With the development of scientific research and clinical practice,the diagnosis and treatment strategies for acute respiratory distress syndrome(ARDS)have made great progress in the past five years.Therefore,in 2023,European Society of Intensive Care Medicine(ESICM)and American Thoracic Society(ATS)updated and revised their management strategies for ARDS based on the ARDS clinical practice guideline(CPG)in 2017.The new guideline of ESICM makes 21 recommendations from nine key fields across the three themes of ARDS definition,phenotype and respiratory support strategy.Based on the CPG in 2017,the new guideline of ATS incorporates new evidence regarding the use of corticosteroids,veno-venous extracorporeal membrane oxygenation,neuromuscular blocking agents and pos-itive end-expiratory pressure,providing conditional recommendations.Both guidelines share a considerable degree of consistency but differences in some specific clinical issues.This review compares and analyzes the new guideline of ESICM and the new guideline of ATS,in order to provide a reliable basis for rational evidence-based decision-making in clin-ical practice.
Keywords：Acute respiratory distress syndrome(ARDS)Clinical practice guideline(CPG)Positive end-expiratory pressureNeuromuscular blocking agentsVeno-venous extracorporeal membrane oxygenation(VV-ECMO)
Publication Date：2024-02-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 123-127 )