By vgreene, 22 March, 2020 Inhaled nitric oxide not routine, consider in severe dz as rescue or bridge to ECMO, or in select conditions2
By vgreene, 22 March, 2020 ECMO: Not routine; consider if refractory hypoxemia despite lung-protective ventilation, per ATS, WHO, ESICM/SCCM, NIH;1-4 in very severe pts, per ICS5
By vgreene, 22 March, 2020 Neuromuscular blockade not routine, per WHO,1 but cisatracurium besylate continuous 48h-infusion suggested early in the course (eg, 1st 48h) of pts w/ PaO2/FiO2 ratio
By vgreene, 22 March, 2020 Corticosteroids: dexamethasone (6 mg/day x10 days) recommended if pt on supplemental O2, mechanical vent, ECMO3,6
By vgreene, 22 March, 2020 Position For mod severe ARDS prone 12h day per ICS 5 12 16h day per WHO 1 ESICM SCCM 2 NIH 3 per ATS prone position 12h day only in severe ARDS4