publication . Article . 2021

Expert consensus statements for the management of COVID-19-related acute respiratory failure using a Delphi method

Prashant Nasa; Elie Azoulay; Ashish K. Khanna; Ravi Jain; Sachin Gupta; Yash Javeri; Deven Juneja; Pradeep Rangappa; Krishnaswamy Sundararajan; Waleed Alhazzani; ...
Open Access English
  • Published: 01 Dec 2021
  • Publisher: BioMed Central
Abstract
<jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Coronavirus disease 2019 (COVID-19) pandemic has caused unprecedented pressure on healthcare system globally. Lack of high-quality evidence on the respiratory management of COVID-19-related acute respiratory failure (C-ARF) has resulted in wide variation in clinical practice.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>Using a Delphi process, an international panel of 39 experts developed clinical practice statements on the respiratory management of C-ARF in areas where evidence is absent or limited. Agreement was defined as achieved when &gt; 70% ...
Persistent Identifiers
Subjects
free text keywords: COVID 19 invasive mechanical ventilation, COVID-19 acute respiratory distress syndrome, COVID-19 high flow nasal oxygen, COVID-19 respiratory management, COVID-19 ventilatory management, Respiratory distress syndrome adult, COVID-19, Consensus, Delphi Technique, Humans, Respiratory Insufficiency, Emergency & Critical Care Medicine, 11 Medical and Health Sciences, Critical Care and Intensive Care Medicine, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases, [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases, [SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract, Research, lcsh:Medical emergencies. Critical care. Intensive care. First aid, lcsh:RC86-88.9
Funded by
NIH| Wake Forest Clinical and Translational Science Award
Project
  • Funder: National Institutes of Health (NIH)
  • Project Code: 5KL2TR001421-02
  • Funding stream: NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES
Communities
COVID-19
NARCIS
Article . 2021
Provider: NARCIS
Critical Care
Article . 2021
Provider: Crossref
Critical Care
Article . 2021
79 references, page 1 of 6

1. Docherty AB, Harrison EM, Green CA, Hardwick HE, Pius R, Norman L, et al. Features of 20 133 UK patients in hospital with covid‑19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study. BMJ. 2020;369:m1985.

2. Kim L, Garg S, O'Halloran A, Whitaker M, Pham H, Anderson EJ, et al. Risk Factors for Intensive Care Unit Admission and In‑hospital Mortality among Hospitalized Adults Identified through the U.S. Coronavirus Disease 2019 (COVID‑19)‑Associated Hospitalization Surveillance Network (COVID‑NET). Clin Infect Dis. 2020: ciaa1012.

3. European Centre for Disease Prevention and Control (ECDC). COVID‑19 Surveillance Report (Week 44, 2020). https://covid19‑surveillance ‑repor t.ecdc.europa.eu Accessed 11 November 2020.

4. Armstrong RA, Kane AD, Cook TM. Outcomes from intensive care in patients with COVID‑19: a systematic review and meta‑analysis of obser ‑ vational studies. Anaesthesia. 2020;75:1340-9.

5. Grasselli G, Pesenti A, Cecconi M. Critical care utilization for the COVID‑19 outbreak in Lombardy, Italy: early experience and forecast during an emergency response. JAMA. 2020;323:1545-6. [OpenAIRE]

6. Gattinoni L, Chiumello D, Caironi P, Busana M, Romitti F, Brazzi L, et al. COVID‑19 pneumonia: diefrent respiratory treatments for diefrent phenotypes? Intensive Care Med. 2020;46:1099-102.

7. Gattinoni L, Coppola S, Cressoni M, Busana M, Rossi S, Chiumello D. COVID‑19 does not lead to a “typical” acute respiratory distress syndrome. Am J Respir Crit Care Med. 2020;201:1299-300. [OpenAIRE]

8. Gattinoni L, Meissner K, Marini JJ. The baby lung and the COVID‑19 era. Intensive Care Med. 2020;46:1438-40. [OpenAIRE]

9. Tobin MJ, Laghi F, Jubran A. P‑SILI is not justification for intubation of COVID‑19 patients. Ann Intensive Care. 2020;10:105.

10. Tobin MJ, Laghi F, Jubran A. Caution about early intubation and mechanical ventilation in COVID‑19. Ann Intensive Care. 2020;10:78.

11. Fan E, Beitler JR, Brochard L, Calfee CS, Ferguson ND, Slutsky AS, et al. COVID‑19‑associated acute respiratory distress syndrome: is a diefrent approach to management warranted? Lancet Respir Med. 2020;8:816-21.

12. Azoulay E, de Waele J, Ferrer R, Staudinger T, Borkowska M, Povoa P, et al. International variation in the management of severe COVID‑19 patients. Crit Care. 2020;24:486.

13. Diamond IR, Grant RC, Feldman BM, Pencharz PB, Ling SC, Moore AM, et al. Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol. 2014;67:401-9.

14. Taylor E. We Agree, Don't We? The Delphi Method for Health Environments Research. HERD. 2020;13:11-23.

15. Mason RJ. Pathogenesis of COVID‑19 from a cell biology perspective. Eur Respir J. 2020;55:2000607.

79 references, page 1 of 6
Abstract
<jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Coronavirus disease 2019 (COVID-19) pandemic has caused unprecedented pressure on healthcare system globally. Lack of high-quality evidence on the respiratory management of COVID-19-related acute respiratory failure (C-ARF) has resulted in wide variation in clinical practice.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>Using a Delphi process, an international panel of 39 experts developed clinical practice statements on the respiratory management of C-ARF in areas where evidence is absent or limited. Agreement was defined as achieved when &gt; 70% ...
Persistent Identifiers
Subjects
free text keywords: COVID 19 invasive mechanical ventilation, COVID-19 acute respiratory distress syndrome, COVID-19 high flow nasal oxygen, COVID-19 respiratory management, COVID-19 ventilatory management, Respiratory distress syndrome adult, COVID-19, Consensus, Delphi Technique, Humans, Respiratory Insufficiency, Emergency & Critical Care Medicine, 11 Medical and Health Sciences, Critical Care and Intensive Care Medicine, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases, [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases, [SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract, Research, lcsh:Medical emergencies. Critical care. Intensive care. First aid, lcsh:RC86-88.9
Funded by
NIH| Wake Forest Clinical and Translational Science Award
Project
  • Funder: National Institutes of Health (NIH)
  • Project Code: 5KL2TR001421-02
  • Funding stream: NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES
Communities
COVID-19
NARCIS
Article . 2021
Provider: NARCIS
Critical Care
Article . 2021
Provider: Crossref
Critical Care
Article . 2021
79 references, page 1 of 6

1. Docherty AB, Harrison EM, Green CA, Hardwick HE, Pius R, Norman L, et al. Features of 20 133 UK patients in hospital with covid‑19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study. BMJ. 2020;369:m1985.

2. Kim L, Garg S, O'Halloran A, Whitaker M, Pham H, Anderson EJ, et al. Risk Factors for Intensive Care Unit Admission and In‑hospital Mortality among Hospitalized Adults Identified through the U.S. Coronavirus Disease 2019 (COVID‑19)‑Associated Hospitalization Surveillance Network (COVID‑NET). Clin Infect Dis. 2020: ciaa1012.

3. European Centre for Disease Prevention and Control (ECDC). COVID‑19 Surveillance Report (Week 44, 2020). https://covid19‑surveillance ‑repor t.ecdc.europa.eu Accessed 11 November 2020.

4. Armstrong RA, Kane AD, Cook TM. Outcomes from intensive care in patients with COVID‑19: a systematic review and meta‑analysis of obser ‑ vational studies. Anaesthesia. 2020;75:1340-9.

5. Grasselli G, Pesenti A, Cecconi M. Critical care utilization for the COVID‑19 outbreak in Lombardy, Italy: early experience and forecast during an emergency response. JAMA. 2020;323:1545-6. [OpenAIRE]

6. Gattinoni L, Chiumello D, Caironi P, Busana M, Romitti F, Brazzi L, et al. COVID‑19 pneumonia: diefrent respiratory treatments for diefrent phenotypes? Intensive Care Med. 2020;46:1099-102.

7. Gattinoni L, Coppola S, Cressoni M, Busana M, Rossi S, Chiumello D. COVID‑19 does not lead to a “typical” acute respiratory distress syndrome. Am J Respir Crit Care Med. 2020;201:1299-300. [OpenAIRE]

8. Gattinoni L, Meissner K, Marini JJ. The baby lung and the COVID‑19 era. Intensive Care Med. 2020;46:1438-40. [OpenAIRE]

9. Tobin MJ, Laghi F, Jubran A. P‑SILI is not justification for intubation of COVID‑19 patients. Ann Intensive Care. 2020;10:105.

10. Tobin MJ, Laghi F, Jubran A. Caution about early intubation and mechanical ventilation in COVID‑19. Ann Intensive Care. 2020;10:78.

11. Fan E, Beitler JR, Brochard L, Calfee CS, Ferguson ND, Slutsky AS, et al. COVID‑19‑associated acute respiratory distress syndrome: is a diefrent approach to management warranted? Lancet Respir Med. 2020;8:816-21.

12. Azoulay E, de Waele J, Ferrer R, Staudinger T, Borkowska M, Povoa P, et al. International variation in the management of severe COVID‑19 patients. Crit Care. 2020;24:486.

13. Diamond IR, Grant RC, Feldman BM, Pencharz PB, Ling SC, Moore AM, et al. Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol. 2014;67:401-9.

14. Taylor E. We Agree, Don't We? The Delphi Method for Health Environments Research. HERD. 2020;13:11-23.

15. Mason RJ. Pathogenesis of COVID‑19 from a cell biology perspective. Eur Respir J. 2020;55:2000607.

79 references, page 1 of 6
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