ONLINE OPTIONS: Our FREE online Webinar
series remains the main stay of cutting edge information for our genealogy
community. We have an
excellent Research Team available to assist you with your research and our
SCGS Interest Groups (Ethnic,
Computer Software, Writer’s Group, and DNA) have all organized online meetings
for the month of June and beyond, as needed.
This document provides evidence-based clinical practice guidelines on the use of mechanical ventilation in adult patients with acute respiratory distress syndrome (ARDS).
A multidisciplinary panel conducted systematic reviews and metaanalyses of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations.
For all patients with ARDS, the recommendation is strong for mechanical ventilation using lower tidal volumes (4-8 ml/kg predicted body weight) and lower inspiratory pressures (plateau pressure < 30 cm H2O) (moderate confidence in effect estimates). For patients with severe ARDS, the recommendation is strong for prone positioning for more than 12 h/d (moderate confidence in effect estimates). For patients with moderate or severe ARDS, the recommendation is strong against routine use of high-frequency oscillatory ventilation (high confidence in effect estimates) and conditional for higher positive end-expiratory pressure (moderate confidence in effect estimates) and recruitment maneuvers (low confidence
To address a letter to a government official, first you need to find the official’s name and titles, which help to demonstrate respect when addressing your letter. Then, find their address by searching online for their name and the phrase “mailing address,” or check USA.gov for a list of addresses for many officials. When writing the envelope, include their full name, titles, and official address clearly and legibly on the front, and be sure to write your return address in the top left corner.