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Table 3 Recommendations for HM patients with ARF

From: Management strategy for hematological malignancy patients with acute respiratory failure

ICU admission

Giving priority to those who may benefit most from critical care based on an integration of clinical experience, matched results of clinical studies and the willing of patients and their relatives. More studies are needed to verify predictors, such as SOFA, APACHEII, SAPSII and others

Optimal setting

Hematological ICU is preferred, or General ICU where hematologist, intensivist and respiratory therapist can collaborate closely

NIV

PaO2/FiO2 > 200; SO2 < 90% and RR > 25; Pulmonary edema; Refuse intubation

IMV

PaO2/FiO2 ≤ 200; RR > 35; Consciousness disorder; unstable hemodynamic; ARDS; MOD

  1. ICU intensive care unit, SOFA sequential organ failure assessment, APACHE acute physiology and chronic health evaluation, SAPS simplified acute physiology Score, NIV noninvasive ventilation, PaO2 arterial oxygen tension, FiO2 fraction of inspired oxygen, SO2 oxygen saturation, RR respiratory rate, IMV invasive mechanical ventilation, ARDS acute respiratory distress syndrome, MOD multiple organ dysfunction
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European Journal of Medical Research

ISSN: 2047-783X

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