Management of Acute Hypoxemic Respiratory Failure 2° to ARDS

• Oxygen via face mask with reservoir bag-flow rates 10-15l/min
• 2-HFNO/NIV should only be used in selected patients without comorbidities and for non-pregnant patients
• Monitor closely for one hour and deliver invasive ventilation if patients acutely deteriorate or have no improvement
• Endotracheal intubation should be performed by a trained and experienced provider using airborne precautions
• MV setting-low tidal volume (4-8 ml /KG), low inspiratory pressure, high PEEP
• If no improvement, consider prone ventilation