TY - JOUR
T1 - Saudi Guideline for Mechanical Ventilation in Adults-Executive Summary
AU - Arabi, Yaseen M.
AU - Al Aseri, Zohair
AU - Rada, Gabriel
AU - Abdulmomen, Ahmed A.
AU - Alenezi, Farhan
AU - AlBshabshe, Ali
AU - Aldekhyl, Sara
AU - Algahtani, Ahmed
AU - Algethamy, Haifa M.
AU - Al-Hameed, Fahad M.
AU - Al Harbi, Mohammed K.
AU - Alhazzani, Waleed
AU - Aljasser, Tariq
AU - Aljuaid, Maha
AU - Al Matrood, Amal
AU - Al Mutairi, Mohammed M.
AU - Alobeiwi, Khalid Naif
AU - Alqahtani, Samah Y.
AU - Alqahtani, Mohammed A.
AU - Al Reyes, Khalid
AU - Alshahrani, Mohammed
AU - Azzam, Mohamed H.
AU - Elhazmi, Alyaa
AU - Mady, Ahmed
AU - Maghrabi, Khalid
AU - Mhawish, Huda A.
AU - Zeitouni, Mohammed O.
AU - Memish, Ziad A.
AU - Saeedi, Mohammad
AU - Alqahtani, Abdulrahman
AU - Abuzinada, Shatha
AU - Cantor-Cruz, Francy
AU - Oliver-Avila, Camila
AU - Novillo, Francisco
AU - Rojas-Gómez, Ana Maria
AU - Ramos-Rojas, José
AU - Verdugo-Paiva, Francisca
AU - Peña, Javiera
AU - Veloso, Valentina
AU - Zambrano, Paula
AU - Valson, Joanna
AU - Alvira, Ximena
AU - Bilimoria, Khushnam
AU - Taneja, Chirag
AU - Phuong, Mai Ta
AU - Chawla, Ruchi
AU - Feit, Sheila
AU - Bickett, Skye
AU - Brunnhuber, Klara
N1 - Publisher Copyright:
© 2026 Saudi Journal of Medicine & Medical Sciences.
PY - 2026/2/1
Y1 - 2026/2/1
N2 - The Saudi Guideline for Mechanical Ventilation in Adults presents evidence-based recommendations for the care of adults requiring invasive mechanical ventilation. Fourteen priority clinical questions address ventilatory strategies for acute respiratory distress syndrome (ARDS), adjunctive and rescue therapies, sedation and weaning practices, airway management, and supportive ICU care. Strong recommendations support low–tidal-volume ventilation and higher positive end-expiratory pressure in ARDS, as well as head-of-bed elevation to prevent ventilator-associated pneumonia. Conditional recommendations include prone positioning, venovenous extracorporeal membrane oxygenation in selected severe ARDS patients, daily sedation interruption, protocolized spontaneous breathing trials, and early tracheostomy. For several interventions, evidence remains insufficient to support definitive recommendations. This guideline aims to standardize practice and improve outcomes across Saudi intensive care units.
AB - The Saudi Guideline for Mechanical Ventilation in Adults presents evidence-based recommendations for the care of adults requiring invasive mechanical ventilation. Fourteen priority clinical questions address ventilatory strategies for acute respiratory distress syndrome (ARDS), adjunctive and rescue therapies, sedation and weaning practices, airway management, and supportive ICU care. Strong recommendations support low–tidal-volume ventilation and higher positive end-expiratory pressure in ARDS, as well as head-of-bed elevation to prevent ventilator-associated pneumonia. Conditional recommendations include prone positioning, venovenous extracorporeal membrane oxygenation in selected severe ARDS patients, daily sedation interruption, protocolized spontaneous breathing trials, and early tracheostomy. For several interventions, evidence remains insufficient to support definitive recommendations. This guideline aims to standardize practice and improve outcomes across Saudi intensive care units.
KW - Acute respiratory distress syndrome
KW - guidelines
KW - lung-protective ventilation
KW - Mechanical ventilation
KW - Saudi Arabia
KW - sedation
KW - ventilator-associated pneumonia
KW - weaning strategies
UR - https://www.scopus.com/pages/publications/105030121193
U2 - 10.4103/sjmms.sjmms_329_25
DO - 10.4103/sjmms.sjmms_329_25
M3 - Article
AN - SCOPUS:105030121193
SN - 1658-631X
VL - 14
SP - S1-S6
JO - Saudi Journal of Medicine and Medical Sciences
JF - Saudi Journal of Medicine and Medical Sciences
ER -
SDG 3 Good Health and Well-being