ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies

. 2023 Jun 16;49(7):727–759. doi: 10.1007/s00134-023-07050-7

Recommendation 7.3
We suggest awake prone positioning as compared to supine positioning for non-intubated patients with COVID-19-related AHRF to reduce intubation. Weak recommendation; low level of evidence in favor.
We are unable to make a recommendation for or against APP for non-intubated patients with COVID-19-related AHRF to reduce mortality. No recommendation; moderate level of evidence of no effect.
We are unable to make a recommendation for or against APP for patients with AHRF not due to COVID-19. No recommendation; no evidence.

Recommendation 7.3

We suggest awake prone positioning as compared to supine positioning for non-intubated patients with COVID-19-related AHRF to reduce intubation.

Weak recommendation; low level of evidence in favor.

We are unable to make a recommendation for or against APP for non-intubated patients with COVID-19-related AHRF to reduce mortality.

No recommendation; moderate level of evidence of no effect.

We are unable to make a recommendation for or against APP for patients with AHRF not due to COVID-19.

No recommendation; no evidence.