Guidelines

The SSAI Clinical Practice Committee is devoted to develop, endorse and publish clinical practice guidelines to be used by Scandinavian anaesthesiologists and intensivists.

The GRADE methodology is used in preparing these guidelines and an outline of the work flow for preparing SSAI guidelines can be found here along with instructions on how the SSAI endorses non-SSAI clinical practice guidelines:

Current guidelines

Published guidelines

AreaTask forceTask force leaderGuidelineYear
Intensive careAcute circulatory failureMorten Hylander MøllerScandinavian clinical practice guideline on choice of inotropic agent for patients with acute circulatory failure 2018
Intensive Care Acute circulatory failure Morten Hylander Møller Scandinavian clinical practice guideline on choice of vasopressor for patients with acute circulatory failure 2016
Intensive Care Mårten SandbergScandinavian clinical practice guideline on pre-hospital airway management 2016
Intensive Care Acute respiratory failure Jon Henrik Laake Scandinavian clinical practice guideline on fluid and drug therapy in adults with acute respiratory distress syndrome 2016
Intensive Care Acute circulatory failure Anders PernerScandinavian clinical practice guideline on choice of fluid in resuscitation of critically ill patients with acute circulatory failure 2015
Intensive Care Acute respiratory failure Jon Henrik Laake Scandinavian clinical practice guideline on mechanical ventilation in adults with the acute respiratory distress syndrome 2015

Published in MAGIC app

AreaTask forceTask force leaderGuidelineYear
Intensive careAcute respiratory failureJon Henrik LaakeScandinavian clinical practice guideline on fluid and drug therapy in adults with acute respiratory distress syndrome 2016
Intensive Care Acute circulatory failure Morten Hylander Møller Scandinavian clinical practice guideline on choice of fluid in resuscitation of critically ill patients with acute circulatory failure 2016

This table shows guidelines published by the SSAI also in MAGIC. MAGIC is a research and innovation programme and non-profit initiative within the health care sector, working to improve the creation, dissemination and dynamic updating of clinical practice guidelines, evidence summaries and decision aids. All guidelines published by the SSAI in MAGIC can be accessed here.

Endorsement of non-SSAI clinical practice guidelines

Original groupOriginal guidelineSSAI endorsementYear
DASAIM / DSITPrevention of rhabdomyolysis-induced acute kidney injury – A DASAIM/DSIT clinical practice guideline Clinical practice guideline on prevention of rhabdomyolysis induced acute kidney injury: Endorsement by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine2019
BMJ rapid recommendationsAtraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guidelineClinical practice guideline on atraumatic (pencil-point) vs conventional needles for lumbar puncture: Endorsement by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine2019

Joint publications from SSAI and the Candadian Critical Care Society

AreaTask forceTask force leaderGuidelineYear
Intensive careCCCS-SSAI
(Wiki-Recs)
Bram RochwergCCCS-SSAI WikiRecs clinical practice guideline: vasopressor blood pressure targets in critically ill adults with hypotension and vasopressor use in early traumatic shock2017
Intensive Care CCCS-SSAI
(Wiki-Recs)
Bram Rochwerg CCCS-SSAI WikiRecs Clinical Practice Guideline: vasopressors in early traumatic shock2017
Intensive Care CCCS-SSAI
(Wiki-Recs)
Bram Rochwerg CCCS-SSAI WikiRecs Clinical Practice Guideline: vasopressor blood pressure targets in critically ill adults with hypotension2017

Guidelines in preparation

AreaTask forceTask force leaderGuideline
Pain managementGeir Niemi Scandinavian clinical practice guideline on acute pain management
Prehospital care Prehospital careMarius RehnScandinavian SSAI clinical practice guideline on prehospital pain management

Scheduled guidelines

AreaTask forceTask force leaderGuideline
Perioperative care Scandinavian SSAI clinical practice guideline on invasive interventions in patients with disturbed haemostasis
Perioperative careEmergency anaesthesia

COVID guidelines

Curated by Jon Henrik Laake and Morten Hylander

AreaGuideline
Surge preparednessManaging ICU surge during the COVID-19 crisis: rapid guidelines.
Aziz S, Arabi YM, Alhazzani W, Evans L, Citerio G, Fischkoff K, Salluh J, Meyfroidt G, Alshamsi F, Oczkowski S, Azoulay E, Price A, Burry L, Dzierba A, Benintende A, Morgan J, Grasselli G, Rhodes A, Møller MH, Chu L, Schwedhelm S, Lowe JJ, Bin D, Christian MD.Intensive Care Med. 2020 Jul;46(7):1303-1325. doi: 10.1007/s00134-020-06092-5. Epub 2020 Jun 8. PMID: 32514598
Infection preventionInfectious Diseases Society of America Guidelines on Infection Prevention for Health Care Personnel Caring for Patients with Suspected or Known COVID-19.
Lynch JB, Davitkov P, Anderson DJ, Bhimraj A, Cheng VC, Guzman-Cottrill J, Dhindsa J, Duggal A, Jain MK, Lee GM, Liang SY, McGeer A, Lavergne V, Murad MH, Mustafa RA, Morgan RL, Falck-Ytter Y, Sultan S.Clin Infect Dis. 2020 Jul 27:ciaa1063. doi: 10.1093/cid/ciaa1063. Online ahead of print. PMID: 32716496 
DiagnosisInfectious Diseases Society of America Guidelines on the Diagnosis of COVID-19.
Hanson KE, Caliendo AM, Arias CA, Englund JA, Lee MJ, Loeb M, Patel R, El Alayli A, Kalot MA, Falck-Ytter Y, Lavergne V, Morgan RL, Murad MH, Sultan S, Bhimraj A, Mustafa RA.Clin Infect Dis. 2020 Jun 16:ciaa760. doi: 10.1093/cid/ciaa760. Online ahead of print. PMID: 32556191 
Clinical managementSurviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19)
Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, Oczkowski S, Levy MM, Derde L, Dzierba A, Du B, Aboodi M, Wunsch H, Cecconi M, Koh Y, Chertow DS, Maitland K, Alshamsi F, Belley-Cote E, Greco M, Laundy M, Morgan JS, Kesecioglu J, McGeer A, Mermel L, Mammen MJ, Alexander PE, Arrington A, Centofanti JE, Citerio G, Baw B, Memish ZA, Hammond N, Hayden FG, Evans L, Rhodes A.Intensive Care Med. 2020 May;46(5):854-887. doi: 10.1007/s00134-020-06022-5. Epub 2020 Mar 28. PMID: 32222812
Clinical managementA living WHO guideline on drugs for covid-19.
Lamontagne F, Agoritsas T, Macdonald H, Leo YS, Diaz J, Agarwal A, Appiah JA, Arabi Y, Blumberg L, Calfee CS, Cao B, Cecconi M, Cooke G, Dunning J, Geduld H, Gee P, Manai H, Hui DS, Kanda S, Kawano-Dourado L, Kim YJ, Kissoon N, Kwizera A, Laake JH, Machado FR, Qadir N, Sarin R, Shen Y, Zeng L, Brignardello-Petersen R, Lytvyn L, Siemieniuk R, Zeraatkar D, Bartoszko J, Ge L, Maguire B, Rochwerg B, Guyatt G, Vandvik PO.BMJ. 2020 Sep 4;370:m3379. doi: 10.1136/bmj.m3379. PMID: 32887691
Clinical managementAssociation Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis.
WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group, Sterne JAC, Murthy S, Diaz JV, Slutsky AS, Villar J, Angus DC, Annane D, Azevedo LCP, Berwanger O, Cavalcanti AB, Dequin PF, Du B, Emberson J, Fisher D, Giraudeau B, Gordon AC, Granholm A, Green C, Haynes R, Heming N, Higgins JPT, Horby P, Jüni P, Landray MJ, Le Gouge A, Leclerc M, Lim WS, Machado FR, McArthur C, Meziani F, Møller MH,Perner A, Petersen MW, Savovic J, Tomazini B, Veiga VC, Webb S, Marshall JC. JAMA. 2020 Sep 2. doi: 10.1001/jama.2020.17023. Online ahead of print. PMID: 32876694
Clinical managementRemdesivir for severe covid-19: a clinical practice guideline.
Rochwerg B, Agarwal A, Zeng L, Leo YS, Appiah JA, Agoritsas T, Bartoszko J, Brignardello-Petersen R, Ergan B, Ge L, Geduld H, Gershengorn HB, Manai H, Huang M, Lamontagne F, Kanda S, Kawano-Dourado L, Kurian L, Kwizera A, Murthy S, Qadir N, Siemieniuk R, Silvestre MA, Vandvik PO, Ye Z, Zeraatkar D, Guyatt G.BMJ. 2020 Jul 30;370:m2924. doi: 10.1136/bmj.m2924. PMID: 32732352
Clinical managementDrug treatments for covid-19: living systematic review and network meta-analysis.
Siemieniuk RA, Bartoszko JJ, Ge L, Zeraatkar D, Izcovich A, Kum E, Pardo-Hernandez H, Rochwerg B, Lamontagne F, Han MA, Liu Q, Agarwal A, Agoritsas T, Chu DK, Couban R, Darzi A, Devji T, Fang B, Fang C, Flottorp SA, Foroutan F, Heels-Ansdell D, Honarmand K, Hou L, Hou X, Ibrahim Q, Loeb M, Marcucci M, McLeod SL, Motaghi S, Murthy S, Mustafa RA, Neary JD, Qasim A, Rada G, Riaz IB, Sadeghirad B, Sekercioglu N, Sheng L, Sreekanta A, Switzer C, Tendal B, Thabane L, Tomlinson G, Turner T, Vandvik PO, Vernooij RW, Viteri-García A, Wang Y, Yao L, Ye Z, Guyatt GH, Brignardello-Petersen R.BMJ. 2020 Jul 30;370:m2980. doi: 10.1136/bmj.m2980. PMID: 32732190 
Airway managementHigh-flow nasal cannula for acute hypoxemic respiratory failure in patients with COVID-19: systematic reviews of effectiveness and its risks of aerosolization, dispersion, and infection transmission.
Agarwal A, Basmaji J, Muttalib F, Granton D, Chaudhuri D, Chetan D, Hu M, Fernando SM, Honarmand K, Bakaa L, Brar S, Rochwerg B, Adhikari NK, Lamontagne F, Murthy S, Hui DSC, Gomersall C, Mubareka S, Diaz JV, Burns KEA, Couban R, Ibrahim Q, Guyatt GH, Vandvik PO.Can J Anaesth. 2020 Sep;67(9):1217-1248. doi: 10.1007/s12630-020-01740-2. Epub 2020 Jun 15. PMID: 32542464 
Airway managementUse of Tracheostomy During the COVID-19 Pandemic: American College of Chest Physicians/American Association for Bronchology and Interventional Pulmonology/Association of Interventional Pulmonology Program Directors Expert Panel Report.
Lamb CR, Desai NR, Angel L, Chaddha U, Sachdeva A, Sethi S, Bencheqroun H, Mehta H, Akulian J, Argento AC, Diaz-Mendoza J, Musani A, Murgu S.Chest. 2020 Jun 6:S0012-3692(20)31639-1. doi: 10.1016/j.chest.2020.05.571. Online ahead of print. PMID: 32512006 
Airway managementThe Use of Bronchoscopy During the Coronavirus Disease 2019 Pandemic: CHEST/AABIP Guideline and Expert Panel Report.
Wahidi MM, Shojaee S, Lamb CR, Ost D, Maldonado F, Eapen G, Caroff DA, Stevens MP, Ouellette DR, Lilly C, Gardner DD, Glisinski K, Pennington K, Alalawi R.Chest. 2020 Sep;158(3):1268-1281. doi: 10.1016/j.chest.2020.04.036. Epub 2020 May 1. PMID: 32361152 

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