Guidelines
Mechanical Ventilation

Mechanical Ventilation

Recommendation

Treatment Comments
High-Dose Steroids^ Methylprednisolone 1-2 mg/kg/day divided q8-12h, OR, Dexamethasone 20 mg daily x 5 days, followed by 6-10 mg daily
Immune Modulator Baricitinib OR Tocilizumab (if pt meets inclusion criteria**)

^ insufficient evidence to recommend one steroid over the other

**HFNC, acute BiPAP/CPAP, or mechanical ventilation; CRP ≥ 7.5 mg/dL (w/in past 24 hr); on corticosteroids

DVT prophylaxis is recommended if no contraindications

Enoxaparin (1st line)

OR

Heparin subcutaneous (2nd line)