Clinical Practice Guidelines

Clinical Practice Guidelines are available in the following categories:

  • AARC Evidence-Based Clinical Practice Guidelines (by date released)
  • AARC Expert Panel Reference-Based Guidelines (by date released)
  • AARC Retired Guidelines (alphabetically)
  • Guidelines from Other Organizations — Current evidence-based guidelines, statements, and consensus reports (by topic)

Additional guidelines are available at the ECRI Guidelines Trust.

Evidence-Based Clinical Practice Guidelines

AARC Clinical Practice Guideline: Effectiveness of Nonpharmacologic Airway Clearance Therapies in Hospitalized Patients (2013) PDF
AARC Clinical Practice Guideline: Effectiveness of Pharmacologic Airway Clearance Therapies in Hospitalized Patients (2015) PDF
AARC Clinical Practice Guideline: Management of Adult Patients with Tracheostomy in the Acute Care Setting (2021) PDF
AARC Clinical Practice Guideline: Management of Pediatric Patients with Oxygen in the Acute Care Setting (2021) PDF
AARC Clinical Practice Guideline: Management of Pediatric Patients with Tracheostomy in the Acute Care Setting (2021) PDF
Evidence-based clinical practice guideline: Inhaled nitric oxide for neonates with acute hypoxic respiratory failure (2010) PDF
Care of the ventilator circuit and its relation to ventilator associated pneumonia (2003) PDF
Weaning and discontinuing ventilatory support (2002) PDF

Expert Panel Reference-Based Guidelines

Blood gas analysis and hemoximetry (2013) PDF
Surfactant replacement therapy (2013) PDF
Aerosol delivery device selection for spontaneously breathing patients (2012) PDF
Humidification during invasive and non invasive mechanical ventilation (2012) PDF
Transcutaneous blood gas monitoring for neonatal and pediatric patients (2012) PDF
Capnography/capnometry during mechanical ventilation (2011) PDF
Incentive spirometry (2011) PDF
Endotracheal suctioning of mechanically ventilated patients with artificial airways (2010) PDF
Providing patient and caregiver training (2010) PDF
Infant/toddler pulmonary function tests (2008) PDF
Bronchoscopy assisting (2007) PDF
Long-term invasive mechanical ventilation in the home (2007) PDF
Polysomnography (1995) PDF
Oxygen therapy in the home or alternate site health care facility (2007) PDF
Removal of the endotracheal tube (2007) PDF
Application of continuous positive airway pressure to neonates via nasal prongs, or nasopharyngeal tube, or nasal mask (2004) PDF
Nasotracheal suctioning (2004) PDF
Metabolic measurement using indirect calorimetry during mechanical ventilation (2004) PDF
Intermittent positive pressure breathing (2003) PDF
In-hospital transport of the mechanically ventilated patient (2002) PDF
Oxygen therapy for adults in the acute care facility (2002) PDF
Capillary blood gas sampling for neonatal and pediatric patients (2001) PDF

AARC-Retired Guidelines

Assessing response to bronchodilator therapy at point of care (1995) PDF
Bland aerosol administration (2003) PDF
Body plethysmography (2001) PDF
Defibrillation during resuscitation (1995) PDF
Directed cough (1993) PDF
Discharge planning for the respiratory care patient (1995) PDF
Exercise testing for evaluation of hypoxemia and/or desaturation (2001) PDF
Management of airway emergencies (1995) PDF
Methacholine challenge testing (2001) PDF
Neonatal time-triggered, pressure-limited, time-cycle mechanical ventilation (1994) PDF
Patient-ventilator system checks (1992) PDF
Postural drainage therapy (1991) PDF
Pulmonary rehabilitation (2002) PDF
Pulse oximetry (1992) PDF
Resuscitation and defibrillation in the health care setting (2004) PDF
Sampling for arterial blood gas analysis (1992) PDF
Selection of a device for delivery of aerosol to the lung parenchyma (1996) PDF
Selection of an aerosol device for neonatal and pediatric patients (1995) PDF
Selection of an oxygen delivery device for neonatal and pediatric patients (2002) PDF
Selection of device, administration of bronchodilator, and evaluation of response to therapy in mechanically ventilated patients (1999) PDF
Single-breath carbon monoxide diffusing capacity (1999) PDF
Spirometry (1996) PDF
Static lung volumes (2001) PDF
Suctioning of the patient in the home (1999) PDF
Training the health care professional for the role of patient and caregiver education (1996) PDF
Use of positive airway pressure adjuncts to bronchial hygiene therapy (1993) PDF

Guidelines from Other Organizations

Aerosol Therapy

ACCP Device Selection and Outcomes of Aerosol Therapy: Evidence-Based Guidelines (2005) HTML

Airway Management

ASA Practice Guidelines for the Management of the Difficult Airway (2013) HTML


ATS/ESICM/SCCM Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome HTML


NAEPP EPR-3 2007 Asthma Guidelines PDF


AAP Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis (2014) HTML

Childhood Interstitial Lung Disease in Infancy

ATS CPG: Classification, Evaluation, and Management of Childhood Interstitial Lung Disease (chILD) in Infancy (2013) PDF

Cystic Fibrosis

CFF: Cystic Fibrosis Pulmonary Guidelines: Airway Clearance Therapies (2009) HTML

Emergency Cardiovascular Care

AHA ECC 2015 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care HTML

End-of-Life Care

Recommendations for end-of-life care in the intensive care unit: A consensus statement by the American College of Critical Care Medicine (2008) PDF

Home Mechanical Ventilation

ATS: An Official American Thoracic Society Clinical Practice Guideline: Pediatric Chronic Home Invasive Ventilation (2016) PDF

ICU-Aqcuired Weakness in Adults

ATS Guideline: The Diagnosis of Intensive Care Unit-acquired Weakness in Adults (2014) PDF

Non-Invasive Positive Pressure Ventilation

AHRQ Comparative Effectiveness Report Number 68: Noninvasive Positive-Pressure Ventilation (NPPV) for Acute Respiratory Failure (2012) PDF

Obstructive Sleep Apnea

AASM Clinical Guideline for the Evaluation, Management, and Long-Term Care of Obstructive Sleep Apnea in Adults (2009) PDF

Palliative Care

NCP Clinical Practice Guidelines for Quality Palliative Care, 4th edition (2018) HTML

Pulmonary Arterial Hypertension

ATS Guideline: Diagnosis, Risk Stratification, and Management of Pulmonary Hypertension of Sickle Cell Disease (2014) PDF
AHA/ATS Guideline: Pediatric Pulmonary Hypertension PDF
ACCP Evidence-Based Clinical Practice Guidelines for Medical Therapy for Pulmonary Arterial Hypertension (2007) HTML

Pulmonary Function Testing

ATS/ERS Standardization of Lung Function Testing: General Considerations for Lung Function Testing (2005) PDF
ATS/ERS Standardization of Lung Function Testing: Standardization of the Measurement of Lung Volumes (2005) PDF
ERS/ATS Standards for Single-Breath Carbon Monoxide Uptake in the Lung (2017) PDF
ATS/ERS Standardization of Lung Function Testing: Standardization of Spirometry (2005) PDF
ATS/ACCP Statement on Cardiopulmonary Exercise Testing (2003) PDF
ATS Statement: Guidelines for the Six-Minute Walk Test (2002) PDF
ATS Guidelines for Methacholine and Exercise Challenge Testing (2000) PDF

Pulmonary Rehabilitation

American College of Chest Physicians/American Association of Cardiovascular and Pulmonary Rehabilitation Evidence-Based Clinical Practice Guidelines (2007) HTML

Respiratory Illness: Diagnosis and Treatment

Diagnosis and treatment of respiratory illness in children and adults (2013) HTML

Smoking Cessation

Smoking Cessation Guidelines from the Surgeon General HTML

Transport of Critically Ill Patients

SCCM Guidelines for the Inter- and Intrahospital Transport of Critically Ill Patients (2004) PDF

Ventilator Associated Pneumonia/Ventilator Associated Events

Centers for Disease Control Device-Associated module: Ventilator Associated Event Protocol (2013) PDF
Institute for Clinical Systems Improvement: Prevention of Ventilator Associated Pneumonia (2011) PDF

Wheezing in Infants

ATS CPG: Diagnostic Evaluation of Infants with Recurrent or Persistent Wheezing PDF
AARC 75th Anniversary logo

Celebrating Our Past
Building Our Future