EVIDENCECLASSIFICATION.json
{
"date": "2026-10-28",
"scope": "Classification of the ICU/CTICU care/equipment additions and labeling of the 18 procedure pairs and 42 ICU topics",
"categories": {
"guideline": "Direct recommendation or definition; retain strength, source year and population",
"consensus": "Consensus guidance; do not invent a GRADE strength or call it an international standard",
"knowledge": "General clinical or equipment knowledge supported by the source; not a treatment protocol",
"practice": "Context-dependent clinical practice or authored application; individual choices vary",
"synthetic": "Fictional patients, values and original decision trees; not observed outcomes or standardized regimens"
},
"verified_recommendation_groups": [
{
"id": "G01",
"claim": "Self-report/behavioral pain assessment",
"classification": "Guideline statement — ungraded",
"source": "PADIS18",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-for-the-prevention-and-management-of-pa",
"source_location": "Pain Assessment statements",
"scope": "Reliable self-report; behavioral assessment when self-report is unavailable and behaviors can be observed.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G02",
"claim": "Pain assessment and treatment before sedation",
"classification": "Guideline good-practice statement",
"source": "PADIS18",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-for-the-prevention-and-management-of-pa",
"source_location": "Pain Assessment good-practice statement",
"scope": "Pain and sedation remain separate assessments.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G03",
"claim": "Assessment-driven stepwise pain/sedation approach",
"classification": "Guideline recommendation — conditional",
"source": "PADIS18",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-for-the-prevention-and-management-of-pa",
"source_location": "Protocol-Based Pain Management; moderate certainty",
"scope": "Approach is recommended; the fictional regimen is not prescribed by the guideline.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G04",
"claim": "Acetaminophen adjunct",
"classification": "Guideline recommendation — conditional",
"source": "PADIS18",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-for-the-prevention-and-management-of-pa",
"source_location": "Pain Acetaminophen; very low certainty",
"scope": "Adjunct to opioid therapy in critically ill adults.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G05",
"claim": "Postoperative ketamine adjunct",
"classification": "Guideline recommendation — conditional",
"source": "PADIS18",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-for-the-prevention-and-management-of-pa",
"source_location": "Pain Ketamine; very low certainty",
"scope": "Selected postsurgical ICU adults when reducing opioid consumption.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G06",
"claim": "Neuropathic agent with opioids for neuropathic pain",
"classification": "Guideline recommendation — strong",
"source": "PADIS18",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-for-the-prevention-and-management-of-pa",
"source_location": "Neuropathic Pain Meds; moderate certainty",
"scope": "Neuropathic pain indication. PADIS 2018 separately and conditionally suggests a neuropathic agent with opioids after cardiovascular surgery (low certainty); neither is a routine adjunct for every acute pain presentation.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G07",
"claim": "Against routine IV lidocaine adjunct",
"classification": "Guideline recommendation — conditional against routine use",
"source": "PADIS18",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-for-the-prevention-and-management-of-pa",
"source_location": "Pain Lidocaine; low certainty",
"scope": "ICU opioid-adjunct context; not a blanket statement about all lidocaine indications.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G08",
"claim": "Dexmedetomidine over propofol in the defined priority setting",
"classification": "Guideline recommendation — conditional",
"source": "PADIS25",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/focused-update-padis-guideline",
"source_location": "Sedation Dexmedetomidine; moderate certainty",
"scope": "Mechanically ventilated ICU adults when light sedation and/or delirium reduction are highest priorities.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G09",
"claim": "Induction hypnotic when NMBA is used",
"classification": "Guideline best-practice statement",
"source": "RSI",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-rapid-sequence-intubation",
"source_location": "Induction Agent Use",
"scope": "Critically ill adult intubation; paralysis does not establish unconsciousness.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G10",
"claim": "NMBA with sedative-hypnotic induction",
"classification": "Guideline recommendation — strong",
"source": "RSI",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-rapid-sequence-intubation",
"source_location": "NMBA Use; low certainty",
"scope": "The guideline RSI population; not a standalone drug-choice recipe.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G11",
"claim": "Specific preoxygenation strategies",
"classification": "Guideline recommendation — conditional",
"source": "RSI",
"source_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-rapid-sequence-intubation",
"source_location": "Preoxygenation and Med-Assisted Preoxygenation; low/very low certainty",
"scope": "Different suggestions for anticipated difficult laryngoscopy, severe hypoxemia or inability to tolerate oxygenation interfaces.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G12",
"claim": "Waveform CO2 and exclusion of esophageal tube placement",
"classification": "Consensus guidance",
"source": "TUBE",
"source_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9804892/",
"source_location": "Summary recommendations and disclaimer",
"scope": "PUMA explicitly describes consensus guidance, not international standards; do not assign a GRADE strength here.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G13",
"claim": "Plateau pressure, tidal volume, PEEP/auto-PEEP assessment",
"classification": "Guideline recommendation — strong",
"source": "VENTASSESS",
"source_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11298231/",
"source_location": "Recommendations 1–4; high certainty",
"scope": "Assessment recommendations, not a universal ventilator prescription.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G14",
"claim": "FiO2, humidification and airway securement assessment",
"classification": "Guideline recommendation — conditional",
"source": "VENTASSESS",
"source_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11298231/",
"source_location": "Recommendations 6, 9–10 and 15; low/very low certainty",
"scope": "Recommendation strength differs from plateau-pressure/tidal-volume assessment.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G15",
"claim": "HFNC over conventional oxygen in acute hypoxemic failure",
"classification": "Guideline recommendation — conditional",
"source": "HFNC",
"source_url": "https://publications.ersnet.org/content/erj/59/4/2101574",
"source_location": "PICO 1 / Recommendation 1; moderate certainty",
"scope": "Adults with acute hypoxemic respiratory failure; not every ICU condition.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G16",
"claim": "Bilevel NIV for COPD-related respiratory acidosis",
"classification": "Guideline recommendation — strong",
"source": "NIV",
"source_url": "https://www.thoracic.org/statements/resources/cc/niv-guidelines.pdf",
"source_location": "COPD recommendations; high certainty",
"scope": "Acute or acute-on-chronic respiratory acidosis due to COPD exacerbation; assess suitability and deterioration.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G17",
"claim": "CPAP or bilevel NIV for cardiogenic pulmonary edema",
"classification": "Guideline recommendation — strong",
"source": "NIV",
"source_url": "https://www.thoracic.org/statements/resources/cc/niv-guidelines.pdf",
"source_location": "Cardiogenic pulmonary edema recommendation; moderate certainty",
"scope": "Do not extrapolate directly to cardiogenic shock or acute coronary syndromes excluded from the supporting population.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G18",
"claim": "SBT with or without pressure support; RSBI not required for readiness",
"classification": "Guideline recommendation — conditional",
"source": "SBT",
"source_url": "https://www.aarc.org/wp-content/uploads/2023/11/CPG2024SpontaneousBreathingTrial.pdf",
"source_location": "Recommendations 1–2; moderate certainty",
"scope": "Adult ventilator liberation; the exact case remains an application.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G19",
"claim": "Standardized assessment for an appropriate daily SBT",
"classification": "Guideline recommendation — conditional",
"source": "SBT",
"source_url": "https://www.aarc.org/wp-content/uploads/2023/11/CPG2024SpontaneousBreathingTrial.pdf",
"source_location": "Recommendation 3; very low certainty",
"scope": "Standardizing the assessment process is different from a fixed extubation time.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G20",
"claim": "Preventive NIV immediately after planned extubation",
"classification": "Guideline recommendation — strong",
"source": "LIBERATE",
"source_url": "https://www.thoracic.org/statements/resources/cc/weaning-exec-summary.pdf",
"source_location": "Question 3; moderate certainty",
"scope": "High extubation-failure risk, ventilated more than 24 hours and passed an SBT; patient-specific suitability still matters.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G21",
"claim": "Higher PEEP without recruitment maneuvers",
"classification": "Guideline recommendation — conditional",
"source": "ARDS",
"source_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10870893/",
"source_location": "Question 4; low-to-moderate certainty",
"scope": "ATS: moderate-to-severe ARDS. Other societies differ (for example, ESICM 2023 ARDS guideline, Grasselli et al., Intensive Care Med 2023;49:727-759, doi 10.1007/s00134-023-07050-7); not a universal PEEP strategy.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G22",
"claim": "Against prolonged recruitment maneuvers",
"classification": "Guideline recommendation — strong against",
"source": "ARDS",
"source_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10870893/",
"source_location": "Question 4; moderate certainty",
"scope": "Moderate-to-severe ARDS; separate from the higher-PEEP recommendation.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G23",
"claim": "Blood cultures in possible/probable/definite sepsis",
"classification": "Guideline recommendation — strong",
"source": "SEPSIS",
"source_url": "https://sccm.org/clinical-resources/guidelines/guidelines/surviving-sepsis-campaign-international-guidelines-for-management-of-sepsis-and-septic-shock-2026",
"source_location": "Blood culture; low certainty",
"scope": "Adults with sepsis/septic shock; obtain promptly, ideally before antimicrobials without harmful delay.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G24",
"claim": "Blood lactate in suspected sepsis",
"classification": "Guideline recommendation — conditional",
"source": "SEPSIS",
"source_url": "https://sccm.org/clinical-resources/guidelines/guidelines/surviving-sepsis-campaign-international-guidelines-for-management-of-sepsis-and-septic-shock-2026",
"source_location": "Blood lactate; low certainty",
"scope": "Interpret with clinical context, not as a complete diagnosis or automatic fluid instruction.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G25",
"claim": "Creatinine/urine-output AKI definition",
"classification": "Guideline diagnostic definition — not graded",
"source": "AKI",
"source_url": "https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2012-AKI-Guideline-English.pdf",
"source_location": "Recommendation 2.1.1",
"scope": "The 2012 KDIGO definition supports the fictional creatinine arithmetic; it does not diagnose etiology.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G26",
"claim": "RRT decision from context and trends",
"classification": "Guideline statement — not graded",
"source": "RRT",
"source_url": "https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2012-AKI-Guideline-English.pdf",
"source_location": "Recommendations 5.1.1–5.1.2",
"scope": "Clinical needs and trajectory rather than one creatinine/BUN number.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
},
{
"id": "G27",
"claim": "CRRT rather than standard intermittent RRT in instability",
"classification": "Guideline recommendation — conditional (2B)",
"source": "RRT",
"source_url": "https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2012-AKI-Guideline-English.pdf",
"source_location": "Recommendation 5.6.2",
"scope": "Hemodynamically unstable AKI patients requiring RRT; historical 2012 guidance, not universal modality superiority.",
"checked": "2026-10-28",
"result": "Supported within the stated source population and qualification"
}
],
"lab_examples": [
{
"id": "bleeding",
"title": "Postoperative bleeding and anemia",
"classification": "General clinical knowledge and context-dependent bleeding assessment; the fictional hemoglobin change is not a standardized transfusion trigger.",
"sources": [
"PBM"
]
},
{
"id": "ventilation",
"title": "Carbon dioxide retention and acidemia",
"classification": "General clinical knowledge plus synthetic numerical interpretation; this is not a guideline-defined intubation or ventilator-adjustment threshold.",
"sources": [
"GAS",
"VENTASSESS"
]
},
{
"id": "oxygenation",
"title": "Oxygenation under defined support",
"classification": "General clinical knowledge/arithmetic; the P:F calculation is not a complete diagnostic criterion or treatment instruction.",
"sources": [
"GAS",
"ARDS"
]
},
{
"id": "lactate",
"title": "Lactate in sepsis or postoperative shock",
"classification": "Guideline recommendation G24 is conditional (low certainty) for measuring lactate in sepsis; interpretation and response in this case are context-dependent.",
"sources": [
"SEPSIS",
"HEMO"
]
},
{
"id": "kidney",
"title": "Kidney injury after major surgery",
"classification": "Guideline diagnostic definition G25 is not graded. The fictional creatinine change fits a definition component after context checks; the cause and management remain clinical assessments.",
"sources": [
"AKI",
"RRT"
]
},
{
"id": "electrolytes",
"title": "Potassium and rhythm/perfusion changes",
"classification": "General clinical knowledge and context-dependent urgent assessment. The fictional potassium value is not asserted to be one universal treatment threshold.",
"sources": [
"RRT",
"HEMO"
]
},
{
"id": "cultures",
"title": "New fever and a suspected source",
"classification": "Guideline recommendation G23 is strong (low certainty) for blood cultures in the stated sepsis population. Other source-directed investigations remain context-dependent; general fever guidance excludes severe immunocompromise.",
"sources": [
"FEVER",
"SEPSIS"
]
},
{
"id": "anticoagulation",
"title": "Bleeding/thrombosis balance with anticoagulation",
"classification": "General clinical knowledge and drug/device-specific practice; there is no universal assay or target across these therapies.",
"sources": [
"PBM",
"MCS"
]
},
{
"id": "hemolysis",
"title": "Anemia or dark urine during mechanical support",
"classification": "General clinical knowledge and specialist practice; no isolated marker establishes pump thrombosis.",
"sources": [
"MCS",
"LVAD"
]
},
{
"id": "fluidacid",
"title": "Fluid, electrolyte and acid-base needs during CRRT",
"classification": "Guideline statements G26 are not graded; CRRT preference in unstable patients (G27) is conditional, 2B. Monitoring and adjustment remain individualized.",
"sources": [
"RRT"
]
},
{
"id": "paireddata",
"title": "A displayed number that conflicts with the patient",
"classification": "General measurement knowledge and official device-safety information, applied to fictional observations.",
"sources": [
"SPO2",
"GAS",
"LVAD"
]
}
],
"equipment": [
{
"id": "ventilator",
"title": "ICU ventilator",
"classification": "General equipment knowledge; patient-ventilator assessment recommendations G13–G14 have distinct strong/conditional grades.",
"sources": [
"VENTASSESS"
]
},
{
"id": "workstation",
"title": "Anesthesia workstation",
"classification": "General equipment knowledge from a clinical review; not a single standardized workstation configuration or operating sequence.",
"sources": [
"WORKSTATION"
]
},
{
"id": "hfnc",
"title": "HFNC system",
"classification": "General equipment knowledge; the selected clinical indication G15 has conditional guideline support.",
"sources": [
"HFNC"
]
},
{
"id": "niv",
"title": "Noninvasive positive-pressure system",
"classification": "General equipment knowledge; G16/G17 are strong recommendations in specific disease populations, not universal NIV use.",
"sources": [
"NIV"
]
},
{
"id": "airway",
"title": "Airway devices and visualization equipment",
"classification": "General equipment knowledge and context-dependent airway planning; specific RSI statements G09–G11 and confirmation guidance G12 are separate.",
"sources": [
"RSI",
"TUBE"
]
},
{
"id": "capnography",
"title": "Waveform capnograph",
"classification": "Consensus guidance G12 supports airway-confirmation use; the source does not claim international standards.",
"sources": [
"TUBE"
]
},
{
"id": "oximeter",
"title": "Pulse oximeter",
"classification": "General measurement knowledge and official FDA safety information; not a treatment protocol.",
"sources": [
"SPO2"
]
},
{
"id": "arterial",
"title": "Arterial catheter/transducer",
"classification": "General clinical/measurement knowledge; selection and interpretation depend on the clinical setting.",
"sources": [
"HEMO"
]
},
{
"id": "central",
"title": "Central venous catheter",
"classification": "General clinical/measurement knowledge; selection and interpretation depend on the clinical setting.",
"sources": [
"HEMO"
]
},
{
"id": "pac",
"title": "Pulmonary artery catheter",
"classification": "General clinical/measurement knowledge and selected specialist practice; not routine use for every ICU patient.",
"sources": [
"HEMO"
]
},
{
"id": "infusion",
"title": "Infusion or syringe pump",
"classification": "General equipment knowledge and official FDA risk-reduction guidance; device safeguards do not establish a clinical regimen.",
"sources": [
"PUMP"
]
},
{
"id": "drain",
"title": "Pleural chest-drain system",
"classification": "General equipment knowledge and procedure-specific practice; pleural guidance is not a standardized cardiac mediastinal-drain protocol.",
"sources": [
"DRAIN"
]
},
{
"id": "pacing",
"title": "Temporary epicardial pacing system",
"classification": "General clinical/equipment knowledge and context-dependent specialist practice; the cited review explicitly rejects one correct pacing approach for every postoperative patient.",
"sources": [
"PACE"
]
},
{
"id": "crrt",
"title": "CRRT machine and circuit",
"classification": "General equipment knowledge; G27 is a conditional 2B modality recommendation for the stated unstable AKI population.",
"sources": [
"RRT"
]
},
{
"id": "vv",
"title": "VV-ECMO circuit",
"classification": "General equipment knowledge and specialist selection; describing the circuit does not recommend it for every severe respiratory case.",
"sources": [
"VV"
]
},
{
"id": "va",
"title": "VA-ECMO circuit",
"classification": "General equipment knowledge and specialist selection; not a standardized response to any one pressure or lactate.",
"sources": [
"MCS"
]
},
{
"id": "iabp",
"title": "Intra-aortic balloon pump",
"classification": "General equipment knowledge and selected specialist practice; no universal survival-benefit or routine-use claim is made.",
"sources": [
"IABP"
]
},
{
"id": "lvad",
"title": "Durable LVAD",
"classification": "General equipment knowledge and specialist practice; a controller display is not a standardized management rule.",
"sources": [
"LVAD"
]
},
{
"id": "microaxial",
"title": "Temporary left-sided microaxial pump",
"classification": "General equipment knowledge and selected specialist practice; no universal device-selection or adjustment protocol is implied.",
"sources": [
"MCS"
]
}
],
"procedure_pairs": [
{
"id": "CABG",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"POSTCARD",
"PBM",
"ERASC"
]
},
{
"id": "VALVE",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"POSTCARD",
"VALVE",
"RV"
]
},
{
"id": "AORTIC",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"AORTA",
"KIDNEY"
]
},
{
"id": "VA",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"VA",
"RV"
]
},
{
"id": "LVAD",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"LVAD",
"RV"
]
},
{
"id": "IMPELLA",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"CS2025",
"MCSHEM"
]
},
{
"id": "HEARTTX",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"HEARTTX"
]
},
{
"id": "LUNGRESECTION",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"LUNGERAS"
]
},
{
"id": "LUNGTX",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"PGD",
"TRANSPLANT"
]
},
{
"id": "ESOPH",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"ESOPERAS",
"FEVER"
]
},
{
"id": "AIRWAYSURG",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"TRACHEAL",
"AIRWAY"
]
},
{
"id": "AAA",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"AAA",
"ABD",
"KIDNEY"
]
},
{
"id": "CAROTID",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"CAROTID"
]
},
{
"id": "LIMB",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"PAD2024"
]
},
{
"id": "SHOCK",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"CS2025"
]
},
{
"id": "RESPFAIL",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"ARDS",
"VV"
]
},
{
"id": "ENDOCARD",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"ENDO"
]
},
{
"id": "COMFORT",
"classification": "Synthetic example; general clinical knowledge in interpretation, context-dependent clinical practice in care course; original tree not standardized protocol",
"sources": [
"GOALS",
"DNR"
]
}
],
"icu_topics": [
{
"id": "ICU-01-01",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD"
]
},
{
"id": "ICU-01-02",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"NIV",
"DNR",
"GOALS"
]
},
{
"id": "ICU-01-03",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"SEPSIS"
]
},
{
"id": "ICU-01-04",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"NIV",
"PADIS"
]
},
{
"id": "ICU-01-05",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"VA",
"POSTCARD"
]
},
{
"id": "ICU-01-06",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"PANCREAS",
"RENAL"
]
},
{
"id": "ICU-01-07",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"TBI",
"PADIS"
]
},
{
"id": "ICU-01-08",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"SEPSIS",
"ARDS",
"RENAL"
]
},
{
"id": "ICU-02-01",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD"
]
},
{
"id": "ICU-02-02",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"VA",
"RENAL"
]
},
{
"id": "ICU-02-03",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"LVAD",
"RV"
]
},
{
"id": "ICU-02-04",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"ARDS",
"RV"
]
},
{
"id": "ICU-02-05",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"AORTA",
"RENAL"
]
},
{
"id": "ICU-02-06",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"PGD",
"RV"
]
},
{
"id": "ICU-02-07",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"SEPSIS",
"ABD",
"RENAL"
]
},
{
"id": "ICU-02-08",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"SAH",
"RV"
]
},
{
"id": "ICU-03-01",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD"
]
},
{
"id": "ICU-03-02",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"VA"
]
},
{
"id": "ICU-03-03",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"LVAD",
"RV",
"RENAL"
]
},
{
"id": "ICU-03-04",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"ARDS",
"RV"
]
},
{
"id": "ICU-03-05",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"AORTA",
"RENAL"
]
},
{
"id": "ICU-03-06",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"PGD",
"ARDS"
]
},
{
"id": "ICU-03-07",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"SEPSIS",
"RENAL"
]
},
{
"id": "ICU-03-08",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"SAH",
"RV"
]
},
{
"id": "ICU-04-01",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD"
]
},
{
"id": "ICU-04-02",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD",
"RV",
"RENAL"
]
},
{
"id": "ICU-04-03",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD",
"PADIS"
]
},
{
"id": "ICU-04-04",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"RV",
"RENAL"
]
},
{
"id": "ICU-04-05",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"VALVE"
]
},
{
"id": "ICU-04-06",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD",
"RENAL",
"SEPSIS"
]
},
{
"id": "ICU-04-07",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD",
"PADIS",
"RV"
]
},
{
"id": "ICU-04-08",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD",
"RENAL"
]
},
{
"id": "ICU-04-09",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"SEPSIS",
"POSTCARD"
]
},
{
"id": "ICU-04-10",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"RV",
"RENAL"
]
},
{
"id": "ICU-04-11",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD",
"AORTA",
"VALVE"
]
},
{
"id": "ICU-04-12",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"RENAL",
"RV"
]
},
{
"id": "ICU-04-13",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD",
"RV"
]
},
{
"id": "ICU-05-01",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"POSTCARD",
"RV",
"RENAL"
]
},
{
"id": "ICU-05-02",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"AORTA",
"PADIS"
]
},
{
"id": "ICU-05-03",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"LVAD",
"RV"
]
},
{
"id": "ICU-05-04",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"VV",
"ARDS",
"PADIS"
]
},
{
"id": "ICU-05-05",
"classification": "Synthetic example; authored application of general clinical knowledge and context-dependent practice",
"sources": [
"GOALS",
"DNR"
]
}
],
"corrections": [
{
"file": "AIRWAY_PAIN_AND_VENTILATION_EXAMPLES.md",
"topic": "ARDS PEEP",
"change": "Separate the ATS conditional recommendation for higher PEEP without recruitment maneuvers from its strong recommendation against prolonged recruitment maneuvers."
},
{
"file": "AIRWAY_PAIN_AND_VENTILATION_EXAMPLES.md",
"topic": "NIV eligibility",
"change": "State the COPD-acidosis and cardiogenic-pulmonary-edema populations; do not extend the latter recommendation directly to shock/ACS."
},
{
"file": "AIRWAY_PAIN_AND_VENTILATION_EXAMPLES.md",
"topic": "Preventive post-extubation NIV",
"change": "State high risk, more than 24 hours ventilation and passed SBT, rather than an unspecified guideline population."
}
],
"review_method": "Compared the scoped statements with public source recommendation sections, definitions and clinical/equipment passages. Recorded source locations and source strength where directly stated; technical function descriptions remain general knowledge and case selections remain context-dependent practice.",
"clinical_validation": false,
"full_text_audit_complete": false,
"legal_standard_of_care_determination": false
}