Neuroanesthesia & neurocritical care

Brain protective ventilation in acute brain injury patients with use of fully automated ventilation (BRAVE)): A cross-over clinical trial

Eur J AnaesthesiolPublished Observational cross-over trial

Authors' conclusion

Automated ventilation outperformed conventional ventilation in maintaining protective ventilation targets for brain and lung in ABI patients.

Study context

Population
Acute brain injury patients receiving invasive mechanical ventilation, primary care hospital in Italy, 2024
Participants
20 patients
Exposure
Automated ventilation vs conventional ventilation
Outcome
Percentage of breaths in three predefined zones of ventilatory targets (optimal, acceptable, critical), based on patient-specific ranges of EtCO2, SpO2, tidal volume and maximum airway pressure
Methodological detailssingle-centre
  • Single-centre

Further findings

Optimal breaths by individual measure

Optimal breaths increased for EtCO2, SpO2 and tidal volume, but declined for Pmax with automation

Percentage of time in each ventilation zone

Mirrored the percentage of breaths in each zone

Original publication

Brain protective ventilation in acute brain injury patients with use of fully automated ventilation (BRAVE)): A cross-over clinical trial. Eur J Anaesthesiol. Published 22 August 2025. doi:10.1097/eja.0000000000002253

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