Cardiothoracic & vascular anesthesia

Comparison of Manual and Mechanical Ventilation During Intensive Care Unit Transport Following Cardiac Surgery: Impact on Oxygenation, Ventilation, and Hemodynamic Stability

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

In patients who have undergone cardiac surgery, hypotension occurred more frequently in the BVM group than in the mechanical ventilation group during transport to the ICU. However, oxygenation and ventilation parameters were comparable between the two groups.

Study context

Population
Patients after cardiac surgery transported to the intensive care unit (ICU), single-center tertiary academic hospital, September 2023–August 2024
Participants
48 patients
Comparison
Bag valve mask (BVM) vs Mechanical ventilation
Methodological detailsprospective, single-blinded, single-centre
  • Prospective
  • Single-blinded
  • Single-centre

Primary result

As reported in the abstract

Oxygenation and ventilation (% change in PaO2/FiO2 ratio and PaCO2 pre- vs post-transport)
  • BVM vs Mechanical ventilation: P = 0.133
  • BVM vs Mechanical ventilation: 0.902

Safety

OutcomeP value
Hypotension (>10% decrease in MAP) · during transport to ICUSignificantly more frequent in the BVM groupP = 0.00986

Original publication

Comparison of Manual and Mechanical Ventilation During Intensive Care Unit Transport Following Cardiac Surgery: Impact on Oxygenation, Ventilation, and Hemodynamic Stability. J Cardiothorac Vasc Anesth. Published 16 December 2024. doi:10.1053/j.jvca.2024.12.017

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