Respiratory failure & ventilation

Effect of driving pressure-limiting strategies on outcomes of patients with acute respiratory distress syndrome (ARDS): a meta-analysis of randomized controlled trials

Crit CarePublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

When lung protective ventilation is already applied, further limitation of driving pressure may be hard to achieve.

Study context

Population
Patients with ARDS
Participants
431 patients · 4 trials
Comparison
Intervention vs Control
Outcome
Feasibility of intervention (post-randomization driving pressure)

Pooled result

As reported in the abstract

Post-randomization driving pressure

Mean difference

- 2.17 cmH2O

study day 1

Mean difference

- 2.09 cmH2O

study day 2

Mean difference

- 2.15 cmH2O

study day 3

Further pooled results

OutcomeP value
Ventilator-free daysNo statistically significant differenceP = 0.88

Intensive care unit (ICU) LOS

Driving pressure-limiting strategies associated with shorter ICU LOS (MD, 95% CI, p)
- 2.40 days, - 3.31 to - 1.49, p = 0.004

Original publication

Effect of driving pressure-limiting strategies on outcomes of patients with ARDS: a meta-analysis of randomized controlled trials. Crit Care. Published 5 March 2026. doi:10.1186/s13054-026-05876-3

Composed by AI from the published abstract and checked against it. How Briefs are made →

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