Respiratory failure & ventilation

Effectiveness of Adaptive Support Ventilation in Facilitating Weaning from Mechanical Ventilation in Postoperative Patients

J Cardiothorac Vasc AnesthPublished Systematic review and meta-analysis of randomised trials

Pooled result · Time to extubationResult — go to the resultMean difference −68.30 hours 95% CI −115.50 to −21.09

Authors' conclusion

ASV appears to facilitate a shorter time to extubation in postoperative cardiac surgery patients compared to conventional ventilation, suggesting benefits in accelerating the weaning process and reducing mechanical ventilation duration.

Study context

Population
Postoperative cardiac surgery patients weaning from mechanical ventilation
Participants
1,027 patients · 11 RCTs
Comparison
Adaptive support ventilation (ASV) vs conventional ventilation
Outcome
Time to extubation
Methodological detailsrandom effects model, trial sequential analysis
  • Random effects model
  • Trial sequential analysis

Pooled result

As reported in the abstract

Mean difference

−68.30 hours

95% CI −115.50 to −21.09

ASV vs Conventional ventilation
mean difference −68.30 hours (95% CI −115.50 to −21.09)

Further pooled results

Early extubation rates

ASV indicated improved early extubation rates

Reintubation rates, ICU and hospital LOS

No significant differences
  • Trial sequential analysis (TSA) results inconclusive (printed "inclusive")

Original publication

Effectiveness of Adaptive Support Ventilation in Facilitating Weaning from Mechanical Ventilation in Postoperative Patients. J Cardiothorac Vasc Anesth. Published 24 April 2024. doi:10.1053/j.jvca.2024.04.030

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.