Respiratory failure & ventilation

Flow–controlled ventilation: A systematic review of preclinical and clinical studies

J Clin AnesthPublished Systematic review of preclinical and clinical studies

Authors' conclusion

FCV may improve ventilatory efficiency and oxygenation without adverse hemodynamic effects.

Study context

Population
Preclinical and clinical studies comparing flow-controlled ventilation (FCV) with conventional ventilation10 preclinical, 10 clinical studies
Comparison
FCV vs conventional ventilation
Outcome
Ventilatory parameters, respiratory mechanics, gas exchange
Methodological detailsqualitative synthesis, MEDLINE and CENTRAL searched through May 2026
  • Qualitative synthesis
  • MEDLINE and CENTRAL searched through May 2026

Pooled result

As reported in the abstract

  • Preclinical: consistently lower respiratory rate and minute ventilation with FCV, oxygenation and CO2 control maintained or improved
  • Clinical, compliance-guided titration (6 studies): generally lower respiratory rate and minute ventilation, CO2 control maintained, often improved oxygenation
  • Clinical, fixed or protocolized targets (4 studies): more variable physiological effects
  • Certainty of clinical evidence low to moderate

Safety

No consistent adverse hemodynamic effects reported

Original publication

Flow–controlled ventilation: A systematic review of preclinical and clinical studies. J Clin Anesth. Published 11 September 2026. doi:10.1016/j.jclinane.2026.112318

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