Cardiothoracic & vascular anesthesia

Individualized Flow-controlled versus Pressure-controlled Ventilation in Cardiac Surgery: A Randomized Controlled Trial

AnesthesiologyPublished Randomised controlled trial

Authors' conclusion

FCV did not reduce plasmatic IL-8 levels at the predefined timepoint 6 h after cardiopulmonary bypass.

Study context

Population
Adults undergoing cardiac surgery with CPBallocated 1:1
Participants
140 adults
Comparison
Individualised flow-controlled ventilation (FCV) vs pressure-controlled ventilation (PCV)
Primary endpoint
Postoperative plasmatic interleukin 8 (IL-8) levels
Follow-up
6 h after CPB
Methodological detailssingle-centre, Recruitment August 10, 2020, to November 16, 2022
  • Single-centre
  • Recruitment August 10, 2020, to November 16, 2022

Primary result

As reported in the abstract

β

0.08 pg/ml

95% CI −0.17 to 0.33

P = 0.573

By group

FCV

3.08

median

PCV

3.60

median

Secondary outcomes

Mechanical power

FCV reduced perioperatively applied mechanical power
55%

Ventilation parameters

ΔP and tidal volumes higher with FCV; lower respiratory rates and minute volumes required for normocapnia

PPCs, extrapulmonary complications and hospital LOS (explorative)

After FCV, single PPCs (e.g. confirmed pneumonia, moderate and severe hypoxemia) and any extrapulmonary complication lower, hospital stay shorter
  • Explorative secondary outcomes

Original publication

Individualized Flow-controlled versus Pressure-controlled Ventilation in Cardiac Surgery: A Randomized Controlled Trial. Anesthesiology. Published 17 November 2025. doi:10.1097/aln.0000000000005851

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