Cardiac arrest & resuscitation

Mechanical versus manual bag-valve ventilation during cardiopulmonary resuscitation in adults with cardiac arrest: a systematic review and Bayesian meta-analysis

ResuscitationPublished systematic review and Bayesian meta-analysis

Pooled result · Return of spontaneous circulation (ROSC)Result — go to the resultPooled relative risk 1.20 95% CrI 1.04–1.42

Authors' conclusion

In adult cardiac arrest, MV use during CPR was associated with higher ROSC compared with manual BV. Evidence for improved survival and neurological outcomes remains imprecise and inconclusive.

Study context

Population
Adult cardiac arrest patients receiving cardiopulmonary resuscitation (CPR)patients in 8 included studies
Participants
6,847 patients
Comparison
Mechanical ventilation (MV) use during CPR compared with manual BV
Outcome
Return of spontaneous circulation (ROSC)
Methodological detailsBayesian random-effects meta-analyses
  • Bayesian random-effects meta-analyses

Pooled result

As reported in the abstract

Pooled relative risk

1.20

95% CrI 1.04–1.42

MV vs BV
pooled RR 1.20 (95% CrI 1.04–1.42)
Posterior probability of benefit
99%

Further pooled results

Survival to hospital admission (primary outcome)

Posterior probability favoring MV
92.3%

Survival to hospital discharge (primary outcome)

Posterior probability favoring MV
93.6%

Good neurological outcome (primary outcome)

Posterior probability favoring MV
92.2%

Safety

Pneumothorax

Incidence similar between groups

Original publication

Mechanical versus manual bag-valve ventilation during cardiopulmonary resuscitation in adults with cardiac arrest: a systematic review and Bayesian meta-analysis. Resuscitation. Published 12 October 2026. doi:10.1016/j.resuscitation.2026.111345

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

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