Respiratory failure & ventilation
Mechanical ventilation practices in Asian intensive care units: A multicenter cross-sectional study
Authors' conclusion
In Asia, low tidal volume ventilation and sufficient PEEP were underused in patients with ARDS. The majority of patients without ARDS were on intermediate tidal volumes. Country income, age, and severity of illness were associated with mortality.
Study context
- Population
- Mechanically ventilated patients in Asian ICUs
- Participants
- 1,408 participants
- Exposure
- Acute respiratory distress syndrome (ARDS) vs Without ARDS
- ARDSn = 138
- Without ARDSn = 1,270
- Outcome
- Ventilation practices
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
| Group | Value | Sufficient PEEP |
|---|---|---|
| ARDS | 65.9% | 71.3% |
| Without ARDS | 88.8% |
Value
ARDS65.9%
Without ARDS88.8%
Sufficient PEEP
ARDS71.3%
Without ARDS— not stated in the abstract
- Plateau pressure < 30 cmH2O (all patients)
- 92.2%
Observational data: associations, not effects.
Further findings
28-day mortality by predictive score
- Mortality rose from 13% to 74% as score increased from 5 to ≥8.5
- Income classification, age, SOFA score, PaO2/FiO2 ratio, plateau pressure, number of vasopressors and steroid use associated with mortality
Original publication
Mechanical ventilation practices in Asian intensive care units: A multicenter cross-sectional study. J Crit Care. Published 8 November 2023. doi:10.
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