Respiratory failure & ventilation

Nebulized Heparin in Adults With Acute Respiratory Failure: A Meta-Analysis of Randomized Trials

Crit Care MedPublished Systematic review and meta-analysis of randomised trials

Pooled result · Ten studies includedResult — go to the resultRelative risk 0.79 95% CI 0.66–0.95

Authors' conclusion

Nebulized unfractionated heparin may improve survival in patients with respiratory failure without increasing adverse events.

Study context

Population
Adults with respiratory failure, invasively mechanically ventilated or not16 studies
Participants
787 vs 833
Comparison
Nebulized unfractionated heparin vs standard care or placebo
  • Nebulized heparinn = 787
  • Controln = 833reference
Outcome
All-cause mortality
Follow-up
Longest
Methodological detailsrandom-effects
  • Random-effects

Pooled result

Ten studies included

Relative risk

0.79

95% CI 0.66–0.95

Events by group

Nebulized heparin vs Control
RR 0.79 (95% CI 0.66–0.95)

As reported in the abstract

Further pooled results

OutcomeMean difference (95% CI)
Ventilation-free days · day 28+4.85 (1.47–8.24)

Safety

No minor bleeding or heparin-induced thrombocytopenia reported

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Nebulized Heparin in Adults With Acute Respiratory Failure: A Meta-Analysis of Randomized Trials. Crit Care Med. Published 18 May 2026. doi:10.1097/ccm.0000000000007161

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.