Respiratory failure & ventilation
Protective mechanical ventilation controlled by the real-time mechanical power measurement
Authors' conclusion
Although real-time MP measurement is feasible, there was no significant difference in MP between the control and intervention groups with low MP in both groups.
Study context
- Population
- Adults on mechanical ventilation (MV) (with or without ECMO) with acute respiratory failure, ECMO Centre Ostrava, Czech Republic, March 2023–March 2024randomized
- Participants
- 33 adults
- Comparison
- Real-time mechanical power (MP) displayed to physician vs MP concealed
Methodological detailssingle-centre
- Single-centre
Primary result
As reported in the abstract
Mechanical power (MP)
- No significant difference between control and intervention groups
Further findings
MP, all patients (geometric method and simplified Becher's formula)
- Median MPGeom (maximum 15.2 J/min)
- 3.22 J/min
- MPBecher (maximum 18.4 J/min)
- 5.94 J/min
- Weak but significant correlation between MPGeom and MPBecher
- P = 0.0001
MP, day vs night
- Highly significant difference between day and night, with higher MP at night
Original publication
Protective mechanical ventilation controlled by the real-time mechanical power measurement. J Clin Monit Comput. Published 11 October 2025. doi:10. 1007/ s10877-025-01369-w
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