Respiratory failure & ventilation

Technology-Enhanced Strategies to Optimize Positive End-Expiratory Pressure in Patients Receiving Invasive Mechanical Ventilation: A Systematic Review and Meta-Analysis

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

Pooled result · Duration of mechanical ventilationResult — go to the resultMean difference −0.06 d 95% CI −0.20 to 0.09

Authors' conclusion

Technology-enhanced PEEP optimization strategies did not reduce duration of mechanical ventilation, but these technologies may reduce mortality.

Study context

Population
Adults and children receiving invasive mechanical ventilation on an ICU (no evidence identified in children)
Participants
2,951 adults · 34 studies
Comparison
Technology-enhanced positive end-expiratory pressure (PEEP) optimization vs Standard care
Outcome
Duration of mechanical ventilation
Methodological detailsrandom-effects models, GRADE certainty assessment, Eight studies at low risk of bias
  • Random-effects models
  • GRADE certainty assessment
  • Eight studies at low risk of bias

Pooled result

As reported in the abstract

Mean difference

−0.06 d

95% CI −0.20 to 0.09

Technology-enhanced PEEP optimization vs Standard care
mean difference −0.06 d (95% CI −0.20 to 0.09)

Further pooled results

OutcomeRR (95% CI)
28-day mortality · very low-certainty evidence0.69 (0.52–0.93)
  • 28-day mortality: 10 studies; 1,719 patients; 6 technologies

Other clinical-effectiveness outcomes

No significant differences

Cost-effectiveness

No evidence identified

Original publication

Technology-Enhanced Strategies to Optimize Positive End-Expiratory Pressure in Patients Receiving Invasive Mechanical Ventilation: A Systematic Review and Meta-Analysis. Crit Care Med. Published 13 May 2026. doi:10.1097/ccm.0000000000007144

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