Respiratory failure & ventilation

The Association Between Patient-Ventilator Asynchrony and Clinical Outcomes in Mechanically Ventilated Patients: A Systematic Review

Crit Care MedPublished Systematic review and meta-analysis

Authors' conclusion

PVA and specifically ineffective triggering and double triggering, are associated with a longer duration of mechanical ventilation and longer ICU length of stay.

Study context

Population
Mechanically ventilated patients
Participants
2,672 participants · 19 studies
Comparison
Patient-ventilator asynchrony (PVA) vs no PVA
Outcome
Clinical outcomes: ICU LOS, mechanical ventilation duration, mortality

Pooled result

As reported in the abstract

Duration of mechanical ventilation and ICU LOS
PVA vs No PVAMean difference, d (95% CI)
Duration of mechanical ventilation
3.29(0.13–6.44)
ICU LOS
3.65(1.20–6.11)

Further pooled results

Reverse triggering appears to have a potential positive association with outcome

Original publication

The Association Between Patient-Ventilator Asynchrony and Clinical Outcomes in Mechanically Ventilated Patients: A Systematic Review. Crit Care Med. Published 12 August 2025. doi:10.1097/ccm.0000000000006816

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