Cardiac arrest & resuscitation

Volume-controlled mechanical ventilation during cardiopulmonary resuscitation: a systematic review and meta-analysis

ResuscitationPublished Systematic review and meta-analysis of randomised trials and non-randomised studies

Pooled result · ROSC (2 RCTs, 120 patients)Result — go to the resultOdds ratio 1.31 95% CI 0.64–2.71

Authors' conclusion

Very low to low certainty evidence from randomized trials suggests no significant difference in clinical outcomes between volume-controlled mechanical ventilation and manual ventilation. The relative effectiveness of volume-controlled ventilation compared to other mechanical ventilation modes is uncertain.

Study context

Population
Children or adults with cardiac arrest and an advanced airway (no study reported data on children)13 articles
Comparison
Volume-controlled vs Manual
Outcome
Return of spontaneous circulation (ROSC)
Methodological detailsRoB2 and ROBINS-I risk of bias, GRADE certainty assessment, 6 trials enrolling 461 patients and 7 non-randomised studies including 4607 patients, RCTs at low to high risk of bias; non-randomised studies at serious or critical risk of bias
  • RoB2 and ROBINS-I risk of bias
  • GRADE certainty assessment
  • 6 trials enrolling 461 patients and 7 non-randomised studies including 4607 patients
  • RCTs at low to high risk of bias; non-randomised studies at serious or critical risk of bias

Pooled result

ROSC (2 RCTs, 120 patients)

Odds ratio

1.31

95% CI 0.64–2.71

Volume-controlled vs Manual
OR 1.31 (95% CI 0.64–2.71)

As reported in the abstract

Further pooled results

Volume-controlled vs pressure-controlled and cardiopulmonary resuscitation (CPR)-specific modes

Limited to a single trial each, with uncertain results

Original publication

Volume-controlled mechanical ventilation during cardiopulmonary resuscitation: a systematic review and meta-analysis. Resuscitation. Published 3 July 2026. doi:10.1016/j.resuscitation.2026.111199

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