A survey of preferences for respiratory support in the intensive care unit for patients with acute hypoxaemic respiratory failure

被引：3

作者：

Aslam, Tayyba N. ^{[1
,2
,3
,43
]}

Klitgaard, Thomas L. ^{[4
]}

Ahlstedt, Christian A. O. ^{[5
]}

Andersen, Finn H. ^{[6
]}

Chew, Michelle S. ^{[7
]}

Collet, Marie O. ^{[8
]}

Cronhjort, Maria ^{[9
]}

Estrup, Stine ^{[10
]}

Fossum, Ole K. ^{[11
]}

Frisvold, Shirin K. ^{[12
]}

Gillmann, Hans-Joerg ^{[13
]}

Granholm, Anders ^{[8
]}

Gundem, Trine M. ^{[14
]}

Hauss, Kristin ^{[15
]}

Hollenberg, Jacob ^{[16
]}

Condori, Maria E. Huanca ^{[17
]}

Hastbacka, Johanna ^{[18
,19
]}

Johnstad, Bror A. ^{[20
]}

Keus, Eric ^{[21
]}

Kjaer, Maj-Brit N. ^{[8
]}

Klepstad, Pal ^{[22
]}

Krag, Mette ^{[23
]}

Kvale, Reidar ^{[24
]}

Malbrain, Manu L. N. G. ^{[25
]}

Meyhoff, Christian S. ^{[26
]}

Morgan, Matt ^{[27
]}

Moller, Anders ^{[26
]}

Pfortmueller, Carmen A. ^{[28
]}

Poulsen, Lone M. ^{[29
]}

Robertson, Andrew C. ^{[30
]}

Schefold, Joerg C. ^{[31
]}

Schjorring, Olav L. ^{[4
]}

Siegemund, Martin ^{[32
]}

Sigurdsson, Martin I. ^{[33
]}

Sjoevall, Fredrik ^{[34
]}

Strand, Kristian ^{[35
]}

Stueber, Thomas ^{[36
]}

Szczeklik, Wojciech ^{[37
]}

Wahlin, Rebecka R. ^{[38
,39
]}

Wangberg, Helge L. ^{[40
]}

Wian, Karl-Andre ^{[41
]}

Wichmann, Sine ^{[42
]}

Hofso, Kristin ^{[2
]}

Moller, Morten H. ^{[8
]}

Perner, Anders ^{[8
]}

Rasmussen, Bodil S. ^{[4
]}

Laake, Jon H. ^{[1
,2
]}

机构：

[1] Oslo Univ Hosp, Rikshop, Dept Anaesthesiol & Intens Care Med, Div Emergencies & Crit Care, Oslo, Norway

[2] Oslo Univ Hosp, Dept Res & Dev, Div Emergencies & Crit Care, Oslo, Norway

[3] Univ Oslo, Inst Clin Med, Oslo, Norway

[4] Aalborg Univ Hosp, Dept Anaesthesia & Intens Care, Aalborg, Denmark

[5] Karolinska Univ Hosp Huddinge, Perioperat Med & Intens Care, Stockholm, Sweden

[6] Alesund Hosp, Anaesthesia & Intensive Care, Alesund, Norway

[7] Linkoping Univ Hosp, Dept Anaesthes & Intens Care Biomed & Clin Sci, Linkoping, Sweden

[8] Copenhagen Univ Hosp, Rigshosp, Dept Intens Care 4131, Copenhagen, Denmark

[9] Karolinska Inst, Dept Clin Sci, Danderyds Sjukhus, Stockholm, Sweden

[10] Rigshosp, Intens Care, Copenhagen, Denmark

[11] Akershus Univ Hosp, Anaesthesia & Intens Care, Nordbyhagen, Norway

[12] Univ Hosp North Norway, Anesthesiol & Intens Care, Tromso, Norway

[13] Hannover Med Sch, Anesthesiol & Intens Care Med, Hannover, Germany

[14] Oslo Univ Hosp, Anaesthesiol & Intens Care Med, Oslo, Norway

[15] Sykehuset Telemark, Acute & Emergency Med, Skien, Norway

[16] Karolinska Inst, Dept Cardiol, Med Intens Care Unit, Stockholm, Sweden

[17] Helse Fonna, Anaesthesia & Intens Care, Haugesund, Norway

[18] Univ Helsinki, Dept Perioperat Intens Care Med, Helsinki, Finland

[19] Helsinki Univ Hosp, Helsinki, Finland

[20] Sykehuset Innlandet Hamar, Acute Med, Hamar, Norway

[21] Univ Med Ctr Groningen, Crit Care, Groningen, Netherlands

[22] St Olavs Univ Hosp, Intens Care Med, Trondheim, Norway

[23] Holbaek Cent Hosp, Dept Anaesthesiol, Holbaek, Denmark

[24] Haukeland Hosp, Anaesthesia & Intens Care, Bergen, Norway

[25] Med Univ Lublin, Dept Anaesthesiol & Intens Therapy 1, Lublin, Poland

[26] Copenhagen Univ Hosp Bispebjerg & Frederiksberg, Dept Anaesthesia & Intens Care, Copenhagen, Denmark

[27] Royal Perth Hosp, Adult Intens Care, Perth, WA, Australia

[28] Bern Univ Hosp, Inselspital, Dept Intens Care, Bern, Switzerland

[29] Zealand Univ Hosp, Intens Care Unit, Koge, Denmark

[30] Baerum Hosp, Anaesthesia & Intens Care, Baerum, Norway

[31] Univ Bern, Dept Intens Care Med, Inselspital, Bern, Switzerland

[32] Univ Hosp Basel, Intens Care, Basel, Switzerland

[33] Landspitali Natl Univ Hosp Iceland, Anaesthesiol & Intens Care Med, Reykjavik, Iceland

[34] Skane Univ Hosp, Intens & Perioperat Care, Malmo, Sweden

[35] Stavanger Univ Hosp, Intens Care, Stavanger, Norway

[36] Hannover Med Sch, Dept Anaesthesiol & Intens Care, Hannover, Germany

[37] Jagiellonian Univ Med Coll, Ctr Intens Care & Perioperat Med, Krakow, Poland

[38] Karolinska Inst, Dept Oncol, Dept Anaesthesia & Intens Care, Stockholm, Sweden

[39] Karolinska Inst, Dept Clin Sci & Educ, Sodersjukhuset, Stockholm, Sweden

[40] Volda Hosp, Dept Anaesthesia, NO-6100 Volda, Norway

[41] Vestfold Hosp Trust, Anaesthesia & Intens Care, Tonsberg, Norway

[42] Copenhagen Univ Hosp North Zealand, Dept Anaesthesia & Intens Care, Hillerod, Denmark

[43] Oslo Univ Hosp, Dept Anaesthesiol & Intens Care Med, Div Emergencies & Crit Care, Oslo, Norway

来源：

ACTA ANAESTHESIOLOGICA SCANDINAVICA | 2023年 / 67卷 / 10期

关键词：

acute hypoxaemic respiratory failure; acute respiratory distress syndrome; controlled ventilation; invasive mechanical ventilation; spontaneous ventilation; survey; CLINICAL-PRACTICE GUIDELINE; DISTRESS-SYNDROME; MECHANICAL VENTILATION; ADULT PATIENTS; MORTALITY; SOCIETY;

D O I：

10.1111/aas.14317

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

BackgroundWhen caring for mechanically ventilated adults with acute hypoxaemic respiratory failure (AHRF), clinicians are faced with an uncertain choice between ventilator modes allowing for spontaneous breaths or ventilation fully controlled by the ventilator. The preferences of clinicians managing such patients, and what motivates their choice of ventilator mode, are largely unknown. To better understand how clinicians' preferences may impact the choice of ventilatory support for patients with AHRF, we issued a survey to an international network of intensive care unit (ICU) researchers.MethodsWe distributed an online survey with 32 broadly similar and interlinked questions on how clinicians prioritise spontaneous or controlled ventilation in invasively ventilated patients with AHRF of different severity, and which factors determine their choice.ResultsThe survey was distributed to 1337 recipients in 12 countries. Of these, 415 (31%) completed the survey either fully (52%) or partially (48%). Most respondents were identified as medical specialists (87%) or physicians in training (11%). Modes allowing for spontaneous ventilation were considered preferable in mild AHRF, with controlled ventilation considered as progressively more important in moderate and severe AHRF. Among respondents there was strong support (90%) for a randomised clinical trial comparing spontaneous with controlled ventilation in patients with moderate AHRF.ConclusionsThe responses from this international survey suggest that there is clinical equipoise for the preferred ventilator mode in patients with AHRF of moderate severity. We found strong support for a randomised trial comparing modes of ventilation in patients with moderate AHRF.

引用

页码：1383 / 1394

页数：12

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