Mechanical ventilation practices in Asian intensive care units: A multicenter cross-sectional study.

Humans Respiration, Artificial Cross-Sectional Studies Positive-Pressure Respiration Tidal Volume Respiratory Distress Syndrome / therapy Intensive Care Units
Asia Low tidal volumes Lung-protective ventilation Mechanical ventilation

Journal

Journal of critical care
ISSN: 1557-8615
Titre abrégé: J Crit Care
Pays: United States
ID NLM: 8610642

Informations de publication

Date de publication:
02 2024
Historique:
received: 16 02 2023
revised: 24 07 2023
accepted: 15 10 2023
medline: 17 12 2023
pubmed: 11 11 2023
entrez: 10 11 2023
Statut: ppublish

Résumé

This study investigated current practices of mechanical ventilation in Asian intensive care units, focusing on tidal volume, plateau pressure, and positive end-expiratory pressure (PEEP). In this multicenter cross-sectional study, data on mechanical ventilation and clinical outcomes were collected. Predictors of mortality were analyzed by univariate and multivariable logistic regression. A scoring system was generated to predict 28-day mortality. A total of 1408 patients were enrolled. In 138 patients with acute respiratory distress syndrome (ARDS), 65.9% were on a tidal volume ≤ 8 ml/kg predicted body weight (PBW), and 71.3% were on sufficient PEEP. In 1270 patients without ARDS, 88.8% were on a tidal volume ≤ 10 ml/kg PBW. A plateau pressure < 30 cmH In Asia, low tidal volume ventilation and sufficient PEEP were underused in patients with ARDS. The majority of patients without ARDS were on intermediate tidal volumes. Country income, age, and severity of illness were associated with mortality.

Identifiants

DOI: 10.1016/j.jcrc.2023.154452 PMID: 37948944
pubmed: 37948944
pii: S0883-9441(23)00201-0
doi: 10.1016/j.jcrc.2023.154452
pii:
doi:

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

154452

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no competing interests.

Auteurs

Kyung Hun Nam (KH)

Department of Critical Care Medicine, Seongnam Citizens Medical Center, Seongnam, South Korea.

Jason Phua (J)

FAST and Chronic Programmes, Alexandra Hospital, National University Health System, Singapore; Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, National University Health System, Singapore.

Bin Du (B)

State Key Laboratory of Complex, Severe, and Rare Diseases, Medical ICU, Peking Union Medical College Hospital, Beijing, China.

Shinichiro Ohshimo (S)

Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Hwa Jung Kim (HJ)

Department of Clinical Epidemiology and Biostatistics, ASAN Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

Chae-Man Lim (CM)

Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

Sheila Nainan Myatra (SN)

Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India.

Nik Azman Bin Nik Adib (NABN)

Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia.

Yaseen M Arabi (YM)

King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

Ming-Cheng Chan (MC)

Division of Critical Care and Respiratory Therapy, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; National Chung Hsing University, Taichung, Taiwan.

Mohammad Omar Faruq (MO)

Critical Care Medicine and Emergency Medicine, United Medical College and United Hospital, Dhaka 1212, Bangladesh.

Ike Sri Redjeki (IS)

Faculty of Medicine, Department of Anesthesiology and Intensive Care, Padjadjaran University, Dr. Hasan Sadikin National Referral Hospital Bandung, Bandung, Indonesia.

Do Ngoc Son (DN)

Center for Critical Care Medicine, Bach Mai Hospital, University of Medicine and Pharmacy, Hanoi National University, Viet Nam.

Khalid Mahmood Khan Nafees (KMK)

RIPAS Hospital, Bandar Seri Begawan, Brunei Darussalam.

Dilshan Priyankara (D)

Critical Care Medicine, National Hospital of Sri Lanka, Sri Lanka.

Boonsong Patjanasoontorn (B)

Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Jose Emmanuel Palo (JE)

Acute and Critical Care Institute, The Medical City, Pasig City, Philippines.

Aidos Konkayev (A)

Anaesthesia and ICU Department, Astana Medical University, Institution of Traumatology and Orthopedics, Nur-Sultan, Kazakhstan.

Gentle Sunder Shrestha (GS)

Department of Critical Care Medicine Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Younsuck Koh (Y)

Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. Electronic address: yskoh@amc.seoul.kr.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Mechanical ventilation practices in Asian...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Mechanical ventilation practices in Asian...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Mechanical ventilation practices in Asian...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation à pression positive › Mechanical ventilation practices in Asian...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques respiratoires › Capacité pulmonaire totale › Capacité vitale › Capacité inspiratoire › Volume courant › Mechanical ventilation practices in Asian...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Troubles respiratoires › Syndrome de détresse respiratoire de l'adulte › Mechanical ventilation practices in Asian...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › Mechanical ventilation practices in Asian...