TY - JOUR
T1 - A survey of preferences for respiratory support in the intensive care unit for patients with acute hypoxaemic respiratory failure
AU - SVALBARD investigators
AU - Aslam, Tayyba N.
AU - Klitgaard, Thomas L.
AU - Ahlstedt, Christian A.O.
AU - Andersen, Finn H.
AU - Chew, Michelle S.
AU - Collet, Marie O.
AU - Cronhjort, Maria
AU - Estrup, Stine
AU - Fossum, Ole K.
AU - Frisvold, Shirin K.
AU - Gillmann, Hans Joerg
AU - Granholm, Anders
AU - Gundem, Trine M.
AU - Hauss, Kristin
AU - Hollenberg, Jacob
AU - Huanca Condori, Maria E.
AU - Hästbacka, Johanna
AU - Johnstad, Bror A.
AU - Keus, Eric
AU - Kjær, Maj Brit N.
AU - Klepstad, Pål
AU - Krag, Mette
AU - Kvåle, Reidar
AU - Malbrain, Manu L.N.G.
AU - Meyhoff, Christian S.
AU - Morgan, Matt
AU - Møller, Anders
AU - Pfortmueller, Carmen A.
AU - Poulsen, Lone M.
AU - Robertson, Andrew C.
AU - Schefold, Joerg C.
AU - Schjørring, Olav L.
AU - Siegemund, Martin
AU - Sigurdsson, Martin I.
AU - Sjövall, Fredrik
AU - Strand, Kristian
AU - Stueber, Thomas
AU - Szczeklik, Wojciech
AU - Wahlin, Rebecka R.
AU - Wangberg, Helge L.
AU - Wian, Karl Andre
AU - Wichmann, Sine
AU - Hofsø, Kristin
AU - Møller, Morten H.
AU - Perner, Anders
AU - Rasmussen, Bodil S.
AU - Laake, Jon H.
N1 - Publisher Copyright:
© 2023 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.
PY - 2023/11
Y1 - 2023/11
N2 - Background: When 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.Methods: We 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.Results: The 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.Conclusions: The 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.
AB - Background: When 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.Methods: We 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.Results: The 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.Conclusions: The 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.
KW - acute hypoxaemic respiratory failure
KW - acute respiratory distress syndrome
KW - controlled ventilation
KW - invasive mechanical ventilation
KW - spontaneous ventilation
KW - survey
UR - http://www.scopus.com/inward/record.url?scp=85171846745&partnerID=8YFLogxK
U2 - 10.1111/aas.14317
DO - 10.1111/aas.14317
M3 - Article
C2 - 37737652
AN - SCOPUS:85171846745
SN - 0001-5172
VL - 67
SP - 1383
EP - 1394
JO - Acta Anaesthesiologica Scandinavica
JF - Acta Anaesthesiologica Scandinavica
IS - 10
ER -