Non-invasive mechanical ventilation after the successful weaning: a comparison with the venturi mask

Adıyeke, Esra; Özgültekin, Asu; Turan, Güldem; Iskender, Abdülkadir; Canpolat, Gamze; Pektaş, Abdullah; Ekinci, Osman

doi:10.1016/j.bjane.2014.11.008

Cited by 7 publications

(8 citation statements)

References 7 publications

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“…Most patients among the trials were older than 65, with a higher mean proportion of male than female. The APACHE II score on admission was greater than 12 in 9 of 10 (90%) trials (3,13,28,29,32,34,(37)(38)(39). The PaCO 2 at the end of SBT was greater than 45 mmHg in 2 of 12 (16.7%) trials (3,35).…”

Section: Study Characteristicsmentioning

confidence: 97%

“…After excluding 1319 duplicates and 3844 irrelevant citations, we reviewed the full text of the remaining 94 records. Finally, a total of 17 eligible RCTs (3,13,15,18,19,(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39), representing 2813 patients, were included in this NMA. A flowchart describing the detailed retrieval strategy is presented in Figure 1.…”

Section: Study Selectionmentioning

confidence: 99%

“…All the selected studies were published between 2005 and 2022, and the sample size ranged from 29 to 641. Of the 17 included RCTs, 8 (47%) were multicenter (3,13,18,19,(28)(29)(30)33) and 9 (53%) were single-center (15,31,32,(34)(35)(36)(37)(38)(39). Four trials (23.5%) recruited patients from Spain (3,13,28,29), 4 (23.5%) from China (17,34,35,38), and 3 (17.6%) from France (18,19,33).…”

Section: Study Characteristicsmentioning

confidence: 99%

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Efficacy of preventive use of oxygen therapy after planned extubation in high-risk patients with extubation failure: A network meta-analysis of randomized controlled trials

Zheng

Wang²,

Giri³

et al. 2022

Front. Med.

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BackgroundExtubation failure is common in critically ill patients, especially those with high-risk factors, and is associated with poor prognosis. Prophylactic use of oxygen therapy after extubation has been gradually introduced. However, the best respiratory support method is still unclear.PurposeThis study aimed to evaluate the efficacy of four post-extubation respiratory support approaches in reducing reintubation and respiratory failure in patients at high-risk of extubation failure.MethodsA comprehensive search was performed in Cochrane Central Register of Controlled Trials, PubMed, EMBASE, and Web of Science from inception to June 2022. Randomized controlled trials (RCTs) comparing post-extubation preventive use of respiratory management strategies, including conventional oxygen therapy (COT), non-invasive ventilation (NIV), and high-flow nasal catheter (HFNC) in high-risk patients with extubation failure were reviewed. Primary outcomes were reintubation rate and respiratory failure. Secondary outcomes included intensive care unit (ICU) mortality, ICU stay and length of hospital stay (LOS).ResultsSeventeen RCTs comprising 2813 participants were enrolled. Compared with COT, the three respiratory support methods (NIV, HFNC, NIV + HFNC) were all effective in preventing reintubation [odds ratio (OR) 0.46, 95% confidence interval (CI) 0.32–0.67; OR 0.26, 95% CI 0.14–0.48; OR 0.62, 95% CI 0.39–0.97, respectively] and respiratory failure (OR 0.23, 95% CI 0.10–0.52; OR 0.15, 95% CI 0.04–0.60; OR 0.26, 95% CI 0.10–0.72, respectively). NIV and NIV + HFNC also reduced ICU mortality (OR 0.40, 95% CI 0.22–0.74; OR 0.32, 95% CI 0.12–0.85). NIV + HFNC ranked best in terms of reintubation rate, respiratory failure and ICU mortality based on the surface under the cumulative ranking curve (SUCRA) (99.3, 87.1, 88.2, respectively). Although there was no significant difference in shortening ICU stay and LOS among the four methods, HFNC ranked first based on the SUCRA.ConclusionPreventive use of NIV + HFNC after scheduled extubation is probably the most effective respiratory support method for preventing reintubation, respiratory failure and ICU death in high-risk patients with extubation failure. HFNC alone seems to be the best method to shorten ICU stay and LOS.Systematic review registration[https://www.crd.york.ac.uk/prospero/], identifier [CRD42022340623].

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Section: Study Characteristicsmentioning

confidence: 97%

Section: Study Selectionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Efficacy of preventive use of oxygen therapy after planned extubation in high-risk patients with extubation failure: A network meta-analysis of randomized controlled trials

Zheng

Wang²,

Giri³

et al. 2022

Front. Med.

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“…Previous studies have concluded that non-invasive ventilation (NIV) used prophylactically in postextubation (use of NIV immediately after extubation) could reduce the rate of reintubation, mortality, length of stay, and occurrence of pneumonia. 7 - 10 However, Jun Duan reported that NIV used prophylactically in postextubation was not correlated to reintubation. 11 Su CL suggested that prophylactic use of NIV in postextubation was not beneficial for reducing the rate of extubation failure and mortality.…”

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confidence: 99%

The role of non-invasive ventilation used immediately after planned extubation for adults with chronic respiratory disorders

Chen

et al. 2018

SMJ

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Objectives:To estimate the benefits of non-invasive ventilation (NIV) used immediately after planned postextubation in patients with chronic respiratory disorders.Methods:Cochrane Library, PubMed, the Chinese BioMedical Literature Database of clinical trials (CBD) and Embase were searched for pertinent studies by 2 trained investigators. Pooled odds ratios and 95% confidence intervals (CIs) were calculated by employing both fixed-effects and random-effects models.Results:Eight studies enrolling 736 patients were included in the meta-analysis. Compared with general oxygen therapy, NIV used immediately after planned extubation in patients with chronic respiratory disease reduced the reintubation rate (p=0.02), ventilator-associated pneumonia (VAP) incidence rate (p=0.000), and ICU mortality (p=0.002) and increased the level of PO2 (p=0.03).Conclusion:Non-invasive ventilation used immediately after planned extubation seems to be advantageous for decreasing the reintubation rate, VAP incidence, and ICU death rate in patients with chronic respiratory disease.

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“…We read with great interest the study by Adiyeke et al 1 In their prospective work, they describe a very important reduction of post extubation respiratory failure and a huge improvement in intensive care unit length of stay provided by systematic prophylactic Non Invasive Ventilation (NIV) after extubation.…”

mentioning

confidence: 99%

Noninvasive ventilation after extubation

Prat

Trouiller

Sztrymf

2018

Brazilian Journal of Anesthesiology (English Edition)

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Non-invasive mechanical ventilation after the successful weaning: a comparison with the venturi mask

Cited by 7 publications

References 7 publications

Efficacy of preventive use of oxygen therapy after planned extubation in high-risk patients with extubation failure: A network meta-analysis of randomized controlled trials

Efficacy of preventive use of oxygen therapy after planned extubation in high-risk patients with extubation failure: A network meta-analysis of randomized controlled trials

The role of non-invasive ventilation used immediately after planned extubation for adults with chronic respiratory disorders

Noninvasive ventilation after extubation

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