Autor según el artículo: Chen Y; Tian X; Luo CM; Luo SL; Lin L; Jiménez-Herrera MF

Departamento: Infermeria

Autor/es de la URV: Jiménez Herrera, María Francisca

Palabras clave: Systematic review Spontaneous breathing trials Positive airway pressure Meta-analysis Critical illness Automatic tube compensation t-piece systematic review support spontaneous breathing trials meta-analysis mechanical ventilation extubation critical illness atc

Resumen: © 2020 The Authors. Published by MRE Press. Objectives: The role of automatic tube compensation (ATC) compared to other spontaneous breathing trials (SBTs) in critically ill receiving mechanical ventilation remains uncertain. The aim of this meta-analysis was to determine the role of ATC in critically ill patients compared to alternative SBT techniques. Methods: We searched PubMed, Cochrane Library, and Embase to capture all potential randomized controlled trials (RCTs) investigating the comparative efficacy of ATC related to other SBT techniques including pressure support (PS), T-piece, continuous positive airway pressure (CPAP) from their inception to February 2020. Primary outcomes were successful extubation rate. Duration of weaning, intensive care unit (ICU) stay, hospital stay, and hospital mortality was regarded as secondary outcomes. We used a risk ratio with accompanying 95% confidence interval (CI) to express estimates. Reviewer Manager (RevMan) 5.1.0 was used to complete all statistical analyses. Results: We included 13 studies enrolling 1117 patients in the final analysis. Pooled results indicated no significant difference when ATC plus CPAP (ATC/CAPA) compared to PS (6 RCTs; 572 patients; risk ratio [RR], 1.15; 95% confidence interval [CI], 1.00 to 1.31), ATC versus T-piece (2 RCTs; 157 patients; RR, 1.14; 95% CI, 0.93 to 1.40), ATC plus PS (ATC/PS) versus PS alone (1 RCTs; 100 patients; RR, 1.15; 95% CI, 0.98 to 1.35), ATC/CPAP versus CPAP alone (3 RCTs; 247 patients; RR, 1.12; 95% CI, 0.97 to 1.29) in terms of successful extubation. Additionally, ATC was also not superior to PS, T-piece, or CPAP in improving the rate of reintubation, the duration of weaning, ICU stay, hospital stay, and hospital mortality. Conclusions: Compared to alternative SBT techniques including PSV and T-piece, ATC may have comparable predictive power of successful extubation in critically ill patients. However, a definite conclusion on this topic can not be drawn due to limited data. Therefore, further studies were required to establish our findings due to limited number of eligible studies and small accumulated sample size.

Áreas temáticas: Emergency medicine Critical care and intensive care medicine

Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/

Direcció de correo del autor: maria.jimenez@urv.cat

Identificador del autor: 0000-0003-2599-3742

Fecha de alta del registro: 2023-04-15

Versión del articulo depositado: info:eu-repo/semantics/publishedVersion

Enlace a la fuente original: https://www.signavitae.com/articles/10.22514/sv.2020.16.0053

URL Documento de licencia: http://repositori.urv.cat/ca/proteccio-de-dades/

Referencia al articulo segun fuente origial: Signa Vitae. 16 (2): 20-28

Referencia de l'ítem segons les normes APA: Chen Y; Tian X; Luo CM; Luo SL; Lin L; Jiménez-Herrera MF (2020). Role of automatic tube compensation as spontaneous breathing trial in critically ill patients: A systematic review and meta-analysis. Signa Vitae, 16(2), 20-28. DOI: 10.22514/sv.2020.16.0053

DOI del artículo: 10.22514/sv.2020.16.0053

Entidad: Universitat Rovira i Virgili

Año de publicación de la revista: 2020

Tipo de publicación: Journal Publications