Sections
Conventional Mechanical Ventilation | Conventilation Mechanical Ventilation Adjuncts | Extracorporeal Respiratory Support | Non-Conventional Mechanical Ventilation | Non-Invasive Ventilation | High Flow Nasal Oxygen | Non-Respiratory Support | Extubation | Tracheostomy | Miscellaneous Conditions | ARDS Pharmacotherapy
Conventional Mechanical Ventilation
Oxygenation Targets
General
- Semler. Oxygen-Saturation Targets for Critically Ill Adults Receiving Mechanical Ventilation. N Engl J Med 2022;epublished October 24th
- Gelissen. Effect of Low-Normal vs High-Normal Oxygenation Targets on Organ Dysfunction in Critically Ill Patients. A Randomized Clinical Trial. JAMA 2021;epublished August 31st
- Schjørring. Lower or Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure (HOT-ICU). N Engl J Med 2021;epublished January 20th
- Barrot. Liberal or conservative oxygen therapy for acute respiratory distress syndrome (LOCO2). N Engl J Med 2020;382:999-1008
- The ICU-ROX Investigators. Conservative Oxygen Therapy during Mechanical Ventilation in the ICU. N Engl J Med 2020;382:989-998
- Girardis. Effect of Conservative vs Conventional Oxygen Therapy on Mortality Among Patients in an Intensive Care Unit. The Oxygen-ICU Randomized Clinical Trial. JAMA 2016;316(15):1583-1589
- Panwar. Conservative versus liberal oxygenation targets for mechanically ventilated patients: a pilot multicenter randomized
controlled trial (CLOSE). Am J Respir Crit Care Med 2016;193:43-51
Post Cardiac Arrest
- Bernard. Effect of Lower vs Higher Oxygen Saturation Targets on Survival to Hospital Discharge Among Patients Resuscitated After Out-of-Hospital Cardiac Arrest. The EXACT Randomized Clinical Trial. JAMA 2022;epublished October 26th
- Kjaergaard. Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest. N Engl J Med 2022;epublished August 27th
Trauma
COVID-19
Perioperatively
- Mayhoff. Increased Long-Term Mortality After a High Perioperative Inspiratory Oxygen Fraction During Abdominal Surgery: Follow-Up of a Randomized Clinical Trial. Anesth Analg 2012.
- Meyhoff. Effect of High Perioperative Oxygen Fraction on Surgical Site Infection and Pulmonary Complications After Abdominal Surgery. The PROXI Randomized Clinical Trial. JAMA 2009;302(14):1543-1550
Paediatrics
- Peters. Conservative versus liberal oxygenation targets in critically ill children (Oxy-PICU): a UK multicentre, open, parallel-group, randomised clinical trial. Lancet 2023;epublished December 1st
- Maitland. Randomised controlled trial of oxygen therapy and high-flow nasal therapy in African children with pneumonia (COAST trial). Intensive Care Med 2021;47:566–576
- Cunningham. Oxygen saturation targets in infants with bronchiolitis (BIDS): a double-blind, randomised, equivalence trial. Lancet 2015;386(9998):1041–1048
Tidal Volume
ARDS
- Villar. The ALIEN study: incidence and outcome of acute respiratory distress syndrome in the era of lung protective ventilation. Intensive Care Med 2011; epub ahead of print. (Erratum)
- Terragni. Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome. Am J Respir Crit Care Med 2007;175:160–166
- Villar. A high positive end-expiratory pressure, low tidal volume ventilatory strategy improves outcome in persistent acute respiratory distress syndrome: a randomized, controlled trial (AIRES Study). Crit Care Med 2006; 34:1311-1318
- The Acute Respiratory Distress Syndrome Network. Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome. N Engl J Med 2000; 342:1301-1308
- Brower. Prospective, randomized, controlled clinical trial comparing traditional versus reduced tidal volume ventilation in acute respiratory distress syndrome patients. Crit Care Med 1999;27:1492-1498
- Stewart. Evaluation of a ventilation strategy to prevent barotrauma in patients at high risk for acute respiratory distress syndrome. Pressure- and Volume-Limited Ventilation Strategy Group. N Engl J Med 1998;338:355-361.
- Amato. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998; 338:347-354.
- Brochard. Tidal volume reduction for prevention of ventilator-induced lung injury in acute respiratory distress syndrome. The Multicenter Trial Group on Tidal Volume Reduction in ARDS. Am J Respir Crit Care Med 1998; 158:1831-1838
Non-ARDS
- Writing Group for the PReVENT Investigators. Effect of a Low vs Intermediate Tidal Volume Strategy on Ventilator-Free Days in Intensive Care Unit Patients Without ARDSA Randomized Clinical Trial. JAMA 2018;epublished October 24th
- Determann. Ventilation with lower tidal volumes as compared with conventional tidal volumes for patients without acute lung injury: a preventive randomized controlled trial. Crit Care. 2010;14(1):R1
Intra-Operative
- Ferrando. Individualised, perioperative open-lung ventilation strategy during one-lung ventilation (iPROVE-OLV): a multicentre, randomised, controlled clinical trial. Lancet Respir Med 2023;epublished December 5th
- Writing Committee for the PROBESE Collaborative Group of the PROtective VEntilation Network (PROVEnet) for the Clinical Trial Network of the European Society of Anaesthesiology. Effect of Intraoperative High Positive End-Expiratory Pressure (PEEP) With Recruitment Maneuvers vs Low PEEP on Postoperative Pulmonary Complications in Obese Patients. A Randomized Clinical Trial. JAMA 2019;epublished June 3rd
- Ferrando. Individualised perioperative open-lung approach versus standard protective ventilation in abdominal surgery (iPROVE): a randomised controlled trial. Lancet Respir Med 2018;epublished January 19th
- Futier. A Trial of Intraoperative Low-Tidal-Volume Ventilation in Abdominal Surgery (IMPROVE study). N Engl J Med 2013; 369:428-437
Positive End Expiratory Pressure
ARDS
- Mercat. Positive End-Expiratory Pressure Setting in Adults With Acute Lung Injury and Acute Respiratory Distress Syndrome. JAMA. 2008;299(6):646-655.
- Meade. Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: A randomized controlled trial. JAMA 2008; 299:637-645.
- The National Heart, Lung, and Blood Institute ARDS Clinical Trials Network. Higher versus Lower Positive End-Expiratory Pressures in Patients with the Acute Respiratory Distress Syndrome. N Engl J Med 2004;351:327-36
Oesophageal Pressure Monitor Guided
- Beitler. Effect of Titrating Positive End-Expiratory Pressure (PEEP) With an Esophageal Pressure–Guided Strategy vs an Empirical High PEEP-Fio2 Strategy on Death and Days Free From Mechanical Ventilation Among Patients With Acute Respiratory Distress Syndrome (EPVent-2). A Randomized Clinical Trial. JAMA 2019;321(9):846-857
- Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 2008;359(20):2095-2104
Conventional Mechanical Ventilation Adjuncts
Neuromuscular Blockade
- The National Heart, Lung, and Blood Institute PETAL Clinical Trials Network. Early Neuromuscular Blockade in the Acute Respiratory Distress Syndrome (ROSE trial). N Engl J Med 2019;epublished May 19th
- Papazian. Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med 2010;363:1107-1116
Prone Positioning
- Schmidt. Prone Positioning During Extracorporeal Membrane Oxygenation in Patients With Severe ARDS. The PRONECMO Randomized Clinical Trial. JAMA 2023;epublished December 1st
- Guérin. Prone Positioning in Severe Acute Respiratory Distress Syndrome (PROSEVA). New Engl J Med 2013;368:2159-2168
- Taccone. Prone Positioning in Patients With Moderate and Severe Acute Respiratory Distress Syndrome. A Randomized Controlled Trial. JAMA. 2009;302(18):1977-1984
- Fernandez. Prone positioning in acute respiratory distress syndrome: a multicentre, randomized clinical trial. Intensive Care Med. 2008;34:1487-1491
- Mancebo. A multicentre trial of prolonged prone ventilation in severe acute respiratory distress syndrome. Am J Respir Crit Care Med 2006;173:-1233-1239
- Voggenreiter. Prone Positioning Improves Oxygenation in Post-Traumatic Lung Injury-A Prospective Randomized Trial. J Trauma. 2005;59:333-341
- Guerin. Effects of Systematic Prone Positioning in Hypoxemic Acute Respiratory Failure: A Randomized Controlled Trial. JAMA. 2004;292(19):2379-2387
- Gattinoni. Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med 2001;345:568-73
Recruitment Manoeuvres
- ART Trial Investigators Writing Group. Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in Patients With Acute Respiratory Distress Syndrome. A Randomized Clinical Trial (ART). JAMA 2017;epublished September 27th
- Leme. Effect of Intensive vs Moderate Alveolar Recruitment Strategies Added to Lung-Protective Ventilation on Postoperative Pulmonary Complications. A Randomized Clinical Trial. JAMA 2017;epublished March 21st
Inhaled Pulmonary Vasodilator
Extracorporeal Respiratory Support
ECMO
- Combes. Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome (EOLIA Trial). N Engl J Med 2018;378:1965-75
- Peek. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet 2009; 374: 1351-63
ECCO2R
- McNamee. Effect of Lower Tidal Volume Ventilation Facilitated by Extracorporeal Carbon Dioxide Removal vs Standard Care Ventilation on 90-Day Mortality in Patients With Acute Hypoxemic Respiratory Failure. The REST Randomized Clinical Trial. JAMA 2021;epublished August 31st
- Morris.. Randomized clinical trial of pressure-controlled inverse ratio ventilation and extracorporeal CO2 removal for adult respiratory distress syndrome. Am J Respir Crit Care Med 1994;149(2):295-305
Non-Conventional Mechanical Ventilation
High Frequency Oscillatory Ventilation
- Ferguson. High-Frequency Oscillation in Early Acute Respiratory Distress Syndrome (OSCILLATE). New Engl J Med 2013;epublished January 22rd
- Young. High-Frequency Oscillation for Acute Respiratory Distress Syndrome (OSCAR). New Engl J Med 2013;epublished January 22nd
- Bollen. High frequency oscillatory ventilation compared with conventional mechanical ventilation in adult respiratory distress syndrome: a randomized controlled trial. Crit Care 2005; 9(4): R430–R439
- Derdak. High-frequency oscillatory ventilation for acute respiratory distress syndrome in adults (MOAT Study). Am J Respir Crit Care Med 2002; 166: 801–8
Airway Pressure Release Ventilation
- Lalgudi Ganesan. Airway Pressure Release Ventilation in Pediatric Acute Respiratory Distress Syndrome. A Randomized Controlled Trial. Am J Respir Crit Care Med 2018;198(9):1199-1207
- Zhou. Early application of airway pressure release ventilation may reduce the duration of mechanical ventilation in acute respiratory distress syndrome. Intensive Care Med 2017;epublished September 22nd
Liquid Ventilation
- Kacmarek. Partial Liquid Ventilation in Adult Patients with Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med. 2006 Sep 1;174(5):615
- Hirschl. Prospective, Randomized, Controlled Pilot Study of Partial Liquid Ventilation in Adult Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med 2002;165:781-787
Non-Invasive Ventilation
High Flow Nasal Oxygen
Hypoxaemic Respiratory Failure
- RENOVATE Investigators and the BRICNet Authors. High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure. The RENOVATE Randomized Clinical Trial. JAMA 2024;epublished December 11th
- Azoulay. Effect of High-Flow Nasal Oxygen vs Standard Oxygen on 28-Day Mortality in Immunocompromised Patients With Acute Respiratory Failure: The HIGH Randomized Clinical Trial. JAMA 2018;epublished October 24th
- Makdee. High-Flow Nasal Cannula Versus Conventional Oxygen Therapy in Emergency Department Patients With Cardiogenic Pulmonary Edema: A Randomized Controlled Trial. Ann Emerg Med 2017;epublished June 7th
- Roberts. Nasal High-Flow Therapy for Primary Respiratory Support in Preterm Infants (HIPSTER Trial). N Engl J Med 2016;375:1142-1151
- Jones. Randomized Controlled Trial of Humidified High-Flow Nasal Oxygen for Acute Respiratory Distress in the Emergency Department: The HOT-ER Study. Respir Care 2015;epublished November 17th
- Frat. High-Flow Oxygen through Nasal Cannula in Acute Hypoxemic Respiratory Failure (FLORALI study). N Eng J Med 2015;epublished May 17th
- Stéphan. High-Flow Nasal Oxygen vs Noninvasive Positive Airway Pressure in Hypoxemic Patients After Cardiothoracic Surgery: A Randomized Clinical Trial. JAMA 2015;epublished May 17th
Post Extubation
- Fernandez. High-flow nasal cannula to prevent postextubation respiratory failure in high-risk non-hypercapnic patients: a randomized multicenter trial. Annals of Intensive Care 2017;7:47
- Hernández. Effect of Postextubation High-Flow Nasal Cannula vs Noninvasive Ventilation on Reintubation and Postextubation Respiratory Failure in High-Risk PatientsA Randomized Clinical Trial. JAMA 2016;epublished October 5th
- Futier. Effect of early postextubation high-flow nasal cannula vs conventional oxygen therapy on hypoxaemia in patients after major abdominal surgery: a French multicentre randomised controlled trial (OPERA). Intensive Care Med 2016;epublished October 22nd
- Hernández. Effect of Postextubation High-Flow Nasal Cannula vs Conventional Oxygen Therapy on Reintubation in Low-Risk Patients. A Randomized Clinical Trial. JAMA 2016;epublished March 15th
- Corley. Direct extubation onto high-flow nasal cannulae post-cardiac surgery versus standard treatment in patients with a BMI ≥30: a randomised controlled trial. Intensive Care Med 2015;epublished April 8th
Non-Respiratory Support
Pharmaconutrition
Extubation
Rest post Spontaneous Breathing Trial
- Dadam. The Effect of Reconnection to Mechanical Ventilation for 1 Hour After Spontaneous Breathing Trial on Reintubation Among Patients Ventilated for More Than 12 Hours. A Randomized Clinical Trial. Chest 2021;160(1):148-156
- Fernandez. Reconnection to mechanical ventilation for 1 h after a successful spontaneous breathing trial reduces reintubation in critically ill patients: a multicenter randomized controlled trial. Intensive Care Med 2017;epublished September 22nd
Tracheostomy
Timing
- Young. Effect of Early vs Late Tracheostomy Placement on Survival in Patients Receiving Mechanical Ventilation: The TracMan Randomized Trial. JAMA 2013;309(20):2121
- Terragni. Early vs late tracheotomy for prevention of pneumonia in mechanically ventilated adult ICU patients. JAMA 2010;303:1483–1489
- Blot. Early tracheotomy versus prolonged endotracheal intubation in unselected severely ill ICU patients. Intensive Care Med 2008;34(10):1779-1787
- Rumbak. A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients. Crit Care Med 2004;32:1689–1694
Miscellaneous Conditions
Community-Acquired Pneumonia
Corticosteroids
- Blum. Adjunct prednisone therapy for patients with community-acquired pneumonia: a multicentre, double-blind, randomised, placebo-controlled trial. Lancet 2015;385(9977):1511–1518
- Torres. Effect of Corticosteroids on Treatment Failure Among Hospitalized Patients With Severe Community-Acquired Pneumonia and High Inflammatory Response. A Randomized Clinical Trial. JAMA 2015;313(7):677-686
Ventilator-Associated Pneumonia
Selective Digestive Decontamination
Tracheal Cuff Pressure
- Dat. Effectiveness of continuous endotracheal cuff pressure control for the prevention of ventilator associated respiratory infections: an open-label randomised, controlled trial. Clin Infect Dis 2021;epublished August 22nd
- Marjanovic. Continuous Pneumatic Regulation of Tracheal Cuff Pressure to Decrease Ventilator-associated Pneumonia in Trauma Patients Who Were Mechanically Ventilated. The AGATE Multicenter Randomized Controlled Study. Chest 2021;160(2):499-508
Miscellaneous
- Bassi. Randomized, multicenter trial of lateral Trendelenburg versus semirecumbent body position for the prevention of ventilator-associated pneumonia. Intensive Care Med 2017;epublished June 20th
- Seguin. Effect of Oropharyngeal Povidone-Iodine Preventive Oral Care on Ventilator-Associated Pneumonia in Severely Brain-Injured or Cerebral Hemorrhage Patients: A Multicenter, Randomized Controlled Trial (SPIRIT study). Crit Care Med 2014;42(1):1-8
- Papazian. Effect of Statin Therapy on Mortality in Patients With Ventilator-Associated PneumoniaA Randomized Clinical Trial. JAMA 2013;310(16):1692-1700
Pleural Effusions
ARDS Pharmacotherapy
β-2 Agonists
- van Meenen. Effect of On-Demand vs Routine Nebulization of Acetylcysteine With Salbutamol on Ventilator-Free Days in Intensive Care Unit Patients Receiving Invasive Ventilation (NEBULAE). A Randomized Clinical Trial. JAMA 2018;epublished February 27th
- Smith. Effect of intravenous β-2 agonist treatment on clinical outcomes in acute respiratory distress syndrome (BALTI-2): a multicentre, randomised controlled trial. Lancet epub ahead of print December 12 2011 (full text version)
- NHLBI ARDSnet. Randomized, Placebo-controlled Clinical Trial of an Aerosolized ?2-Agonist for Treatment of Acute Lung Injury. Am J Resp Crit Care Med 2011;184:561-568
- Perkins. The Beta-Agonist Lung Injury Trial (BALTI): A Randomized Placebo-controlled Clinical Trial. Am J Respir Crit Care Med 2006;173:281–287
Corticosteroids
- Villar. Dexamethasone treatment for the acute respiratory distress syndrome: a multicentre, randomised controlled trial. Lancet Respir Med 2020;8(3):267-276
- Meduri. Methylprednisolone infusion in early severe ARDS: results of a randomized controlled trial. Chest 2007; 131:954-63.
- Steinberg. Efficacy and safety of corticosteroids for persistent acute respiratory distress syndrome. N Engl J Med 2006; 354:1671-84.
Activated Protein C
- Cornet. Recombinant human activated protein C in the treatment of acute respiratory distress syndrome: a randomized clinical trial. PLoS One 2014;14;9(3):e90983
- Liu. Randomized Clinical Trial of Activated Protein C for the Treatment of Acute Lung Injury. Am J Respir Crit Care Med 2008;178(6):618-623
Surfactant
- Willson. The Adult Calfactant in Acute Respiratory Distress Syndrome (CARDS) Trial. Chest 2015;epublished April 9th
- Spragg. Recombinant Surfactant Protein C–based Surfactant for Patients with Severe Direct Lung Injury. American Journal of Respiratory and Critical Care Medicine 2011;183(8):1055 –1061
- Kesecioglu. Exogenous Natural Surfactant for Treatment of Acute Lung Injury and the Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med 2009;180(10):989–994
- Spragg. Effect of Recombinant Surfactant Protein C–Based Surfactant on the Acute Respiratory Distress Syndrome. N Engl J Med 2004;351(9):884–92
- Spragg. Treatment of Acute Respiratory Distress Syndrome with Recombinant Surfactant Protein C Surfactant. Am J Respir Crit Care Med 2003;167(11):1562–6
- Anzueto. Aerosolized surfactant in adults with sepsis-induced acute respiratory distress syndrome. Exosurf Acute Respiratory Distress Syndrome Sepsis Study Group. N Engl J Med 1996;334:1417–1421
last updated September 19th, 2022