Automated versus non-automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children

Cochrane Database of Systematic Reviews

Volumn 2013, Issue 6, 2013, Pages

  Rose, Louise ^a   Schultz, Marcus J ^b   Cardwell, Chris R ^c   Jouvet, Philippe ^d   Mcauley, Danny F ^c,e   Blackwood, Bronagh ^f  

^a UNIVERSITY OF TORONTO   (Canada)

^b UNIVERSITY OF AMSTERDAM   (Netherlands)

^c QUEEN'S UNIVERSITY BELFAST   (United Kingdom)

^d UNIVERSITY OF MONTREAL   (Canada)

^e ROYAL VICTORIA HOSPITAL   (United Kingdom)

^f QUEEN'S UNIVERSITY BELFAST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTIFICIAL VENTILATION; AUTOMATED VENTILATOR WEANING; CHILD; COMPARATIVE STUDY; CRITICAL ILLNESS; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MORTALITY; NON AUTOMATED VENTILATOR WEANING; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SENSITIVITY ANALYSIS; SYSTEMATIC REVIEW; TREATMENT DURATION; VENTILATOR WEANING; META ANALYSIS; PROCEDURES; STATISTICS AND NUMERICAL DATA; TIME;

ADULT; CHILD; CRITICAL ILLNESS; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; RANDOMIZED CONTROLLED TRIALS AS TOPIC; RESPIRATION, ARTIFICIAL; TIME FACTORS; VENTILATOR WEANING;

EID: 84887451085     PISSN: 14651858     EISSN: None     Source Type: Journal    
DOI: 10.1002/14651858.CD009235.pub2     Document Type: Review

References (79)

1. Davis S, Potgieter PD, Linton DM. Mandatory minute volume weaning in patients with pulmonary pathology. Anaesthesia and Intensive Care 1989;17(2):170-4. [PUBMED: 2719237]
2. Dongelsmans DA, Veelo DP, Paulus F, de Mol, BAJM, Korevaar JC, et al.Weaning automation with adaptive support ventilation: a randomized controlled trial in cardiothoracic surgery patients. Anesthesia and Analgesia 2009;108(2):565-71. [PUBMED: 19151288]
3. Hendrix H, Kaiser ME, Yusen RD, Merk J. A randomized trial of automated versus conventional protocol-driven weaning from mechanical ventilation following coronary artery bypass surgery. European Journal of Cardio-thoracic Surgery 2006;29(6):957-63. [PUBMED: 16520042]
4. Jouvet PA, Payen V, Gauvin F, Guillame E, Lacroix J. Weaning children from mechanical ventilation with a computer driven protocol: a pilot RCT. Intensive Care Medicine 2013;16(3):R85. [PUBMED: 22591622]
5. Kirakli C, Ozdemir I, Ucar ZZ, Cimen P, Kepil S, Ozkan SA. Adaptive support ventilation for faster weaning in COPD: a randomised controlled trial. European Respiratory Journal 2011;38(4):774-80. [PUBMED: 21406514]
6. Lellouche F, Mancebo J, Jolliet P, Roeseler J, Schortgen F, Dojat M, et al.A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. American Journal of Respiratory and Critical Care Medicine 2006;174(8):894-900. [PUBMED: 16840741]
7. Petter AH, Chiolero RL, Cassina T, Chassot P-G, Müller XM, Revelly J-P. Automatic "respirator/weaning" with adaptive support ventilation: the effect on duration of endotracheal intubation and patient management. Anesthesia and Analgesia 2003;97(6):1743-50. [PUBMED: 14633553]
8. Rose L, Presneill JJ, Johnston L, Cade JF. A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare™/PS. Intensive Care Medicine 2008;34(10):1788-95. [PUBMED: 18575843]
9. Roth H, Luecke T, Lansche G, Bender HJ, Quintel M. Effects of patient-triggered automatic switching between mandatory and supported ventilation in the postoperative weaning period. Intensive Care Medicine 2001;27(1):47-51. [PUBMED: 11280672]
10. Schädler D, Engel C, Elke G, Pulletz S, Haake N, Frerichs I, et al.Automatic control of pressure support for ventilator weaning in surgical intensive care patients. American Journal of Respiratory and Critical Care Medicine 2012;185:637-44. [PUBMED: 22268137]
11. Stahl C, Dahmen G, Ziegler A, Muhl E. Protocolized automated versus non-protocolized physician-directed weaning from mechanical ventilation: a controlled clinical trial. Unpublished data received from the author.
12. Strickland JH, Hasson JH. A computer-controlled ventilator weaning system. A clinical trial. Chest 1993;103(4):1220-6. [PUBMED: 8131469]
13. Sulzer CF, Chiolero R, Chassot P-G, Mueller XM, Revelly J-P. Adaptive support ventilation for fast tracheal extubation after cardiac surgery. Anesthesiology 2001;95(6):1339-45. [PUBMED: 11748389]
14. Taniguchi C, Eid RC, Saghabi C, Souza R, Silva E, Knobel, E, et al.Automatic versus manual pressure support reduction in the weaning of post-operative patients: a randomised controlled trial. Critical Care 2009;13(1):R6. [: Trial registration number ISRCTN37456640; PUBMED: 19171056]
15. Walkey A, Reardon C. Clinical trial of a computer-driven weaning system for patients requiring mechanical ventilation. www.ClinicalTrials.gov 2011.
16. East TD, Heerman LK, Bradshaw RL, Lugo A, Sailors M, Ershler L, et al.Efficacy of a computerized decision support for mechanical ventilation: results of a prospective multi-centre randomized controlled trial. Proceedings of the American Medical Informatics Association 1999:251-5. [PUBMED: 10566359]
17. Jiang H, Yu S-Y, Wang L-W. Comparison of Smartcare and spontaneous breathing trials for weaning old patients with chronic obstructive pulmonary diseases. Chinese Journal of Tuberculosis and Respiratory Disease 2006;29(8):545-8. [PUBMED: 17074269]
18. Ma Y, Yang X, Cao X, Ma X. A comparison of computer-driven weaning and physician-directed weaning from mechanical ventilation: a randomized prospective study. Chinese Journal of Tuberculosis and Respiratory Disease 2010;33(3):174-8. [PUBMED: 20450634]
19. Maloney C, Steiner D, Rocha B. Randomized controlled trial of ventilator weaning: computerized protocol vs typical care. Critical Care Medicine 2007;35(12):A223.
20. McKinley BA, Moore FA, Sailors RM, Cocanour CS, Marquez A, Wright RK, et al.Computerized decision support for mechanical ventilation of trauma induced ARDS: results form a randomized controlled trial. Journal of Trauma 2001;50(3):415-25. [PUBMED: 11265020]
21. Adaptive Support Ventilation in Acute Respiratory Distress Syndrome (ARDS). Ongoing study January 2010.
22. Neurally Adjusted Ventilatory Assist (NAVA) in Pediatric Patients. Ongoing study September 2009.
23. Comparison of an automated weaning programme and a standard clinical weaning protocol for weaning critically ill patients: a randomized controlled trial. Ongoing study Dec 1 2004.
24. Comparison of Weaning on Pressure Support vs. Proportional Assist Ventilation: a Pilot Study. Ongoing study March 2009.
25. Proportional Assist Ventilation (PAV) in Early Stage of Critically Ill Patients. Ongoing study Sept 2010.
26. Closed Loop Ventilation Strategy in Intensive Care Unit (ICU) Patients. Ongoing study April 2012.
27. Effect of NAVA on Duration of Weaning in Difficult to Wean Patients. Ongoing study December 2010.
28. Arnal J-M, Wysocki M, Novotni D, Demory D, Lopez R, Donati S, et al.Safety and efficacy of a fully closed loop control ventilation (Intellivent-ASV®) in sedated ICU patients with acute respiratory failure: a prospective randomized crossover study. Intensive Care Medicine 2012;38:781-7. [MEDLINE: 22460854]
29. Blackwood B, Alderdice F, Burns KE, Cardwell CR, Lavery GG, O'Halloran P. Protocolized versus non-protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. Cochrane Database of Systematic Reviews 2010, Issue 5. [DOI: 10.1002/14651858.CD006904.pub2]
30. Blackwood B, Gregg L, McAuley DF, Rose L. United Kingdom (UK) survey of doctors views on mechanical ventilation and weaning role responsibilities. London: Intensive Care Society, 2010.
31. Bland JM, Altman DG. The use of transformation when comparing two means. BMJ 1996;312:1153.
32. Boles JM, Bion J, Connors A, Herridge M, Marsh B, Melot C, et al.Weaning from mechanical ventilation. European Respiratory Journal 2007;29:1033-56. [MEDLINE: 17470624]
33. Branson R. Understanding and implementing advances in ventilator capabilities. Current Opinion in Critical Care 2004;10:23-32. [MEDLINE: 15166846]
34. Burns KEA, Lellouche F, Loisel F, Slutsky AS, Meret A, Smith O, et al.Weaning critically ill adults from invasive mechanical ventilation: a national survey. Canadian Journal of Anaesthesia 2009;56:567-76. [MEDLINE: 19582533]
35. Burns KEA, Lellouche F, Nisenbaum R, Lessard M, Friedrich JO, Blackwood B. SmartCare™ versus non-automated mechanical ventilation strategies on discontinuation time for adults in the postoperative period. Cochrane Database of Systematic Reviews 2010, Issue 8. [DOI: 10.1002/14651858.CD008639]
36. Burns KEA, Lellouche F, Nisenbaum R, Lessard M, Friedrich JO. SmartCare™ versus non-automated weaning strategies for weaning time in invasively ventilated critically ill adults. Cochrane Database of Systematic Reviews 2010, Issue 8. [DOI: 10.1002/14651858.CD008638]
37. Carson SS. Outcomes of prolonged mechanical ventilation. Current Opinion in Critical Care 2006;12:405-11. [MEDLINE: 16943717]
38. Chatburn RL, Mireles-Cabodevila E. Closed-loop control of mechanical ventilation: description and classification of targeting schemes. Respiratory Care 2011;56:85-102. [MEDLINE: 21235841]
39. Coplin WM, Pierson DJ, Cooley KD, Newell DW, Rubenfeld GD. Implications of extubation delay in brain-injured patients meeting standard weaning criteria. American Journal of Respiratory and Critical Care Medicine 2000;161:1530-6. [MEDLINE: 10806150]
40. Cuthbertson BH, Hull A, Strachan M, Scott J. Post-traumatic stress disorder after critical illness requiring general intensive care. Intensive Care Medicine 2004;30:450-5. [MEDLINE: 12961065]
41. DeMets DL. Methods for combining randomized clinical trials. Statistics in Medicine 1987;6:341-50. [MEDLINE: 3616287]
42. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997;315:629-34. [MEDLINE: 9310563]
43. Ely EW, Baker A.M, Dunagan DP, Burke HL, Smith AC, Kelly PT, et al.Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. New England Journal of Medicine 1996;335:1864-9. [MEDLINE: 8948561]
44. Ely EW, Gautam S, Margolin R, Francis J, May L, Speroff T, et al.The impact of delirium in the intensive care unit on hospital length of stay. Intensive Care Medicine 2001;27:1892-900. [MEDLINE: 11797025]
45. Esteban A, Ferguson ND, Meade MO, Frutos-Vivar F, Apezteguia C, Brochard L, et al.Evolution of mechanical ventilation in response to clinical research. American Journal of Respiratory and Critical Care Medicine 2008;177:170-7. [MEDLINE: 11790214]
46. Farias JA, Frutos F, Esteban A, Flores JC, Retta A, Baltodano A, et al.What is the daily practice of mechanical ventilation in pediatric intensive care units? A multicenter study. Intensive Care Medicine 2004;30:918-25.
47. Fink MP, Suter PM. The future of our specialty: critical care medicine a decade from now. Critical Care Medicine 2006;34:1811-6. [MEDLINE: 16625123]
48. Girard TD, Jackson JC, Pandharipande PP, Pun BT, Thompson JL, Shintani AK, et al.Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. Critical Care Medicine 2010;38:1513-20. [MEDLINE: 20473145]
49. Guyatt GH, Oxman AD, Kunz R, Falck-Ytter Y, Vist GE, Liberati A, et al.Rating quality of evidence and strength of recommendations: going from evidence to recommendations. BMJ 2008;336:1049-51. [MEDLINE: 18467413]
50. Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
51. Hopkins RO, Weaver LK, Collingridge D, Parkinson RB, Chan KJ, Orme JF. Two-year cognitive, emotional, and quality-of-life outcomes in acute respiratory distress syndrome. American Journal of Respiratory and Critical Care Medicine 2005;171:340-7. [PUBMED: 15542793]
52. Hozo SP, Djulbegovic B, Hozo, I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Medical Research Methodology 2005;5:13. [MEDLINE: 15840177]
53. Jackson JC, Mitchell N, Hopkins RO. Cognitive functioning, mental health, and quality of life in ICU survivors: an overview. Anesthesiology Clinics 2011;29:751-64. [MEDLINE: 22078921]
54. Jones C, Griffiths RD, Humphris G, Skirrow PM. Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care. Critical Care Medicine 2001;29:573-80. [MEDLINE: 11373423]
55. Jouvet P, Farges C, Hatzakis G, Monir A, Lesage F, Dupic L, et al.Weaning children from mechanical ventilation with a computer-driven system (closed-loop protocol): a pilot study. Pediatric Critical Care Medicine 2007;8:425-32. [MEDLINE: 17693913]
56. Jubran A, Lawm G, Duffner LA, Collins EG, Lanuza DM, Hoffman LA, et al.Post-traumatic stress disorder after weaning from prolonged mechanical ventilation. Intensive Care Medicine 2010;36:2030-7. [MEDLINE: 20661726]
57. Jubran A, Lawm G, Kelly J, Duffner LA, Gungor G, Collins EG, et al.Depressive disorders during weaning from prolonged mechanical ventilation. Intensive Care Medicine 2010;36:828-35. [MEDLINE: 20232042]
58. Kollef MH, Shapiro SD, Silver P, St John RE, Prentice D, Sauer S, et al.A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Critical Care Medicine 1997;25:567-74. [MEDLINE: 9142019]
59. Kuipers MT, van der Poll T, Schultz MJ, Wieland CW. Bench-to-bedside review: Damage-associated molecular patterns in the onset of ventilator-induced lung injury. Critical Care 2011;15:235. [MEDLINE: 22216838]
60. Leclerc F, Noizet O, Botte A, Binoche A, Chaari W, Sadik A, Riou Y. Weaning from invasive mechanical ventilation in pediatric patients (excluding premature neonates). Archives of Pediatrics 2010;17:399-406.
61. Lellouche F, Brochard L. Advanced closed loops during mechanical ventilation (PAV, NAVA, ASV, SmartCare). Best Practice & Research. Clinical Anaesthesiology 2009;23:81-93. [MEDLINE: 16840741]
62. Luetz A, Goldmann A, Weber-Carstens S, Spies C. Weaning from mechanical ventilation and sedation. Current Opinion in Anaesthesiology 2012;25:164-9. [MEDLINE: 22246460]
63. MacIntyre NR. Evidence-based guidelines for weaning and discontinuing ventilatory support. Chest 2001;120 Suppl:375-95. [MEDLINE: 11742959]
64. Morris, AH. Decision support and safety of clinical environments. Quality & Safety in Health Care 2002;11:69-75. [MEDLINE: 12078374]
65. Murtagh D, Baum N. Protocols put more pennies in your practice pockets or protocols lead to practice improvement. http://www.neilbaum.com/articles/mkt_protocols.html 2007.
66. Needham DM, Bronskill SE, Rothwell DM, Sibbald WJ, Pronovoast PJ, Laupacis A, et al.Hospital volume and mortality for mechanical ventilation of medical surgical patients: a population-based analysis using administrative data. Critical Care Medicine 2006;34:2349-54. [MEDLINE: 16878036]
67. Newth CJ, Venkataraman S, Willson DF, Meert KL, Harrison R, Dean JM, et al.Eunice Shriver Kennedy National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network. Weaning and extubation readiness in pediatric patients. Pediatric Critical Care Medicine. 2009;10:1-11. [MEDLINE: 19057432]
68. Nguyen Y, Wunsch H, Angus D. Critical care: the impact of organization and management on outcomes. Current Opinion in Critical Care 2010;16:487-92. [MEDLINE: 20689418]
69. Otis AB, Fehn WO, Rahn H. Mechanics of breathing in man. Journal of Applied Physiology 1950;251:877-83. [MEDLINE: 15411167]
70. Payen V, Jouvet P, Lacroix J, Ducruet T, Gauvin F. Risk factors associated with increased length of mechanical ventilation in children. Pediatric Critical Care Medicine 2012;13:152-7.
71. The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2011.
72. Rose L, Presneill JJ, Johnston L, Nelson S, Cade JF. Ventilation and weaning practices in Australia and New Zealand. Anaesthesia and Intensive Care 2009;37:99-107. [MEDLINE: 19157354]
73. Sahn SA, Lakshminarayan S. Bedside criteria for discontinuation of mechanical ventilation. Chest 1973;63:1002-5. [MEDLINE: 4514488]
74. Santschi M, Gauvin F, Hatzakis G, Lacroix J, Jouvet P. Acceptable respiratory physiological limits for children during the weaning phase of mechanical ventilation. Intensive Care Medicine 2007;33:319-25. [MEDLINE: 17063358]
75. Schmidt M, Demoule A, Cracco C, Gharbi A, Fiamma M-N, Straus C, et al.Neurally adjusted ventilatory assist increases respiratory variability and complexity in acute respiratory failure. Anaesthesiology 2010;112:670-81. [MEDLINE: 20179505]
76. Wanzuita R, Poli-de-Figueiredo LF, Pfuetzenreiter F, Cavalcanti AB, Westphal GA. Replacement of fentanyl infusion by enteral methadone decreases the weaning time from mechanical ventilation: a randomized controlled trial. Critical Care 2012;16:R49. [MEDLINE: 22420584]
77. Wunsch H, Linde-Zwirble WT, Angus DC, Hartman ME, Milbrandt EB, Kahn JM. The epidemiology of mechanical ventilation use in the United States. Critical Care Medicine 2010;38:1947-53. [MEDLINE: 20639743]
78. Zilberberg MD, de Wit M, Shorr AF. Accuracy of previous estimates for adult prolonged acute mechanical ventilation volume in 2020: update using 2000-2008 data. Critical Care Medicine 2012;40:18-20. [MEDLINE: 21926594]
79. Zolnierek CD, Steckel CM. Negotiating safety when staffing falls short. Critical Care Nurse Clinics of North America 2010;22:261-9. [MEDLINE: 20541075]