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1. POStoperative INTELLiVENT-adaptive support VEntilation in cardiac surgery patients (POSITiVE) II—study protocol of a randomized clinical trial

Author

Bernardi, Martin H., Bettex, Dominique, Buiteman–Kruizinga, Laura A., de Bie, Ashley, Hoffmann, Matthias, de Kleijn, Janine, Serafini, Simon Corrado, Molenaar, Manon A., Paulus, Frederique, Peršec, Jasminka, Neto, Ary Serpa, Schuepbach, Reto, Severgnini, Paolo, Šribar, Andrej, Schultz, Marcus J., and Tschernko, Edda

Published
2024
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2. High PEEP/low FiO2 ventilation is associated with lower mortality in COVID–19

Author

Ahuja, S., van Akkeren, J.P., Algera, A.G., Algoe, C.K., van Amstel, R.B., Artigas, A., Aydeniz, E., Bailey, M., van den Berg, A.E., van de Berg, P., Bergmans, D.C.J.J., van den Bersselaar, D.I., Bertens, F.A., Bevers, M., Bindels, A.J.G.H., Breel, J.S., de Bruin, S., Bruna, C.L., de Boer, M., Boer, D.P., den Boer, S., Boers, L.S., Bogerd, M.B., Bos, L.D., Bosman, B., Botta, M., de Bie, A.J.R., Baur, O.L., Buiteman-Kruizinga, L.A., Coene, W., Cremer, O.L., Daenen, K., Delmte, M., Determann, R.M., Dieperink, W., Di Leo, V., van Dijk, J., Dongelmans, D.A., Dormans, T., Endeman, H., Elting, L.M., Esmeijer, A.A., Filippini, D., Flim, J.M., Franke, H.S., Galek-aldridge, M.S., de Abreu, M.G. Gama, Girbes, A.R., Go, D.M., Goossen, R.L., de Graaff, M.J., Hagens, L.A., Hansen, H.J., Haringman, J.J., van der Heide, S.T., van der Heiden, P.L.J., Heijnen, N.F.L., Hiel, S.J.P., Hoeijmakers, L.L., Hol, L., Hollmann, M.W., Hoogendoorn, M.E., Horn, J., van der Horst, I., van der Horst, R., Huijben, J.A., Ie, E.L.K., van Ingen, L.E., Ivanov, D.P., Juffermans, N.P., Kranen, H.T., Kho, E., de Klerk, E.S., Koek, N., Gemert, A.W.M.M. Koopman-van, Koopmans, M., Kucukcelebi, S., Kuiper, M.A., Kuipers, L.J., Koornstra, E., Lokhorst, A., de Lange, D.W., Martin-Loeches, I., van Meenen, D.M.P., Mazzinari, G., Moeniralam, H., van Mourik, N., Myatra, S.N., Nijbroek, S.G., van Oosten, P., Offermans, M., Onrust, M., Oostdijk, E.A.N., Paulus, F., Pennartz, C.J., Peršec, J., Peters, V.J.T., Pillay, J.J., Pisani, L., Pisters, T., Prins, A., Purmer, I.M., Rettig, T.C.D., Rezaee, A.S., Roca, O., Roozeman, J., Rozendaal, J., Rosenberg, N.M., Schavemaker, R., Sciascera, A., Schuijt, M.T.U., Schultz, M.J., Neto, A.S. Serpa, Shrestha, G.S., van Silfhout, B., Sjoding, M., Sleeswijk, M.E., van Smaalen, K.M., Smit, M.R., Spronk, P.E., Šribar, A., Strang, A.C., Stilma, W., Swart, P., Tuinman, P.R., Tsonas, A.M., den Uil, C.A., Valk, C.M.A., Veen-Schra, F.L., Vlaar, A.P.J., Veldhuis, L.I., van der Ven, W.H., van der Ven, F.L.I.M., van Velzen, P., Verboom, M., Verhoef, E.J., Vermeulen, T.D., van Vliet, P., van Vliet, R., Voorham, J.S., van der Voort, P.H.J., van Welie, L., Weller, D., Wentink, A.R., Wesselink, H.J.F.T., van der Wier-Lubbers, H., van Wijk, B., van Willigen, H., van der Woude, M.C.E., Weiner, J.J., Winters, T., Wong, W.Y., Yaali, N., Zandvliet, J.M., van Zanten, A.R.H., van Zijl, T.Z.I., Zonneveld, S.A., Goossen, Robin L., van Vliet, Relin, Bos, Lieuwe D.J., Buiteman-Kruizinga, Laura A., Hollman, Markus W., Myatra, Sheila N., Neto, Ary Serpa, Spronk, Peter E., van der Woude, Meta C.E., van Meenen, David M.P., Paulus, Frederique, and Schultz, Marcus J.

Published
2024
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4. Automation to improve lung protection

Author

Buiteman-Kruizinga, Laura A., Serpa Neto, Ary, and Schultz, Marcus J.

Subjects
Medical centers, Health care industry
Abstract

Author(s): Laura A. Buiteman-Kruizinga [sup.1] [sup.2], Ary Serpa Neto [sup.2] [sup.3] [sup.4] [sup.5] [sup.6], Marcus J. Schultz [sup.2] [sup.7] [sup.8] [sup.9] Author Affiliations: (1) grid.415868.6, 0000 0004 0624 5690, Department [...]

Published
2022
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5. Effect of Automated Closed-loop ventilation versus convenTional VEntilation on duration and quality of ventilation in critically ill patients (ACTiVE) – study protocol of a randomized clinical trial

Author

Botta, Michela, Tsonas, Anissa M., Sinnige, Jante S., De Bie, Ashley J. R., Bindels, Alexander J. G. H., Ball, Lorenzo, Battaglini, Denise, Brunetti, Iole, Buiteman–Kruizinga, Laura A., van der Heiden, Pim L. J., de Jonge, Evert, Mojoli, Francesco, Robba, Chiara, Schoe, Abraham, Paulus, Frederique, Pelosi, Paolo, Neto, Ary Serpa, Horn, Janneke, and Schultz, Marcus J.

Published
2022
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6. Ventilation management and clinical outcomes in invasively ventilated patients with COVID-19 (PRoVENT-COVID): a national, multicentre, observational cohort study

Author

van Akkeren, Jesse P., Algera, Anna Geke, Algoe, Cheetel K., van Amstel, Rombout B., Baur, Onno L., van de Berg, Pablo, van den Berg, Alida E., Bergmans, Dennis C.J.J., van den Bersselaar, Dido I., Bertens, Freke A., Bindels, Alexander J.G.H., de Boer, Milou M., den Boer, Sylvia, Boers, Leonoor S., Bogerd, Margriet, Bos, Lieuwe D.J., Botta, Michela, Breel, Jennifer S., de Bruin, Hendrik, de Bruin, Sanne, Bruna, Caro L., Buiteman-Kruizinga, Laura A., Cremer, Olaf L., Determann, Rogier M., Dieperink, Willem, Dongelmans, Dave A., Franke, Hildegard S., Galek-Aldridge, Michal S., de Graaff, Mart J., Hagens, Laura A., Haringman, Jasper J., van der Heide, Sebastiaan T., van der Heiden, Pim L.J., Heijnen, Nanon F.L., Hiel, Stephan J.P., Hoeijmakers, Lotte L., Hol, Liselotte, Hollmann, Markus W., Hoogendoorn, Marga E., Horn, Janneke, van der Horst, Robrecht, Ie, Evy L.K., Ivanov, Dimitri P., Juffermans, Nicole, Kho, Eline, de Klerk, Eline S., Koopman-van Gemert, Ankie W.M.M., Koopmans, Matty, Kucukcelebi, Songul, Kuiper, Michael A., de Lange, Dylan W., van Mourik, Niels, Nijbroek, Sunny G.L.H., Onrust, Marisa, Oostdijk, Evelien A.N., Paulus, Frederique, Pennartz, Charlotte J., Pillay, Janesh, Pisani, Luigi, Purmer, Ilse M., Rettig, Thijs C.D., Roozeman, Jan-Paul, Schuijt, Michiel T.U., Schultz, Marcus J., Serpa Neto, Ary, Sleeswijk, Mengalvio E., Smit, Marry R., Spronk, Peter E., Stilma, Willemke, Strang, Aart C., Tsonas, Anissa M., Tuinman, Pieter R., Valk, Christel M.A., Veen-Schra, Felicia L., Veldhuis, Lars I., van Velzen, Patricia, van der Ven, Ward H., Vlaar, Alexander P.J., van Vliet, Peter, van der Voort, Peter H.J., van Welie, Louis, Wesselink, Henrico J.F.T., van der Wier-Lubbers, Hermien H., van Wijk, Bas, Winters, Tineke, Wong, Wing Yi, van Zanten, Arthur R.H., Tsonas, Anissa M, Boers, Leonoor S, Bos, Lieuwe D J, Dongelmans, Dave A, Hollmann, Marcus W, Vlaar, Alexander P J, Schultz, Marcus J, and Neto, Ary Serpa

Published
2021
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7. Effect of automated versus conventional ventilation on mechanical power of ventilation—A randomized crossover clinical trial.

Author

Buiteman-Kruizinga, Laura A., Serpa Neto, Ary, Botta, Michela, List, Stephanie S., de Boer, Ben H., van Velzen, Patricia, Bühler, Philipp Karl, Wendel Garcia, Pedro D., Schultz, Marcus J., van der Heiden, Pim L. J., and Paulus, Frederique

Subjects
*CROSSOVER trials, *RESPIRATORY organs, *VENTILATION, *ARTIFICIAL respiration, *CRITICALLY ill
Abstract

Introduction: Mechanical power of ventilation, a summary parameter reflecting the energy transferred from the ventilator to the respiratory system, has associations with outcomes. INTELLiVENT–Adaptive Support Ventilation is an automated ventilation mode that changes ventilator settings according to algorithms that target a low work–and force of breathing. The study aims to compare mechanical power between automated ventilation by means of INTELLiVENT–Adaptive Support Ventilation and conventional ventilation in critically ill patients. Materials and methods: International, multicenter, randomized crossover clinical trial in patients that were expected to need invasive ventilation > 24 hours. Patients were randomly assigned to start with a 3–hour period of automated ventilation or conventional ventilation after which the alternate ventilation mode was selected. The primary outcome was mechanical power in passive and active patients; secondary outcomes included key ventilator settings and ventilatory parameters that affect mechanical power. Results: A total of 96 patients were randomized. Median mechanical power was not different between automated and conventional ventilation (15.8 [11.5–21.0] versus 16.1 [10.9–22.6] J/min; mean difference –0.44 (95%–CI –1.17 to 0.29) J/min; P = 0.24). Subgroup analyses showed that mechanical power was lower with automated ventilation in passive patients, 16.9 [12.5–22.1] versus 19.0 [14.1–25.0] J/min; mean difference –1.76 (95%–CI –2.47 to –10.34J/min; P < 0.01), and not in active patients (14.6 [11.0–20.3] vs 14.1 [10.1–21.3] J/min; mean difference 0.81 (95%–CI –2.13 to 0.49) J/min; P = 0.23). Conclusions: In this cohort of unselected critically ill invasively ventilated patients, automated ventilation by means of INTELLiVENT–Adaptive Support Ventilation did not reduce mechanical power. A reduction in mechanical power was only seen in passive patients. Study registration: Clinicaltrials.gov (study identifier NCT04827927), April 1, 2021 URL of trial registry record: https://clinicaltrials.gov/study/NCT04827927?term=intellipower&rank=1 [ABSTRACT FROM AUTHOR]

Published
2024
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9. Closed‐loop ventilation in COVID‐19 patients with acute hypoxemic respiratory failure—A case series.

Author

Buiteman‐Kruizinga, Laura A., van der Heiden, Pim L. J., Paulus, Frederique, and Schultz, Marcus J.

Subjects
*COVID-19, *RESPIRATORY insufficiency, *OPERATIVE surgery, *POSITIVE end-expiratory pressure, *CRITICALLY ill, *PATIENTS, *ARTIFICIAL respiration, *CASE studies, *AUTOMATION, *HYPOXEMIA, *ACUTE diseases, *PATIENT safety
Abstract

Background: INTELLiVENT‐adaptive support ventilation (ASV) is an automated closed‐loop mode of invasive ventilation for use in critically ill patients. INTELLiVENT‐ASV automatically adjusts, without the intervention of the caregiver, ventilator settings to achieve the lowest work and force of breathing. Aims: The aim of this case series is to describe the specific adjustments of INTELLiVENT‐ASV in patients with acute hypoxemic respiratory failure, who were intubated for invasive ventilation. Study design: We describe three patients with severe acute respiratory distress syndrome (ARDS) because of COVID‐19 who received invasive ventilation in our intensive care unit (ICU) in the first year of the COVID‐19 pandemic. Results: INTELLiVENT‐ASV could be used successfully, but only after certain adjustments in the settings of the ventilator. Specifically, the high oxygen targets that are automatically chosen by INTELLiVENT‐ASV when the lung condition 'ARDS' is ticked had to be lowered, and the titration ranges for positive end expiratory pressure (PEEP) and inspired oxygen fraction (FiO2) had to be narrowed. Conclusions: The challenges taught us how to adjust the ventilator settings so that INTELLiVENT‐ASV could be used in successive COVID‐19 ARDS patients, and we experienced the benefits of this closed‐loop ventilation in clinical practice. Relevance to clinical practice: INTELLiVENT‐ASV is attractive to use in clinical practice. It is safe and effective in providing lung‐protective ventilation. A closely observing user always remains needed. INTELLiVENT‐ASV has a strong potential to reduce the workload associated with ventilation because of the automated adjustments. [ABSTRACT FROM AUTHOR]

Published
2024
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11. Additional file 1 of A closed-loop ventilation mode that targets the lowest work and force of breathing reduces the transpulmonary driving pressure in patients with moderate-to-severe ARDS

Author

Buiteman-Kruizinga, Laura A., van Meenen, David M. P., Bos, Lieuwe D. J., van der Heiden, Pim L. J., Paulus, Frederique, and Schultz, Marcus J.

Abstract

Additional file 1: Table S1. List of significant pairwise comparisons per time point, significance was determined at a P value < 0.003. Table S2. Specification of the generalized linear mixed model analysis. Figure S1. Line plots showing the mean changes and individual changes over time of transpulmonary ΔP, VT and RR during the two study blocks of the two ventilation modes in the study. Figure S2. CRS vs. VT between closed-loop ventilation and conventional ventilation, and transpulmonary ΔP vs. VT between closed-loop ventilation and conventional ventilation. A negative value means that the parameter decreased with closed-loop ventilation, and a higher value means that the parameter increased with closed-loop ventilation. All dots represent the mean value of an individual patient. Figure S3. Scatterplots of CRS vs. VT and transpulmonary ΔP vs. VT with closed-loop ventilation and conventional ventilation. Each dot was characterized by a single data point. Figure S4. Showing individual patient data of the effect of the change of the ventilation mode on PEEP setting. Figure S5. Showing transpulmonary ΔP per patient during every time point, with closed-loop ventilation and conventional ventilation. The head with number represents the corresponding patient, the x-axis represent the 16 time points per block. Figure S6. Showing PEEP per patient during every time point, with closed-loop ventilation and conventional ventilation. The head with number represents the corresponding patient, the x-axis represent the 16 time points per block. Figure S7. Showing the tidal volumeper patient during every time point, with closed-loop ventilation and conventional ventilation. The head with number represents the corresponding patient, the x-axis represent the 16 time points per block. Figure S8. Showing the respiratory rateper patient during every time point, with closed-loop ventilation and conventional ventilation. The head with number represents the corresponding patient, the x-axis represent the 16 time points per block. Figure S9. Violin plot of pairwise comparisons at individual time points of ΔP. Figure S10. Violin plot of pairwise comparisons at individual time points of transpulmonary ΔP. Figure S11. Violin plot of pairwise comparisons at individual time points of RR. Figure S12. Violin plot of pairwise comparisons at individual time points of MP. Figure S13. Violin plot of pairwise comparisons at individual time points of transpulmonary MP.

Published
2023
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12. Additional file 2 of Effect of Automated Closed-loop ventilation versus convenTional VEntilation on duration and quality of ventilation in critically ill patients (ACTiVE) – study protocol of a randomized clinical trial

Author

Botta, Michela, Tsonas, Anissa M., Sinnige, Jante S., De Bie, Ashley J. R., Bindels, Alexander J. G. H., Ball, Lorenzo, Battaglini, Denise, Brunetti, Iole, Buiteman–Kruizinga, Laura A., van der Heiden, Pim L. J., de Jonge, Evert, Mojoli, Francesco, Robba, Chiara, Schoe, Abraham, Paulus, Frederique, Pelosi, Paolo, Neto, Ary Serpa, Horn, Janneke, and Schultz, Marcus J.

Subjects
behavioral disciplines and activities
Abstract

Additional file 2. A complete checklist of recommended items to address in a clinical trial protocol and related documents according to the ‘Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013’ [28].

Published
2022
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14. Effectiveness, efficacy and safety of INTELLiVENT–ASV, a closed-loop ventilation mode for ICU patients - a systematic review

Author

Botta, Michela, primary, Wenstedt, Eliane F E, additional, Tsonas, Anissa M, additional, Buiteman–kruizinga, Laura A, additional, Van Meenen, David M P, additional, Korsten, Hendrik H M, additional, Horn, Janneke, additional, Paulus, Frederique, additional, Bindels, Alexander G J H, additional, Schultz, Marcus J, additional, and De Bie, Ashley J R, additional

Published
2021
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16. Awake Proning as an Adjunctive Therapy for Refractory Hypoxemia in Non-Intubated Patients with COVID-19 Acute Respiratory Failure : Guidance from an International Group of Healthcare Workers

Author

Stilma, Willemke, Åkerman, Eva, Artigas, Antonio, Bentley, Andrew, Bos, Lieuwe D., Bosman, Thomas J. C., de Bruin, Hendrik, Brummaier, Tobias, Buiteman-Kruizinga, Laura A., Carcò, Francesco, Chesney, Gregg, Chu, Cindy, Dark, Paul, Dondorp, Arjen M., Gijsbers, Harm J. H., Gilder, Mary Ellen, Grieco, Domenico L., Inglis, Rebecca, Laffey, John G., Landoni, Giovanni, Lu, Weihua, Maduro, Lisa M. N., McGready, Rose, McNicholas, Bairbre, de Mendoza, Diego, Morales-Quinteros, Luis, Nosten, Francois, Papali, Alfred, Paternoster, Gianluca, Paulus, Frederique, Pisani, Luigi, Prud'homme, Eloi, Ricard, Jean-Damien, Roca, Oriol, Sartini, Chiara, Scaravilli, Vittorio, Schultz, Marcus J., Sivakorn, Chaisith, Spronk, Peter E., Sztajnbok, Jaques, Trigui, Youssef, Vollman, Kathleen M., van der Woude, Margaretha C. E., Stilma, Willemke, Åkerman, Eva, Artigas, Antonio, Bentley, Andrew, Bos, Lieuwe D., Bosman, Thomas J. C., de Bruin, Hendrik, Brummaier, Tobias, Buiteman-Kruizinga, Laura A., Carcò, Francesco, Chesney, Gregg, Chu, Cindy, Dark, Paul, Dondorp, Arjen M., Gijsbers, Harm J. H., Gilder, Mary Ellen, Grieco, Domenico L., Inglis, Rebecca, Laffey, John G., Landoni, Giovanni, Lu, Weihua, Maduro, Lisa M. N., McGready, Rose, McNicholas, Bairbre, de Mendoza, Diego, Morales-Quinteros, Luis, Nosten, Francois, Papali, Alfred, Paternoster, Gianluca, Paulus, Frederique, Pisani, Luigi, Prud'homme, Eloi, Ricard, Jean-Damien, Roca, Oriol, Sartini, Chiara, Scaravilli, Vittorio, Schultz, Marcus J., Sivakorn, Chaisith, Spronk, Peter E., Sztajnbok, Jaques, Trigui, Youssef, Vollman, Kathleen M., and van der Woude, Margaretha C. E.

Abstract

Non-intubated patients with acute respiratory failure due to COVID-19 could benefit from awake proning. Awake proning is an attractive intervention in settings with limited resources, as it comes with no additional costs. However, awake proning remains poorly used probably because of unfamiliarity and uncertainties regarding potential benefits and practical application. To summarize evidence for benefit and to develop a set of pragmatic recommendations for awake proning in patients with COVID-19 pneumonia, focusing on settings where resources are limited, international healthcare professionals from high and low- and middle-income countries (LMICs) with known expertise in awake proning were invited to contribute expert advice. A growing number of observational studies describe the effects of awake proning in patients with COVID-19 pneumonia in whom hypoxemia is refractory to simple measures of supplementary oxygen. Awake proning improves oxygenation in most patients, usually within minutes, and reduces dyspnea and work of breathing. The effects are maintained for up to 1 hour after turning back to supine, and mostly disappear after 6-12 hours. In available studies, awake proning was not associated with a reduction in the rate of intubation for invasive ventilation. Awake proning comes with little complications if properly implemented and monitored. Pragmatic recommendations including indications and contraindications were formulated and adjusted for resource-limited settings. Awake proning, an adjunctive treatment for hypoxemia refractory to supplemental oxygen, seems safe in non-intubated patients with COVID-19 acute respiratory failure. We provide pragmatic recommendations including indications and contraindications for the use of awake proning in LMICs.

Published
2021

18. Awake Proning as an Adjunctive Therapy for Refractory Hypoxemia in Non-Intubated Patients with COVID-19 Acute Respiratory Failure: Guidance from an International Group of Healthcare Workers

Author

Stilma, Willemke, primary, Åkerman, Eva, additional, Artigas, Antonio, additional, Bentley, Andrew, additional, Bos, Lieuwe D., additional, Bosman, Thomas J. C., additional, de Bruin, Hendrik, additional, Brummaier, Tobias, additional, Buiteman-Kruizinga, Laura A., additional, Carcò, Francesco, additional, Chesney, Gregg, additional, Chu, Cindy, additional, Dark, Paul, additional, Dondorp, Arjen M., additional, Gijsbers, Harm J. H., additional, Gilder, Mary Ellen, additional, Grieco, Domenico L., additional, Inglis, Rebecca, additional, Laffey, John G., additional, Landoni, Giovanni, additional, Lu, Weihua, additional, Maduro, Lisa M. N., additional, McGready, Rose, additional, McNicholas, Bairbre, additional, de Mendoza, Diego, additional, Morales-Quinteros, Luis, additional, Nosten, Francois, additional, Papali, Alfred, additional, Paternoster, Gianluca, additional, Paulus, Frederique, additional, Pisani, Luigi, additional, Prud’homme, Eloi, additional, Ricard, Jean-Damien, additional, Roca, Oriol, additional, Sartini, Chiara, additional, Scaravilli, Vittorio, additional, Schultz, Marcus J., additional, Sivakorn, Chaisith, additional, Spronk, Peter E., additional, Sztajnbok, Jaques, additional, Trigui, Youssef, additional, Vollman, Kathleen M., additional, and van der Woude, Margaretha C. E., additional

Published
2021
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19. The (Mechanical) Power of (Automated) Ventilation.

Author

Buiteman-Kruizinga, Laura A., Schultz, Marcus J., Baedorf-Kassis, Elias N., Brenes Bastos, Andres, Schaefer, Maximillian S., Capers, Krystal S., Hoenig, Benjamin, Banner-Goodspeed, Valerie, and Talmor, Daniel

Subjects
ADULT respiratory distress syndrome treatment, RESPIRATORY measurements, ARTIFICIAL respiration, TREATMENT effectiveness, RESPIRATION
Published
2023
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21. Ventilation management and clinical outcomes in invasively ventilated patients with COVID-19 (PRoVENT-COVID): a national, multicentre, observational cohort study

Author

Botta, Michela, primary, Tsonas, Anissa M, additional, Pillay, Janesh, additional, Boers, Leonoor S, additional, Algera, Anna Geke, additional, Bos, Lieuwe D J, additional, Dongelmans, Dave A, additional, Hollmann, Marcus W, additional, Horn, Janneke, additional, Vlaar, Alexander P J, additional, Schultz, Marcus J, additional, Neto, Ary Serpa, additional, Paulus, Frederique, additional, van Akkeren, Jesse P., additional, Algoe, Cheetel K., additional, van Amstel, Rombout B., additional, Baur, Onno L., additional, van de Berg, Pablo, additional, van den Berg, Alida E., additional, Bergmans, Dennis C.J.J., additional, van den Bersselaar, Dido I., additional, Bertens, Freke A., additional, Bindels, Alexander J.G.H., additional, de Boer, Milou M., additional, den Boer, Sylvia, additional, Boers, Leonoor S., additional, Bogerd, Margriet, additional, Bos, Lieuwe D.J., additional, Botta, Michela, additional, Breel, Jennifer S., additional, de Bruin, Hendrik, additional, de Bruin, Sanne, additional, Bruna, Caro L., additional, Buiteman-Kruizinga, Laura A., additional, Cremer, Olaf L., additional, Determann, Rogier M., additional, Dieperink, Willem, additional, Dongelmans, Dave A., additional, Franke, Hildegard S., additional, Galek-Aldridge, Michal S., additional, de Graaff, Mart J., additional, Hagens, Laura A., additional, Haringman, Jasper J., additional, van der Heide, Sebastiaan T., additional, van der Heiden, Pim L.J., additional, Heijnen, Nanon F.L., additional, Hiel, Stephan J.P., additional, Hoeijmakers, Lotte L., additional, Hol, Liselotte, additional, Hollmann, Markus W., additional, Hoogendoorn, Marga E., additional, van der Horst, Robrecht, additional, Ie, Evy L.K., additional, Ivanov, Dimitri P., additional, Juffermans, Nicole, additional, Kho, Eline, additional, de Klerk, Eline S., additional, Koopman-van Gemert, Ankie W.M.M., additional, Koopmans, Matty, additional, Kucukcelebi, Songul, additional, Kuiper, Michael A., additional, de Lange, Dylan W., additional, van Mourik, Niels, additional, Nijbroek, Sunny G.L.H., additional, Onrust, Marisa, additional, Oostdijk, Evelien A.N., additional, Pennartz, Charlotte J., additional, Pisani, Luigi, additional, Purmer, Ilse M., additional, Rettig, Thijs C.D., additional, Roozeman, Jan-Paul, additional, Schuijt, Michiel T.U., additional, Schultz, Marcus J., additional, Serpa Neto, Ary, additional, Sleeswijk, Mengalvio E., additional, Smit, Marry R., additional, Spronk, Peter E., additional, Stilma, Willemke, additional, Strang, Aart C., additional, Tsonas, Anissa M., additional, Tuinman, Pieter R., additional, Valk, Christel M.A., additional, Veen-Schra, Felicia L., additional, Veldhuis, Lars I., additional, van Velzen, Patricia, additional, van der Ven, Ward H., additional, Vlaar, Alexander P.J., additional, van Vliet, Peter, additional, van der Voort, Peter H.J., additional, van Welie, Louis, additional, Wesselink, Henrico J.F.T., additional, van der Wier-Lubbers, Hermien H., additional, van Wijk, Bas, additional, Winters, Tineke, additional, Wong, Wing Yi, additional, and van Zanten, Arthur R.H., additional

Published
2021
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22. High PEEP/low FiO2ventilation is associated with lower mortality in COVID–19

Author

Goossen, Robin L., van Vliet, Relin, Bos, Lieuwe D.J., Buiteman-Kruizinga, Laura A., Hollman, Markus W., Myatra, Sheila N., Neto, Ary Serpa, Spronk, Peter E., van der Woude, Meta C.E., van Meenen, David M.P., Paulus, Frederique, and Schultz, Marcus J.

Abstract

The positive end–expiratory pressure (PEEP) strategy in patients with coronavirus 2019 (COVID–19) acute respiratory distress syndrome (ARDS) remains debated. Most studies originate from the initial waves of the pandemic. Here we aimed to assess the impact of high PEEP/low FiO2ventilation on outcomes during the second wave in the Netherlands.

Published
2024
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23. High PEEP/low FiO 2 ventilation is associated with lower mortality in COVID-19.

Author

Goossen RL, van Vliet R, Bos LDJ, Buiteman-Kruizinga LA, Hollman MW, Myatra SN, Neto AS, Spronk PE, van der Woude MCE, van Meenen DMP, Paulus F, and Schultz MJ

Subjects
Humans, Retrospective Studies, Male, Female, Middle Aged, Netherlands epidemiology, Aged, Intensive Care Units, SARS-CoV-2, Length of Stay statistics & numerical data, Respiration, Artificial methods, Respiration, Artificial statistics & numerical data, COVID-19 mortality, COVID-19 therapy, Positive-Pressure Respiration methods, Hospital Mortality, Respiratory Distress Syndrome therapy, Respiratory Distress Syndrome mortality
Abstract

Rationale: The positive end-expiratory pressure (PEEP) strategy in patients with coronavirus 2019 (COVID-19) acute respiratory distress syndrome (ARDS) remains debated. Most studies originate from the initial waves of the pandemic. Here we aimed to assess the impact of high PEEP/low FiO 2 ventilation on outcomes during the second wave in the Netherlands., Methods: Retrospective observational study of invasively ventilated COVID-19 patients during the second wave. Patients were categorized based on whether they received high PEEP or low PEEP ventilation according to the ARDS Network tables. The primary outcome was ICU mortality, and secondary outcomes included hospital and 90-day mortality, duration of ventilation and length of stay, and the occurrence of kidney injury. Propensity matching was performed to correct for factors with a known relationship to ICU mortality., Results: This analysis included 790 COVID-ARDS patients. At ICU discharge, 32 (22.5%) out of 142 high PEEP patients and 254 (39.2%) out of 848 low PEEP patients had died (HR 0.66 [0.46-0.96]; P = 0.03). High PEEP was linked to improved secondary outcomes. Matched analysis did not change findings., Conclusions: High PEEP ventilation was associated with improved ICU survival in patients with COVID-ARDS., Competing Interests: Declaration of competing interest None., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)

Published
2024
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