Table 1.
Study | Patient population | Initial mode of oxygen delivery | Country/region | Interventions | Participants | Baseline oxygenation a | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
Liberal | Conservative | Duration | Sample size | Age a | Male (%) | Liberal | Conservative | ||||
Gelissen et al. 17 | SIRS | MV, NC, mask or HFNO | Netherlands | PaO2 14–18 kPa | PaO2 8–12 kPa | Up to 14 days (while in ICU) | 400 | 68 | 65 | PaO2 12.3 kPa FIO2 0.46 | PaO2 11.6 kPa FIO2 0.45 |
Martin et al. 18 | MV for respiratory failure | MV only | UK | SpO2 ⩾ 96% b | SpO2 88%–92% | Until extubation, discharge or death | 34 | 66 | 65 | SpO2 97% PaO2 11.7 kPa FIO2 0.45 | SpO2 94% PaO2 11.0 kPa FIO2 0.40 |
Schjørring et al. 25 | Receiving supplemental O2 in ICU for respiratory failure | MV, NIV, open system | Europe | PaO2 12 kPa | PaO2 8 kPa | Up to 90 days (while in ICU) | 2888 | 70 | 64 | SaO2 95% PaO2 10.3 kPa FIO2 0.70 | SaO2 94% PaO2 10.3 kPa FIO2 0.70 |
Barrot et al. 19 | Mechanical ventilation for ARDS | MV only | France | PaO2 12–14 kPa SpO2 ⩾ 96% | PaO27.3–9.3 kPa SpO2 88%–92% | Up to 7 days (while intubated) | 201 | 63 c | 64 | PaO2 12.3 kPa c FIO2 0.80 c | PaO2 12.0 kPa c FIO2 0.80 c |
Mackle et al. 20 | Mechanical ventilation | MV only | Australia & New Zealand | SpO2 ⩾ 91% FIO2 ⩾ 0.3 | SpO2 91%–96% | Up to 28 days (while in ICU) | 965 | 58 c | 63 | SpO2 96.7% c PaO2 14.9 kPa | SpO2 97.1% c PaO2 14.7 kPa |
Yang et al. 24 | Admissions with expected ICU stay ⩾72 h | MV and other modalities | China | SpO2 ⩾ 96%, FIO2 ⩾ 0.3 | SpO2 90%–95% | Not reported | 224 | 60 versus 56 d | 67 | Not reported | Not reported |
Asfar et al. 21 | Mechanical ventilation with septic shock | MV only | France | FIO2 1.0 e | SaO2 88%–95% e | 24 h | 434 | 68 | 64 | SaO2 99% PaO2 16.3 kPa | SaO2 97% PaO2 16.9 kPa |
Girardis et al. 22 | Admissions with expected ICU stay ⩾72 h | MV and other modalities | Italy | SpO2 97%–100%, PaO2⩽ 20 kPa, FIO2 ⩾ 0.4 | SpO2 94%–98% or PaO2 9.3–13.3 kPa | Not reported | 478 | 65 versus 63d,f | 57 f | Not reported | Not reported |
Panwar et al. 23 | Mechanical ventilation | MV only | Australia, New Zealand, France | SpO2 ⩾ 96% | SpO2 88%–92% | While receiving mechanical ventilation | 103 | 62 c | 63 | SpO2 96% c PaO2 10.9 kPa FIO2 0.44 c | SpO2 95% c PaO2 10.8 kPa FIO2 0.44 c |
SIRS: systemic inflammatory response syndrome.
Median unless indicated.
Changed to usual care during the study.
Mean.
Liberal versus conservative.
2 × 2 factorial design, also evaluated hypertonic versus isotonic saline.
Only reported for modified ITT population (length of stay at least 72 h and at least one arterial blood gas per day).