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. 2017 Oct 17;2017(10):CD003666. doi: 10.1002/14651858.CD003666.pub4

Keszler 2004a.

Methods Single‐centre randomised trial.
Participants 18 infants.
Inclusion criteria: < 34 weeks' GA, ventilated for RDS before 6 h of age.
 Exclusion criteria: congenital cardiac, respiratory or CNS anomalies, paralysis or sedation or ETT leak > 30%.
Interventions Ventilator: both groups used Drager Babylog 8000 plus with set backup rate 40/min.
Target: PaCO2 of 35‐45 torr (mmHg).
  • VTV group (n = 9): AC‐VG. Set expired VTtarget 5 mL/kg, adjusted by 0.5 mL/kg to maintain target PaCO2.

  • PLV group (n = 9): AC. PIP set to achieve 4‐6 mL/kg expired VT, using PIP changes of 1‐2 cmH2O to maintain target PaCO2.


Duration of intervention: 72 h or until extubation.
Outcomes Blood gas results, pneumothorax, PIE, mortality, cranial ultrasound scan.
Supplemental data BW, age of death in non‐survivors, BPD, duration of ventilation, pneumothorax, PIE, PVL, IVH, blood gas data.
Notes Requested trial registration.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number table used to randomise participants.
Allocation concealment (selection bias) Low risk Blinding of randomisation: sealed envelopes.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk No.
Intervention bias (strict vs hybrid studies) Low risk Not applicable.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Follow‐up: complete.
Selective reporting (reporting bias) Unclear risk Study protocol unavailable for review.
Other bias Low risk