2. Additional information on the included studies.
Study | Criteria for extubation | ICU ventilation | Criteria for non‐invasive ventilation | Criteria for invasive ventilation |
Bates 2015 | Once participants were titrated down to an FiO2 ≤ 0.5 and PEEP 5 cmH2O, they were assessed twice daily with spontaneous breathing trials. Participants were considered ready for extubation from a pulmonary mechanics standpoint if their rapid shallow breathing index was < 105 for 30 minutes. |
Same parameters for the first 3 after surgery if required | Unspecified | All participants admitted to ICU and kept on mechanical ventilation through an endotracheal tube after surgery |
Chaney 2000 | Normal ICU protocol: appropriate sensorium, normothermia, haemodynamic stability, adequate pulmonary function (PaO2 > 60 mmHg with FiO2 0.4), adequate urine output and minimal chest tube output | Same mode of ventilation for the first hour after surgery, then tidal volume 8 mL/kg, rate 10/minute, FiO2 1.0 and PEEP 5 cmH2O for all participants | Unspecified | Unspecified |
Choi 2006 | Unspecified | If the surgical procedure exceeded 5 hours, anaesthesiologists were allowed to change the ventilation strategy thereafter | Unspecified | Unspecified |
Chugh 2012 | Unspecified | Unspecified | Unspecified | Unspecified |
Fernandez‐Bustamante 2014 | Unspecified | Unspecified | Unspecified | Unspecified |
Futier 2013 | Recovery of a spontaneous ventilation with an expired tidal volume 5–8 mL/kg, respiratory rate 12–25 breaths/min, absence of residual neuromuscular blockade (assessed by a T4/T1 ratio ≥ 90%), peripheral oxygen saturation ≥ 95%, stable haemodynamics and body temperature ≥ 36°C | Unspecified | Unspecified | Unspecified |
Ge 2013 | Unspecified | Unspecified | Unspecified | Unspecified |
Koner 2004 | Unspecified | Unspecified | Unspecified | Unspecified |
Kuzkov 2016 | The criteria for discontinuation of respiratory support were as follows: the ability to tolerate 30 minutes of spontaneous breathing trial via the pressure support ventilation with pressure support level of 6–8 cmH2O, PaO2/FiO2 > 200 mmHg, spontaneous minute volume < 10 L/min, and respiratory rate < 30/minute (frequency/tidal volume < 65 1/L and tidal volume > 6 mL/kg predicted body weight) as well as normal body temperature, no obvious bleeding or anaemia, haemodynamic stability and adequate analgesia | Unspecified | Unspecified | Unspecified |
Memtsoudis 2012 | Unspecified | Unspecified | Unspecified | Unspecified |
Park 2016a | Unspecified | None of the participants required postoperative ventilatory assistance | Unspecified | Unspecified |
Sato 2016 | Unspecified | All participants were extubated in the operating room and were spontaneously breathing when they arrived at the postanaesthesia care unit | Unspecified | Unspecified |
Shen 2015 | Unspecified | Unspecified | Unspecified | Unspecified |
Soh 2018 | Unspecified | Unspecified | Unspecified | Unspecified |
Sundar 2011 | Awake status (Riker Sedation‐Agitation Scale score of 3 or 4), haemodynamic stability (minimal doses of nitroglycerine or phenylephrine), and adequate gas exchange (PaCO2 100 mmHg, FiO2 0.4, PEEP 5 cmH2O) Participants were then placed in protocol sequence; they were placed on pressure support ventilation, assessed using the rapid shallow breathing index on PEEP, receiving pressure support levels of 5 cmH2O, followed by a spontaneous breathing trial of 30 min. Participants who passed this sequence were then extubated | Study ventilator settings were applied immediately after induction of general anaesthesia and continued throughout surgery and the subsequent ICU stay | Unspecified | Unspecified |
Treschan 2012 | Unspecified | Mechanical ventilation of participants who were transferred intubated to the ICU was continued according to group assignment under the discretion of the intensivist in charge | Unspecified | Unspecified |
Weingarten 2010 | Unspecified | Unspecified | Unspecified | Unspecified |
Xiong 2016 | Unspecified | Unspecified | Unspecified | Unspecified |
Zupancich 2005 | Participants were extubated when haemodynamically stable, fully rewarmed, awake, without surgical bleeding and with optimal blood gases | After chest closure, participants were transferred to the ICU and ventilated, with the ventilatory pattern selected randomly | Unspecified | Unspecified |
Prophylactic use of non‐invasive ventilatory support was not mentioned in any of the studies.
cmH2O: centimetres of water; FiO2: inspired fraction of oxygen; ICU: intensive care unit; min: minute; mL/kg: millilitre per kilogram of body weight; mmHg: millilitre of mercury; n: number of participants; PaCO2: arterial partial pressure in carbon dioxide; PaO2: arterial partial pressure in oxygen; PEEP: positive end‐expiratory pressure.