Table 1.
Authors | Year | Design | Country | Patient number | Age (mean) | Male (%) | Mean MV (days) | Mean PS | Intervention 1 | Intervention 2 |
---|---|---|---|---|---|---|---|---|---|---|
Xirouchaki et al. [4] | 2008 | RCT | Greece | 208 | 60.9 (years) | 66.3 | 4.0 | APACHE II, 15.5 | PAV+: initial assist 60–80%, reduced by 10–20% per hour. Extubation was performed at 10–20% assist. | PSV: initial PIP 20–25 cmH2O, reduced by 2–5 cmH2O per hour. Extubation was performed at PS 10–12 cmH2O. |
Sasikumar et al. [27] | 2013 | RCT | India | 23 | 48.6 (years) | 69.6 | NR | APACHE II, 20.7 | PAV+: the protocol for PAV+ setting was not available. | PSV: the protocol for PSV setting was not available. |
Elganady et al. [28] | 2014 | RCT | Egypt | 60 | 59.7 (years) | 81.7 | NR | NR | PAV: initial assist 70%, reduced by 10–20% every 2 h. Extubation was performed at 10–20% assist. | PSV: initial PEEP 5 cmH2O, initial pressure support 5~8 cmH2O. No reduction during the trial. Extubation was performed at 120 min. |
Teixeira et al. [29]* | 2015 | RCT | Brazil | 160 | 44.5 (years) | 65.6 | 6.6 | APACHE II, 22.7 | PAV+: initial assist and the method for reduction were not available. Extubation was performed at 40% assist. | PSV: pressure support with 7 cmH2O. No reduction method was mentioned. The timing for extubation was not available. |
Bosma et al. [30] | 2016 | RCT | Canada | 50 | 64.8 (years) | 50.0 | 5.8 | APACHE II, 26.5 | PAV+: initial assist 70%, reduced by the judgment of a respiratory therapist every 2 to 3 h. | PSV: initial PS 15 cmH2O, reduced by the judgment of a respiratory therapist every 2 to 3 h. |
Botha et al. [31] | 2018 | RCT | Australia | 50 | 63.2 (years) | 59.2 | 3.4 | APACHE III, 76.7; SASP, 45.5 | PAV+: initial assist 70%, reduced by 10%. Extubation was performed at 30% assist. | PSV: initial PS was set at patient’s need; the reduction method was not mentioned. Extubation was performed at PS 10 cmH2O. |
Salama et al. [32] | 2018 | RCT | Egypt | 150 | NA | NA | NA | NA | PAV+ | PSV |
*Three-arm study