Table 1. Baseline characteristics of the included studies.
Study | Design | Ventilator mode | Sample size | Age (years) | Gender (M/F) | PaO2/FiO2 at baseline (mmHg) | APACHE II | Murray | Type of patients | APRV initial setting | Outcomes | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
EG | CG | EG | CG | EG | CG | EG | CG | EG | CG | EG | CG | EG | CG | |||||||||||
Zhou et al. | RCT | APRV | LTV (VC) | 71 | 67 | 51.5 | 52 | 50/21 | 41/26 | 121.7 | 138.3 | 22 | 20.2 | – | – | ARDS P/F <250 mmHg | Ph = Pplat; PI =5 cmH2O; TI >50% PEFR | 1, 2, 3, 4, 5, 6, 7 | ||||||
Varpula et al. | RCT | APRV | LTV (SIMV + PC/PS) | 30 | 28 | 50 | 44 | 21/9 | 18/10 | 150 | 164 | 15 | 14 | 3.0 | 3.1 | ALI/ARDS P/F <200 mmHg | Ph =↓UIP; PI =↑LIP; Th =4 s; TI =1 s | 1, 2, 6 | ||||||
Li et al. | RCT | APRV | LTV (VC) | 16 | 16 | 43 | 46 | – | – | 180 | 179 | 28 | 27 | 3.3 | 2.9 | ARDS P/F <300 mmHg | Ph <35 cmH2O; Vt 6–8 mL/kg | 1, 4, 5, 7 | ||||||
Putensen et al. | RCT | APRV | LTV (PCV) | 15 | 15 | 40 | 42 | 11/4 | 13/2 | 243 | 238- | – | – | – | – | Trauma with ARDS | Ph =↓UIP; Vt <7 mL/kg; PI = LIP + 2 cmH2O | 1, 2, 3 | ||||||
Zhou et al. | RCT | APRV | LTV (SIMV + PS) | 30 | 30 | 51 | 52 | 17/13 | 16/14 | 118.8 | 119.1 | 22.54 | 22.43 | 3.1 | 3.1 | Moderate/severe ARDS | Ph =UIP; PI =LIP; Th =4 s; TI =1 s | 1, 2, 3, 5, 6 | ||||||
Hirshberg et al. | RCT | APRV-LTV | LTV (VC) | 18 | 17 | 57 | 51 | 9/9 | 8/9 | 98 | 131 | 27 | 32 | – | – | ARDS P/F <200 mmHg | Ph = Pplat; PI =5 cmH2O; Th =4–6 s; TI =50–70% PEFR | 1, 2, 3, 5 | ||||||
Li et al. | RCT | APRV | LTV (SIMV + PS) | 26 | 26 | 54 | 53 | – | – | 119 | 118 | 18.5 | 17.7 | 3.3 | 3.2 | Moderate severe ARDS | Ph =30 cmH2O; I =0; Th =4–8 s; TI =0.4–0.8 s | 1, 2, 3, 4, 5, 6 |
Outcomes: 1, hospital mortality; 2, ventilator-free days on day 28; 3, length of ICU stay; 4, respiratory system compliance (day 3); 5, PaO2/FiO2 (day 3); 6, MAP (day 3); 7, pneumothorax. APRV, airway pressure release ventilation; LTVV, low tidal volume ventilation; RCT, randomized controlled trial; ARDS, acute respiratory distress syndrome; ICU, intensive care unit.