Faculty Opinions recommendation of Nebulization of Antiinfective Agents in Invasively Mechanically Ventilated Adults: A Systematic Review and Meta-analysis.

2017 ◽  
Author(s):  
Jean-Francois Timsit
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Mechanically Ventilated ◽  
Antiinfective Agents

scholarly journals Utility and safety of draining pleural effusions in mechanically ventilated patients: a systematic review and meta-analysis

Critical Care ◽  
2011 ◽  
Vol 15 (1) ◽  
pp. R46 ◽  
Author(s):  
Ewan C Goligher ◽  
Jerome A Leis ◽  
Robert A Fowler ◽  
Ruxandra Pinto ◽  
Neill KJ Adhikari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Pleural Effusions ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

scholarly journals Separation from mechanical ventilation and survival after spinal cord injury: a systematic review and meta-analysis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Annia F. Schreiber ◽  
Jacopo Garlasco ◽  
Fernando Vieira ◽  
Yie Hui Lau ◽  
Dekel Stavi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Mechanical Ventilation ◽  
Meta Analysis ◽  
Cervical Lesions ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Cord Injury ◽  
High Level ◽  
Ventilated Patients

Abstract Background Prolonged need for mechanical ventilation greatly impacts life expectancy of patients after spinal cord injury (SCI). Weaning outcomes have never been systematically assessed. In this systematic review and meta-analysis, we aimed to investigate the probability of weaning success, duration of mechanical ventilation, mortality, and their predictors in mechanically ventilated patients with SCI. Methods We searched six databases from inception until August 2021 for randomized-controlled trials and observational studies enrolling adult patients (≥ 16 years) with SCI from any cause requiring mechanical ventilation. Titles and abstracts were screened independently by two reviewers. Full texts of the identified articles were then assessed for eligibility. Data were extracted independently and in duplicate by pairs of authors, using a standardized data collection form. Synthetic results are reported as meta-analytic means and proportions, based on random effects models. Results Thirty-nine studies (14,637 patients, mean age 43) were selected. Cervical lesions were predominant (12,717 patients had cervical lesions only, 1843 in association with other levels’ lesions). Twenty-five studies were conducted in intensive care units (ICUs), 14 in rehabilitative settings. In ICU, the mean time from injury to hospitalization was 8 h [95% CI 7–9], mean duration of mechanical ventilation 27 days [20–34], probability of weaning success 63% [45–78] and mortality 8% [5–11]. Patients hospitalized in rehabilitation centres had a greater number of high-level lesions (C3 or above), were at 40 days [29–51] from injury and were ventilated for a mean of 97 days [65–128]; 82% [70–90] of them were successfully weaned, while mortality was 1% [0–19]. Conclusions Although our study highlights the lack of uniform definition of weaning success, of clear factors associated with weaning outcomes, and of high-level evidence to guide optimal weaning in patients with SCI, it shows that around two-thirds of mechanically ventilated patients can be weaned in ICU after SCI. A substantial gain in weaning success can be obtained during rehabilitation, with additional duration of stay but minimal increase in mortality. The study is registered with PROSPERO (CRD42020156788).

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