The REVA trial, published in the New England Journal of Medicine in 2022, addresses a critical question in the management of mechanically ventilated patients: Which strategy for spontaneous breathing trials (SBTs)—Pressure-Support Ventilation (PSV) or a T-piece—offers better outcomes? Objective of … Read More
mechanical ventilation
FAST Trial: Screening Frequency for SBT
The FAST Trial: Examining Screening Frequency and Spontaneous Breathing Trial Techniques in Critically Ill Adults In the realm of critical care, optimizing strategies to wean patients off invasive mechanical ventilation is a cornerstone of patient management. The recently published FAST … Read More
ACURASYS Trial Summary: NM blockers in ARDS
2010 ACURASYS TRIAL Neuromuscular Blockers in Early Acute Respiratory Distress Syndrome Multicenter, double-blinded, placebo-controlled trial Objective: To assess if administration of cisatracurium improve survival when compared to placebo in ICU patients undergoing mechanical ventilation for early severe ARDS 340 patients … Read More
NONSEDA Trial Summary: Sedation in Critically Ill Intubated Patients
2020 NONSEDA TRIAL M Nonsedation or light sedation in critically ill, mechanically ventilated patients Investigator-initiated, randomised, clinical, parallel-group, multinational, superiority trial . a 5 Objective: To assess whether in critically ill, mechanically ventilated patients, does a strategy of no sedation, … Read More
PEPTIC Trial Summary: PPI vs. H2 blockers for Stress Ulcers in Intubated Patients
2020 PEPTIC TRIAL Effect of stress ulcer prophylaxis with Proton pump inhibitors vs Histamine-2 receptor blockers on in-hospital mortality among ICU patients receiving invasive mechanical ventilation Pragmatic, open-label, cluster randomised crossover design trial Objective: To compare in-hospital mortality rates using … Read More
RECONNECT Trial Summary: Mechanical Ventilation After Successful Spontaneous Breathing Trial
2017 RECONNECT TRIAL Reconnection to mechanical ventilation (MV) for 1h after a successful spontaneous breathing trial (SBT) reduces reintubation in critically ill patients. Parallel, two-arm, prospective randomised controlled trial Objective: To evaluate the reduction in need for reintubation in critically … Read More