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A survey of prefere...
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Aslam, Tayyba N.Oslo Univ Hosp, Norway; Univ Oslo, Norway
(author)
A survey of preferences for respiratory support in the intensive care unit for patients with acute hypoxaemic respiratory failure
- Article/chapterEnglish2023
Publisher, publication year, extent ...
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WILEY,2023
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:liu-198367
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-198367URI
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https://doi.org/10.1111/aas.14317DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:153735751URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Funding Agencies|This study was supported by the Department of Research and Development, Division of Critical Care and Emergencies, Oslo University Hospital and by South-Eastern Norway Regional Health Authority, project number 2021061. Funders had no role in the design or; Department of Research and Development, Division of Critical Care and Emergencies, Oslo University Hospital [2021061]; South-Eastern Norway Regional Health Authority
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BackgroundWhen caring for mechanically ventilated adults with acute hypoxaemic respiratory failure (AHRF), clinicians are faced with an uncertain choice between ventilator modes allowing for spontaneous breaths or ventilation fully controlled by the ventilator. The preferences of clinicians managing such patients, and what motivates their choice of ventilator mode, are largely unknown. To better understand how clinicians preferences may impact the choice of ventilatory support for patients with AHRF, we issued a survey to an international network of intensive care unit (ICU) researchers.MethodsWe distributed an online survey with 32 broadly similar and interlinked questions on how clinicians prioritise spontaneous or controlled ventilation in invasively ventilated patients with AHRF of different severity, and which factors determine their choice.ResultsThe survey was distributed to 1337 recipients in 12 countries. Of these, 415 (31%) completed the survey either fully (52%) or partially (48%). Most respondents were identified as medical specialists (87%) or physicians in training (11%). Modes allowing for spontaneous ventilation were considered preferable in mild AHRF, with controlled ventilation considered as progressively more important in moderate and severe AHRF. Among respondents there was strong support (90%) for a randomised clinical trial comparing spontaneous with controlled ventilation in patients with moderate AHRF.ConclusionsThe responses from this international survey suggest that there is clinical equipoise for the preferred ventilator mode in patients with AHRF of moderate severity. We found strong support for a randomised trial comparing modes of ventilation in patients with moderate AHRF.
Subject headings and genre
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Klitgaard, Thomas L.Aalborg Univ Hosp, Denmark
(author)
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Ahlstedt, Christian A. O.Karolinska Univ, Sweden
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Andersen, Finn H.Alesund Hosp, Norway
(author)
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Chew, Michelle S,1969-Linköpings universitet,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, ANOPIVA US(Swepub:liu)micch61
(author)
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Collet, Marie O.Rigshospitalet, Denmark
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Cronhjort, MariaKarolinska Institutet
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Estrup, StineRigshospitalet, Denmark
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Fossum, Ole K.Akershus Univ Hosp, Norway
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Frisvold, Shirin K.Univ Hosp North Norway, Norway
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Gillmann, Hans-JoergHannover Med Sch, Germany
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Granholm, AndersRigshospitalet, Denmark
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Gundem, Trine M.Oslo Univ Hosp, Norway
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Hauss, KristinSykehuset Telemark, Norway
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Hollenberg, JacobKarolinska Institutet
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Condori, Maria E. HuancaHelse Fonna, Norway
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Hästbacka, JohannaUniv Helsinki, Finland; Helsinki Univ Hosp, Finland
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Johnstad, Bror A.Sykehuset Innlandet Hamar, Norway
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Keus, EricUniv Med Ctr Groningen, Netherlands
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Kjaer, Maj-Brit N.Rigshospitalet, Denmark
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Klepstad, PalSt Olavs Univ Hosp, Norway
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Krag, MetteHolbaek Cent Hosp, Denmark
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Kvåle, ReidarHaukeland Hosp, Norway
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Malbrain, Manu L. N. G.Med Univ Lublin, Poland
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Meyhoff, Christian S.Copenhagen Univ Hosp Bispebjerg & Frederiksberg, Denmark
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Morgan, MattRoyal Perth Hosp, Australia
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Moller, AndersCopenhagen Univ Hosp Bispebjerg & Frederiksberg, Denmark
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Pfortmueller, Carmen A.Bern Univ Hosp, Switzerland
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Poulsen, Lone M.Zealand Univ Hosp, Denmark
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Robertson, Andrew C.Baerum Hosp, Norway
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Schefold, Joerg C.Univ Bern, Switzerland
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Schjorring, Olav L.Aalborg Univ Hosp, Denmark
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Siegemund, MartinUniv Hosp Basel, Switzerland
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Sigurdsson, Martin I.Landspitali Natl Univ Hosp Iceland, Iceland
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Sjövall, FredrikSkane Univ Hosp, Sweden
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Strand, KristianStavanger Univ Hosp, Norway
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Stueber, ThomasHannover Med Sch, Germany
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Szczeklik, WojciechJagiellonian Univ Med Coll, Poland
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Wahlin, Rebecka R.Karolinska Institutet
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Wangberg, Helge L.Volda Hosp, Norway
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Wian, Karl-AndreVestfold Hosp Trust, Norway
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Wichmann, SineCopenhagen Univ Hosp North Zealand, Denmark
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Hofso, KristinOslo Univ Hosp, Norway
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Moller, Morten H.Rigshospitalet, Denmark
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Perner, AndersRigshospitalet, Denmark
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Rasmussen, Bodil S.Aalborg Univ Hosp, Denmark
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Laake, Jon H.Oslo Univ Hosp, Norway
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Oslo Univ Hosp, Norway; Univ Oslo, NorwayAalborg Univ Hosp, Denmark
(creator_code:org_t)
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In:Acta Anaesthesiologica Scandinavica: WILEY67:10, s. 1383-13940001-51721399-6576
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Aslam, Tayyba N.
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Klitgaard, Thoma ...
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Ahlstedt, Christ ...
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Andersen, Finn H ...
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Chew, Michelle S ...
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Collet, Marie O.
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Cronhjort, Maria
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Estrup, Stine
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Fossum, Ole K.
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Gillmann, Hans-J ...
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Granholm, Anders
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Gundem, Trine M.
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Hauss, Kristin
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Hollenberg, Jaco ...
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Condori, Maria E ...
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Hästbacka, Johan ...
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Johnstad, Bror A ...
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Keus, Eric
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Kjaer, Maj-Brit ...
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Klepstad, Pal
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Krag, Mette
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Kvåle, Reidar
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Malbrain, Manu L ...
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Meyhoff, Christi ...
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Morgan, Matt
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Moller, Anders
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Pfortmueller, Ca ...
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Poulsen, Lone M.
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Robertson, Andre ...
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Schefold, Joerg ...
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Schjorring, Olav ...
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Siegemund, Marti ...
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Sjövall, Fredrik
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Strand, Kristian
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Stueber, Thomas
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Szczeklik, Wojci ...
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Wahlin, Rebecka ...
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Wangberg, Helge ...
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Wian, Karl-Andre
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Wichmann, Sine
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Hofso, Kristin
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Rasmussen, Bodil ...
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Laake, Jon H.
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Linköping University
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Karolinska Institutet