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A survey of prefere...
A survey of preferences for respiratory support in the intensive care unit for patients with acute hypoxaemic respiratory failure
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- Aslam, Tayyba N. (author)
- Oslo Univ Hosp, Norway; Univ Oslo, Norway
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- Klitgaard, Thomas L. (author)
- Aalborg Univ Hosp, Denmark
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- Ahlstedt, Christian A. O. (author)
- Karolinska Univ, Sweden
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- Andersen, Finn H. (author)
- Alesund Hosp, Norway
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- Chew, Michelle S, 1969- (author)
- Linköpings universitet,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, ANOPIVA US
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- Collet, Marie O. (author)
- Rigshospitalet, Denmark
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- Cronhjort, Maria (author)
- Karolinska Institutet
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- Estrup, Stine (author)
- Rigshospitalet, Denmark
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- Fossum, Ole K. (author)
- Akershus Univ Hosp, Norway
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- Frisvold, Shirin K. (author)
- Univ Hosp North Norway, Norway
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- Gillmann, Hans-Joerg (author)
- Hannover Med Sch, Germany
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- Granholm, Anders (author)
- Rigshospitalet, Denmark
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- Gundem, Trine M. (author)
- Oslo Univ Hosp, Norway
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- Hauss, Kristin (author)
- Sykehuset Telemark, Norway
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- Hollenberg, Jacob (author)
- Karolinska Inst, Sweden
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- Condori, Maria E. Huanca (author)
- Helse Fonna, Norway
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- Hästbacka, Johanna (author)
- Univ Helsinki, Finland; Helsinki Univ Hosp, Finland
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- Johnstad, Bror A. (author)
- Sykehuset Innlandet Hamar, Norway
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- Keus, Eric (author)
- Univ Med Ctr Groningen, Netherlands
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- Kjaer, Maj-Brit N. (author)
- Rigshospitalet, Denmark
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- Klepstad, Pal (author)
- St Olavs Univ Hosp, Norway
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- Krag, Mette (author)
- Holbaek Cent Hosp, Denmark
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- Kvåle, Reidar (author)
- Haukeland Hosp, Norway
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- Malbrain, Manu L. N. G. (author)
- Med Univ Lublin, Poland
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- Meyhoff, Christian S. (author)
- Copenhagen Univ Hosp Bispebjerg & Frederiksberg, Denmark
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- Morgan, Matt (author)
- Royal Perth Hosp, Australia
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- Moller, Anders (author)
- Copenhagen Univ Hosp Bispebjerg & Frederiksberg, Denmark
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- Pfortmueller, Carmen A. (author)
- Bern Univ Hosp, Switzerland
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- Poulsen, Lone M. (author)
- Zealand Univ Hosp, Denmark
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- Robertson, Andrew C. (author)
- Baerum Hosp, Norway
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- Schefold, Joerg C. (author)
- Univ Bern, Switzerland
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- Schjorring, Olav L. (author)
- Aalborg Univ Hosp, Denmark
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- Siegemund, Martin (author)
- Univ Hosp Basel, Switzerland
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- Sigurdsson, Martin I. (author)
- Landspitali Natl Univ Hosp Iceland, Iceland
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- Sjövall, Fredrik (author)
- Skane Univ Hosp, Sweden
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- Strand, Kristian (author)
- Stavanger Univ Hosp, Norway
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- Stueber, Thomas (author)
- Hannover Med Sch, Germany
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- Szczeklik, Wojciech (author)
- Jagiellonian Univ Med Coll, Poland
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- Wahlin, Rebecka R. (author)
- Karolinska Institutet
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- Wangberg, Helge L. (author)
- Volda Hosp, Norway
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- Wian, Karl-Andre (author)
- Vestfold Hosp Trust, Norway
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- Wichmann, Sine (author)
- Copenhagen Univ Hosp North Zealand, Denmark
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- Hofso, Kristin (author)
- Oslo Univ Hosp, Norway
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- Moller, Morten H. (author)
- Rigshospitalet, Denmark
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- Perner, Anders (author)
- Rigshospitalet, Denmark
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- Rasmussen, Bodil S. (author)
- Aalborg Univ Hosp, Denmark
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- Laake, Jon H. (author)
- Oslo Univ Hosp, Norway
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(creator_code:org_t)
- WILEY, 2023
- 2023
- English.
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In: Acta Anaesthesiologica Scandinavica. - : WILEY. - 0001-5172 .- 1399-6576. ; 67:10, s. 1383-1394
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Subject headings
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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
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Keyword
- acute hypoxaemic respiratory failure; acute respiratory distress syndrome; controlled ventilation; invasive mechanical ventilation; spontaneous ventilation; survey
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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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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show more...
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Cronhjort, Maria
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Estrup, Stine
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Fossum, Ole K.
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Frisvold, Shirin ...
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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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Sigurdsson, Mart ...
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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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Moller, Morten H ...
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Perner, Anders
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Rasmussen, Bodil ...
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Laake, Jon H.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Anesthesiology a ...
- Articles in the publication
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Acta Anaesthesio ...
- By the university
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Linköping University
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Karolinska Institutet