Use of noninvasive ventilation in immunocompromised patients with acute respiratory failure: a systematic review and meta-analysis.

Abstract:

BACKGROUND:Acute respiratory failure (ARF) remains a common hazardous complication in immunocompromised patients and is associated with increased mortality rates when endotracheal intubation is needed. We aimed to evaluate the effect of early noninvasive ventilation (NIV) compared with oxygen therapy alone in this patient population. METHODS:We searched for relevant studies in MEDLINE, EMBASE, and the Cochrane database up to 25 July 2016. Randomized controlled trials (RCTs) were included if they reported data on any of the predefined outcomes in immunocompromised patients managed with NIV or oxygen therapy alone. Results were expressed as risk ratio (RR) and mean difference (MD) with accompanying 95% confidence interval (CI). RESULTS:Five RCTs with 592 patients were included. Early NIV significantly reduced short-term mortality (RR 0.62, 95% CI 0.40 to 0.97, p = 0.04) and intubation rate (RR 0.52, 95% CI 0.32 to 0.85, p = 0.01) when compared with oxygen therapy alone, with significant heterogeneity in these two outcomes between the pooled studies. In addition, early NIV was associated with a shorter length of ICU stay (MD -1.71 days, 95% CI -2.98 to 1.44, p = 0.008) but not long-term mortality (RR 0.92, 95% CI 0.74 to 1.15, p = 0.46). CONCLUSIONS:The limited evidence indicates that early use of NIV could reduce short-term mortality in selected immunocompromised patients with ARF. Further studies are needed to identify in which selected patients NIV could be more beneficial, before wider application of this ventilator strategy.

journal_name

Crit Care

authors

Huang HB,Xu B,Liu GY,Lin JD,Du B

doi

10.1186/s13054-016-1586-9

subject

Has Abstract

pub_date

2017-01-07 00:00:00

pages

4

issue

1

eissn

1364-8535

issn

1466-609X

pii

10.1186/s13054-016-1586-9

journal_volume

21

pub_type

杂志文章,meta分析,评审
  • Glucose absorption and gastric emptying in critical illness.

    abstract:INTRODUCTION:Delayed gastric emptying occurs frequently in critically ill patients and has the potential to adversely affect both the rate, and extent, of nutrient absorption. However, there is limited information about nutrient absorption in the critically ill, and the relationship between gastric emptying (GE) and ab...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc8021

    authors: Chapman MJ,Fraser RJ,Matthews G,Russo A,Bellon M,Besanko LK,Jones KL,Butler R,Chatterton B,Horowitz M

    更新日期:2009-01-01 00:00:00

  • Delay of transfer from the intensive care unit: a prospective observational study of incidence, causes, and financial impact.

    abstract:INTRODUCTION:A paucity of literature exists regarding delays in transfer out of the intensive care unit. We sought to analyze the incidence, causes, and costs of delayed transfer from a surgical intensive care unit (SICU). METHODS:An IRB-approved prospective observational study was conducted from January 24, 2010, to ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc12807

    authors: Johnson DW,Schmidt UH,Bittner EA,Christensen B,Levi R,Pino RM

    更新日期:2013-07-04 00:00:00

  • Automated vs. conventional ventilation in the ICU: a randomized controlled crossover trial comparing blood oxygen saturation during daily nursing procedures (I-NURSING).

    abstract:BACKGROUND:Hypoxia is common during daily nursing procedures (DNPs) routinely performed on mechanically ventilated patients. The impact of automated ventilation on the incidence and severity of blood oxygen desaturation during DNPs remains unknown. METHODS:A prospective randomized controlled crossover trial was carrie...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-020-03155-3

    authors: Chelly J,Mazerand S,Jochmans S,Weyer CM,Pourcine F,Ellrodt O,Thieulot-Rolin N,Serbource-Goguel J,Sy O,Vong LVP,Monchi M

    更新日期:2020-07-22 00:00:00

  • Prevalence of burnout among intensivists in mainland China: a nationwide cross-sectional survey.

    abstract:BACKGROUND:Burnout has gained increasing attention worldwide; however, there is a lack of relevant research in China. This study investigated the prevalence and factors associated with burnout in physicians of the intensive care unit (ICU) in mainland China. METHODS:This cross-sectional multicenter study included crit...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-020-03439-8

    authors: Wang J,Hu B,Peng Z,Song H,Cai S,Rao X,Li L,Li J

    更新日期:2021-01-05 00:00:00

  • Artificial neural networks as prediction tools in the critically ill.

    abstract::The past 25 years have witnessed the development of improved tools with which to predict short-term and long-term outcomes after critical illness. The general paradigm for constructing the best known tools has been the logistic regression model. Recently, a variety of alternative tools, such as artificial neural netwo...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/cc3507

    authors: Clermont G

    更新日期:2005-04-01 00:00:00

  • Influence of different electrode belt positions on electrical impedance tomography imaging of regional ventilation: a prospective observational study.

    abstract:BACKGROUND:Electrical impedance tomography (EIT) is a non-invasive bedside tool which allows an individualized ventilator strategy by monitoring tidal ventilation and lung aeration. EIT can be performed at different cranio-caudal thoracic levels, but data are missing about the optimal belt position. The main goal of th...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-015-1161-9

    authors: Karsten J,Stueber T,Voigt N,Teschner E,Heinze H

    更新日期:2016-01-08 00:00:00

  • Causes of metabolic acidosis in canine hemorrhagic shock: role of unmeasured ions.

    abstract:INTRODUCTION:Metabolic acidosis during hemorrhagic shock is common and conventionally considered to be due to hyperlactatemia. There is increasing awareness, however, that other nonlactate, unmeasured anions contribute to this type of acidosis. METHODS:Eleven anesthetized dogs were hemorrhaged to a mean arterial press...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc6200

    authors: Bruegger D,Kemming GI,Jacob M,Meisner FG,Wojtczyk CJ,Packert KB,Keipert PE,Faithfull NS,Habler OP,Becker BF,Rehm M

    更新日期:2007-01-01 00:00:00

  • Multidisciplinary care for tracheostomy patients: a systematic review.

    abstract:INTRODUCTION:Appropriate care for patients with tracheostomies in hospital settings is an important issue. Each year more than 7000 patients receive tracheostomies in Australia and New Zealand alone. Many of these tracheostomy patients commence their care in the intensive care unit (ICU) and once stabilised are then tr...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc8159

    authors: Garrubba M,Turner T,Grieveson C

    更新日期:2009-01-01 00:00:00

  • Success and complications by team composition for prehospital paediatric intubation: a systematic review and meta-analysis.

    abstract:BACKGROUND:Clinical team composition for prehospital paediatric intubation may affect success and complication rates. We performed a systematic review and meta-analysis to determine the success and complication rates by type of clinical team. METHODS:We searched MEDLINE, EMBASE, and CINAHL for interventional and obser...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,meta分析

    doi:10.1186/s13054-020-02865-y

    authors: Garner AA,Bennett N,Weatherall A,Lee A

    更新日期:2020-04-15 00:00:00

  • Long term effect of a medical emergency team on cardiac arrests in a teaching hospital.

    abstract:INTRODUCTION:It is unknown whether the reported short-term reduction in cardiac arrests associated with the introduction of the medical emergency team (MET) system can be sustained. METHOD:We conducted a prospective, controlled before-and-after examination of the effect of a MET system on the long-term incidence of ca...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc3906

    authors: Jones D,Bellomo R,Bates S,Warrillow S,Goldsmith D,Hart G,Opdam H,Gutteridge G

    更新日期:2005-01-01 00:00:00

  • The role of intestinal mucosa injury induced by intra-abdominal hypertension in the development of abdominal compartment syndrome and multiple organ dysfunction syndrome.

    abstract:INTRODUCTION:Abdominal distension is common in critical illness. There is a growing recognition that intra-abdominal hypertension (IAH) may complicate nonsurgical critical illness as well as after abdominal surgery. However, the pathophysiological basis of the injury to the intestinal mucosal barrier and its influence ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc13146

    authors: Cheng J,Wei Z,Liu X,Li X,Yuan Z,Zheng J,Chen X,Xiao G,Li X

    更新日期:2013-12-09 00:00:00

  • Prehospital endotracheal intubation: elemental or detrimental?

    abstract::This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2015 and co-published as a series in Critical Care. Other articles in the series can be found online at http://ccforum.com/series/annualupdate2015. Further information about the Annual Update in Intensive Care a...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-015-0808-x

    authors: Pepe PE,Roppolo LP,Fowler RL

    更新日期:2015-03-16 00:00:00

  • Early predictors of poor outcome after out-of-hospital cardiac arrest.

    abstract:BACKGROUND:Early identification of predictors for a poor long-term outcome in patients who survive the initial phase of out-of-hospital cardiac arrest (OHCA) may facilitate future clinical research, the process of care and information provided to relatives. The aim of this study was to determine the association between...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-017-1677-2

    authors: Martinell L,Nielsen N,Herlitz J,Karlsson T,Horn J,Wise MP,Undén J,Rylander C

    更新日期:2017-04-13 00:00:00

  • Augmented renal clearance in septic and traumatized patients with normal plasma creatinine concentrations: identifying at-risk patients.

    abstract:INTRODUCTION:Improved methods to optimize drug dosing in the critically ill are urgently needed. Traditional prescribing culture involves recognition of factors that mandate dose reduction (such as renal impairment), although optimizing drug exposure, through more frequent or augmented dosing, represents an evolving st...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc12544

    authors: Udy AA,Roberts JA,Shorr AF,Boots RJ,Lipman J

    更新日期:2013-02-28 00:00:00

  • G-CSF and IL-8 for early diagnosis of sepsis in neonates and critically ill children - safety and cost effectiveness of a new laboratory prediction model: study protocol of a randomized controlled trial [ISRCTN91123847].

    abstract:INTRODUCTION:Bacterial infection represents a serious risk in neonates and critically ill paediatric patients. Current clinical practice is characterized by frequent antibiotic treatment despite low incidence of true infection. However, some patients escape early diagnosis and progress to septic shock. Many new markers...

    journal_title:Critical care (London, England)

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1186/cc2971

    authors: Horisberger T,Harbarth S,Nadal D,Baenziger O,Fischer JE

    更新日期:2004-12-01 00:00:00

  • Septic shock with no diagnosis at 24 hours: a pragmatic multicenter prospective cohort study.

    abstract:BACKGROUND:The lack of a patent source of infection after 24 hours of management of shock considered septic is a common and disturbing scenario. We aimed to determine the prevalence and the causes of shock with no diagnosis 24 hours after its onset, and to compare the outcomes of patients with early-confirmed septic sh...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s13054-016-1537-5

    authors: Contou D,Roux D,Jochmans S,Coudroy R,Guérot E,Grimaldi D,Ricome S,Maury E,Plantefève G,Mayaux J,Mekontso Dessap A,Brun-Buisson C,de Prost N

    更新日期:2016-11-06 00:00:00

  • Estimation of the diameter and cross-sectional area of the internal jugular veins in adult patients.

    abstract:INTRODUCTION:Unawareness of an asymmetry between the right and left internal jugular vein (IJV) and methodological pitfalls in previous studies raise concerns about such asymmetry. Hence the aim of this prospective non-interventional study was to validate the hypothesis that right IJV diameter is greater than those of ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc8200

    authors: Tartière D,Seguin P,Juhel C,Laviolle B,Mallédant Y

    更新日期:2009-01-01 00:00:00

  • Effect of antiviral therapy on the outcomes of mechanically ventilated patients with herpes simplex virus detected in the respiratory tract: a systematic review and meta-analysis.

    abstract:BACKGROUND:Herpes simplex virus (HSV) is frequently detected in the respiratory tract of mechanically ventilated patients. The aim of this study was to assess current evidence to determine whether antiviral therapy is associated with better outcomes in these patients. METHODS:MEDLINE, ISI Web of Science, Cochrane Data...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-020-03296-5

    authors: Hagel S,Scherag A,Schuierer L,Hoffmann R,Luyt CE,Pletz MW,Kesselmeier M,Weis S

    更新日期:2020-09-29 00:00:00

  • Propofol: neuroprotection in an in vitro model of traumatic brain injury.

    abstract:INTRODUCTION:The anaesthetic agent propofol (2,6-diisopropylphenol) has been shown to be an effective neuroprotective agent in different in vitro models of brain injury induced by oxygen and glucose deprivation. We examined its neuroprotective properties in an in vitro model of traumatic brain injury. METHODS:In this ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc7795

    authors: Rossaint J,Rossaint R,Weis J,Fries M,Rex S,Coburn M

    更新日期:2009-01-01 00:00:00

  • The race against the "septic shark".

    abstract::Great white sharks are responsible for about 10 cases of death annually worldwide, as compared with millions of deaths caused by sepsis. However, the basic principles of avoiding shark attacks and fighting sepsis seem to be similar: avoidance, attention, and speed, if necessary. The present review discusses the curren...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc14729

    authors: Westphal M,Kampmeier T

    更新日期:2015-01-01 00:00:00

  • Recently published papers: from superbugs to superbowl.

    abstract::Several papers are discussed including the CARP (Coronary Artery Revascularisation Prophylaxis) trial, examining the role, if any, of preoperative coronary revascularisation and a study examining the heart rate in the intensive care unit (ICU) population. We also take a look at infections in the ICU with particular re...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc3505

    authors: Tomlinson LA,Forni LG

    更新日期:2005-04-01 00:00:00

  • N-terminal pro-brain natriuretic peptide as an early prognostic factor in cancer patients developing septic shock.

    abstract:INTRODUCTION:The overall prognosis of critically ill patients with cancer has improved during the past decade. The aim of this study was to identify early prognostic factors of intensive care unit (ICU) mortality in patients with cancer. METHODS:We designed a prospective, consecutive, observational study over a one-ye...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc5721

    authors: Mokart D,Sannini A,Brun JP,Faucher M,Blaise D,Blache JL,Faucher C

    更新日期:2007-01-01 00:00:00

  • Blocking IL-1 to prevent respiratory failure in COVID-19.

    abstract::COVID-19 is an emerging disease that can manifest itself as asymptomatic or mild respiratory tract infection in the majority of individuals, but in some, it can progress into severe pneumonia and acute respiratory distress syndrome (ARDS). Inflammation is known to play a crucial role in the pathogenesis of severe infe...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-020-03166-0

    authors: van de Veerdonk FL,Netea MG

    更新日期:2020-07-18 00:00:00

  • Changes in the incidence and outcome for early acute kidney injury in a cohort of Australian intensive care units.

    abstract:INTRODUCTION:There is limited information on whether the incidence of acute kidney injury (AKI) in critically ill patients has changed over time and there is controversy on whether its outcome has improved. METHODS:We interrogated the Australian New Zealand Intensive Care Society Adult Patient Database to obtain data ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc5949

    authors: Bagshaw SM,George C,Bellomo R,ANZICS Database Management Committee.

    更新日期:2007-01-01 00:00:00

  • Excess circulating angiopoietin-2 levels in sepsis: harbinger of death in the intensive care unit?

    abstract::The early recognition and management of sepsis remain the greatest challenges in the field of critical care medicine. Endothelial injury is one of the hallmarks of sepsis, leading to capillary leak, microcirculatory dysfunction, organ failure, and eventual death in many critically ill patients. The angiogenic growth f...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章,评审

    doi:10.1186/cc7685

    authors: Giuliano JS Jr,Wheeler DS

    更新日期:2009-01-01 00:00:00

  • National survey and point prevalence study of sedation practice in UK critical care.

    abstract:BACKGROUND:The present study was designed to (1) establish current sedation practice in UK critical care to inform evidence synthesis and potential future primary research and (2) to compare practice reported via a survey with actual practice assessed in a point prevalence study (PPS). METHODS:UK adult general critica...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-016-1532-x

    authors: Richards-Belle A,Canter RR,Power GS,Robinson EJ,Reschreiter H,Wunsch H,Harvey SE

    更新日期:2016-10-27 00:00:00

  • Clinical review: Ethics and end-of-life care for critically ill patients in China.

    abstract::Critical care medicine in China has made great advances in recent decades. This has led to an unavoidable issue: end-of-life ethics. With advances in medical technology and therapeutics allowing the seemingly limitless maintenance of life, the exact time of death of an individual patient is often determined by the dec...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc13140

    authors: Li LB

    更新日期:2013-12-04 00:00:00

  • ICU admission and severity assessment in community-acquired pneumonia.

    abstract::The past 15 years have seen major advances in our understanding of severity assessment in community-acquired pneumonia (CAP). Prognostic tools have been promoted to guide all major management decisions in CAP, including admission to the critical care unit. Several recent studies, including the study by Renaud and coll...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/cc7889

    authors: Chalmers JD

    更新日期:2009-01-01 00:00:00

  • Monocyte deactivation in neutropenic acute respiratory distress syndrome patients treated with granulocyte colony-stimulating factor.

    abstract:INTRODUCTION:In severely neutropenic septic acute respiratory distress syndrome (ARDS) patients, macrophages and monocytes are the last potentially remaining innate immune cells. We have previously shown, however, a deactivation of the alveolar macrophage in neutropenic septic ARDS patients. In the present study, we tr...

    journal_title:Critical care (London, England)

    pub_type: 临床试验,杂志文章

    doi:10.1186/cc6791

    authors: Mokart D,Kipnis E,Guerre-Berthelot P,Vey N,Capo C,Sannini A,Brun JP,Blache JL,Mege JL,Blaise D,Guery BP

    更新日期:2008-01-01 00:00:00

  • Pre-emptive antibiotic therapy to reduce ventilator-associated pneumonia: "thinking outside the box".

    abstract::Mechanically ventilated, intubated patients are at increased risk for tracheal colonization with bacterial pathogens that may progress to heavy bacterial colonization, ventilator-associated tracheobronchitis (VAT), and/or ventilator-associated pneumonia (VAP). Previous studies report that 10 to 30 % of patients with V...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-016-1472-5

    authors: Craven DE,Hudcova J,Lei Y,Craven KA,Waqas A

    更新日期:2016-09-29 00:00:00