|
Effect of Adaptive Support Ventilation on the Outcomes of Intensive Care Unit Patients: A Systematic Review Study
|
Mohammadhossein Heydarian   , Amir Vahedian Azimi , Hossein Mahmoodi , Zohreh Vafadar * |
| Nursing Care Research Center, Clinical Science Institute and Nursing Faculty of Baqiyatallah University of Medical Sciences, Tehran, Iran , zohrehvafadar@gmail.com |
|
|
Abstract: (153 Views) |
Background & aim: A large number of patients are admitted to Intensive Care Units (ICUs) due to the need for mechanical ventilation. In mechanical ventilators, various modes and settings are used according to the patients' needs, which can significantly impact patient outcomes. One of these modes is Adaptive Support Ventilation (ASV), for which more evidence is needed regarding its effects. This study aims to elucidate the impact of ASV on the outcomes of patients admitted to ICUs.
Methods: This systematic review study was conducted by searching relevant sources from the beginning up to April 5, 2023, in both English and Persian, with no time limitations on articles. The literature search was performed using Persian keywords including 'adaptive support ventilation,' 'intensive care,' 'patient outcomes,' 'mechanical ventilation,' and their English equivalents: 'adaptive support ventilation,' 'ASV,' 'intensive care,' 'critical care,' 'mechanical ventilation,' 'patients outcomes' in Persian-language databases such as SID, MagIran, IranMedex, and IranDoc, as well as English-language databases including Scopus, Web of Science, PubMed, Cochrane, EMBASE, ScienceDirect, and ProQuest, along with the first 30 pages of the Google Scholar search engine using the AND and OR operators. The selected articles were then categorized and entered the final stage for data extraction.
Results: Out of 492 retrieved articles, 130 were included in the final stage of the study. A total of 107 studies reported outcomes on the impact of ASV, including reduced weaning time, lung protection and safe ventilation, reduced hospital stay duration, less clinical intervention, and reduced manpower requirements. Two studies examined the weaning duration and the impact of this mode on children and adolescents. Eleven studies did not observe any effects on weaning or the protective impact of this mode, and finally, ten studies reported complications associated with ASV.
Conclusion: According to findings it can be stated that the use of ASV can reduce the patient's need for a ventilator and the number of breaths, while increasing tidal volume to prolong exhalation time in patients with Chronic Obstructive Pulmonary Disease (COPD) and reduce air trapping. This mode is recommended for patients in ICUs after heart surgery that needs rapid extubation. However, caution is advised when using it in children, infants, and obese patients who have undergone open-heart surgery. In addition, ASV can be used as an effective intervention for patients in ICUs. |
|
| Keywords: Adaptive Support Ventilation, Intensive Care Unit, Mechanical Ventilation |
|
|
Full-Text [PDF 1314 kb]
(71 Downloads)
|
Type of Study: Research |
Subject:
Special
Received: 2024/04/24 | Accepted: 2024/11/2 | Published: 2024/11/2
|
|
|
|
|
|
|
| Send email to the article author |
|
|
|
| Add your comments about this article |
|
|
|
