Preferences for mechanical ventilation modes among intensivists in Türkiye: a nationwide point-prevalence study.
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Yildirim Süleyman, Kilinç Özgün Nurhayat, Alpdoğan Özcan, Uçar Hüseyin, Taşkiran İmren, Ata Adnan, Özcan Özhan, Öncü Kıvanç, Acarbay Saba Mukaddes, Güner Temel, Özgün Pınar, Özçelik Zerrin, Çinaroğlu Ayşegül, Kurada Gizem, Avlaği L Serap, Gökçe Onur, Yilmaz Çolak Özkul, Ülger Fatma, Işevi Melda, Kiliç Özgür, Aydin Kayali Rahime, Yarici Metin, Küçük Berkay, Yildirim Fatma, Gönderen Kamil, Ergün Bişar, Aydin Kutlay, Uluç Kamuran, Onuk Sevda, Altinkaya Çavuş Mine, Balik Yelda, Sari Ahmet, Cankar Dal Hayriye, Gökbulut Bektaş Şerife, Turan Sema, Demirer Aydemir Ferhan, Güneş Murat, Gürsoy Canan, Yilmaz Hüseyin Oğuz, Inci Kamil, Akbaş Türkay, Gültekin Hamza, Acar Çinleti Burcu, Mengi Tuğçe, Aydin Kaniye, Çetinkaya Ferhat, Eyüpoğlu Selin, Kerimoğlu Elif, Özkök Hüseyin, Yaylaci Selçuk, Kocayiğit Havva, Kaya Burak, Erdemir Mete, Taşkin Gürhan, Rollas Kazım, Özkarakaş Hüseyin, Çakirgöz Mensure, Kirakli Cenk
Аннотация
MATERIALS AND METHODS: A nationwide, multicenter point-prevalence study was conducted on 17 April 2024 and included adult patients (≥18 years) who had been receiving IMV for more than 24 h. Data on patient demographics, ventilation mode distribution, ventilatory parameters, and descriptive clinical outcomes on day 28 (weaning status, tracheostomy, and mortality) were recorded without comparative outcome analysis.
RESULTS: A total of 426 patients were included. Conventional modes were used in 84.5% of patients, adaptive modes in 10.6%, and biphasic modes in 4.9%. Synchronized intermittent mandatory ventilation (SIMV) was the most commonly used conventional mode. The primary indication for IMV was acute respiratory failure (61%), with pneumonia being the leading cause. Among the 350 orotracheally intubated patients, 25.6% were in the weaning phase on the study day. A total of 59 (16.9%) patients were extubated, 150 (42.9%) underwent tracheostomy, and 64 (18.2%) remained intubated on day 28. Overall, 185 (43.4%) patients died during their ICU stay, 152 (35.7%) remained in the ICU, and 89 (20.9%) were successfully discharged from the ICU.
CONCLUSION: Conventional ventilation modes, particularly SIMV, were more commonly used in Turkish intensive care units (ICUs), whereas adaptive modes were less frequently applied. These patterns may reflect factors such as clinician familiarity, institutional practices, and equipment availability rather than definitive preferences. Although the impact of ventilation modes on clinical outcomes was not comparatively evaluated in this study, the choice of ventilation mode may still influence patient outcomes. Therefore, further prospective and comparative studies are warranted to better elucidate this relationship.