Comparison of Manual and Mechanical Ventilation During Intensive Care Unit Transport Following Cardiac Surgery: Impact on Oxygenation, Ventilation, and Hemodynamic Stability.
Publication/Presentation Date
3-1-2025
Abstract
OBJECTIVES: Following cardiac surgery, patients often require ventilatory support during transport to the intensive care unit (ICU). Manual ventilation using a bag valve mask (BVM) is commonly employed; however, mechanical ventilation may sometimes be preferred due to concerns regarding oxygenation, ventilation, and hemodynamic stability. The decision between manual and mechanical ventilation is typically based on clinical experience and surgical factors, as there is no established consensus or robust clinical evidence to guide this choice. The aim of this study was to compare oxygenation, ventilation, and hemodynamic parameters between manual ventilation with a BVM and mechanical ventilation using a transport ventilator.
DESIGN: A prospective, single-blinded clinical trial.
SETTING: A single-center tertiary academic hospital.
PARTICIPANTS: A total of 48 patients who underwent cardiac surgery and were transported to the ICU between September 2023 and August 2024 were enrolled.
INTERVENTIONS: Patients meeting the inclusion criteria were randomly assigned to one of two groups: Patients in Arm 1received manual ventilation using a BVM during transport to the ICU; patients in Arm 2 received mechanical ventilation using a transport ventilator during transport to the ICU.
MEASUREMENTS AND MAIN RESULTS: Percentage changes in the PaO
CONCLUSIONS: In patients who have undergone cardiac surgery, hypotension occurred more frequently in the BVM group than in the mechanical ventilation group during transport to the ICU. However, oxygenation and ventilation parameters were comparable between the two groups.
Volume
39
Issue
3
First Page
644
Last Page
652
ISSN
1532-8422
Published In/Presented At
Morita, Y., Kariya, T., Torjman, M., Pfeil, D., Berg, K., Vetrugno, L., Raphael, J., & Goldhammer, J. (2025). Comparison of Manual and Mechanical Ventilation During Intensive Care Unit Transport Following Cardiac Surgery: Impact on Oxygenation, Ventilation, and Hemodynamic Stability. Journal of cardiothoracic and vascular anesthesia, 39(3), 644–652. https://doi.org/10.1053/j.jvca.2024.12.017
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
39757025
Department(s)
Administration and Leadership
Document Type
Article