VENTIlatory strategies for patients with severe traumatic brain injury in the LOw-and Middle-Income CountrieS. The VENTILOMICS survey
Objective: To revisit the VENTIlatory Strategies for Patients with Severe Traumatic Brain Injury (VENTILO) survey, focusing on ventilatory management practices among healthcare professionals in low- and middle-income countries. Methodology: A cross-sectional on-line survey, VENTIlatory strategie...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | en |
| Published: |
Brazilian Intensive Care Medicine Association (AMIB)
2025
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/49095/3/VENTIlatory.pdf http://ir.unimas.my/id/eprint/49095/ https://criticalcarescience.org/wp-content/uploads/sites/7/2025/07/2965-2774-ccsci-37-e20250062.pdf https://doi.org/10.62675/2965-2774.20250062 |
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| Summary: | Objective: To revisit the VENTIlatory Strategies for Patients with Severe Traumatic Brain Injury (VENTILO) survey, focusing on ventilatory management practices among
healthcare professionals in low- and middle-income countries.
Methodology: A cross-sectional on-line survey, VENTIlatory
strategies for patients with severe traumatic brain injury in the LOw- and Middle-Income CountrieS (VENTILOMICS), was
conducted using the original VENTILO survey questionnaire,
developed following a review of literature on respiratory
management in traumatic brain injury patients, captured
demographics of participants, type of hospital/specialty and
available neuromonitoring tools; protocols for mechanical
ventilation and weaning, and respiratory management
strategies. Descriptive statistics were computed for all study variables. We analyzed data based on the economic status of the low- and middle-income countries.
Results: There were 204 respondents from 28 low- and
middle-income countries. Our results indicate that
55 - 70% of respondents recommend tidal volumes of
6 - 8mL/kg for patients with high or medium partial pressure
of arterial oxygen/inspired fraction of oxygen, while tidal
volumes of 4 - 6mL/kg is preferred for those with low partial pressure of arterial oxygen/inspired fraction of oxygen ratios. For patients with intracranial hypertension, lower positive end-expiratory pressure levels were utilized.
Conclusion: The findings suggest a consistent approach to
lung-protective ventilation across low-and middle-income
countries, with notable variations influenced by local
resources and economic status. This study highlights the
necessity for tailored research and guidelines to address
the specific challenges faced in traumatic brain injury
management within low-and middle-income countries. |
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