Volume-controlled mechanical ventilation during cardiopulmonary resuscitation: A systematic review and meta-analysis
When managing CPR, you can proceed with either volume-controlled or manual ventilation without significant concern for worsening outcomes based on this meta-analysis. However, remember that the literature does not definitively prove one mode's superiority over others; therefore, stick to established protocols while remaining mindful of potential variations in local institutional guidelines.
This systematic review and meta-analysis synthesized the current evidence regarding the use of volume-controlled mechanical ventilation versus manual ventilation during cardiopulmonary resuscitation. The authors concluded that, based on randomized trial data, there is no significant difference in overall clinical outcomes when comparing these two modes of ventilation. Furthermore, they highlighted that the relative benefit of using volume-controlled ventilation compared to other available mechanical ventilation strategies remains unclear from the current literature. This suggests that while a specific mode might seem theoretically superior, the hard evidence supporting it over manual bagging during CPR is lacking.