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ICU-ROX

2019 Respiratory
? ICUs
965 patients

Clinical Question

In mechanically ventilated ICU patients does a conservative use of oxygen therapy compared to usual oxygen therapy affect the number of ventilator-free-days?

Critical Appraisal

Key findings

Subgroups:
Ischaemic hypoxic encephalopathy - better with conservative
Sepsis - better with usual care
Acute brain pathologies - better with usual care

Critique

Clinicians were unblinded. This may bias the attending physician to make decisions regarding management that impacts the outcome, particularly the decision to extubate the patient.

Population
Adult ICU Patients
Population Details
Requiring mechanical ventilation
Intervention Arms

Oxygen
Sats 91 - 96%

Control Arms

Standard Care

Primary Outcome
Ventilator free days at day 28
Secondary Outcomes
No difference in mortality , No difference in neurological outcome
P Value
0.9

Outcome Results

Not recorded