Preference of mechanical ventilation modes among intensivists in Türkiye: a national wide, point prevalence study
Year: 2026
Type: article
Study design: Observational Study
Abstract: Background/aim: Invasive mechanical ventilation (IMV) is a fundamental intervention for patients with respiratory failure in intensive care units (ICUs). This nationwide, multicenter point-prevalence study aimed to describe current mechanical ventilation mode preferences (conventional, adaptive, and biphasic) in Turkish ICUs and to report associated clinical outcomes descriptively, without assessing causal relationships. 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.
Authors: SÜLEYMAN YILDIRIM, NURHAYAT KILINÇ ÖZGÜN, ÖZCAN ALPDOĞAN, HÜSEYİN UÇAR, İMREN TAŞKIRAN, ADNAN ATA, ÖZHAN ÖZCAN, KIVANÇ ÖNCÜ, SABA MUKADDES ACARBAY, TEMEL GÜNER, PINAR ÖZGÜN, ZERRİN ÖZÇELİK, AYŞEGÜL ÇINAROĞLU, GİZEM KURADA, L. SERAP AVLAĞI, ONUR GÖKÇE, ÖZKUL YILMAZ ÇOLAK, FATMA ÜLGER, MELDA İŞEVİ, ÖZGÜR KILIÇ, RAHİME AYDIN KAYALI, METİN YARICI, BERKAY KÜÇÜK, FATMA YILDIRIM, KAMİL GÖNDEREN, BİŞAR ERGÜN, KUTLAY AYDIN, KAMURAN ULUÇ, SEVDA ONUK, MİNE ALTINKAYA ÇAVUŞ, YELDA BALIK, AHMET SARI, HAYRİYE CANKAR DAL, ŞERİFE GÖKBULUT BEKTAŞ, SEMA TURAN, FERHAN DEMİRER AYDEMİR, TÜRKAY AKBAŞ, HAMZA GÜLTEKİN, KANİYE AYDIN, SELİN EYÜPOĞLU, HAVVA KOCAYİĞİT, GÜRHAN TAŞKIN, KAZIM ROLLAS, MENSURE ÇAKIRGÖZ, CENK KIRAKLI
Institutions: Sağlık Bilimleri Üniversitesi, HSU Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, İzmir Şehir Hastanesi, Izmir Tepecik Eğitim ve Araştırma Hastanesi, Sancaktepe Şehit Prof. Dr. İlhan Varank Eğitim ve Araştırma Hastanesi, Kastamonu Education and Research Hospital, Ondokuz Mayıs University, Ankara Etlik City Hospital, Izmir Kâtip Çelebi University, Cukurova University, Ministry of Health, Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Ankara Bilkent City Hospital, Düzce Üniversitesi, Dicle University, Sakarya University, Sakarya Eğitim ve Araştırma Hastanesi, Gülhane Eğitim ve Araştırma Hastanesi
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7128921240
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