Turkish Journal of Medical Sciences
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.
Author ORCID Identifier
SÜLEYMAN YILDIRIM: 0000-0001-9856-3431
NURHAYAT ÖZGÜN: 0000-0001-6506-1443
ÖZCAN ALPDOĞAN: 0000-0003-1965-4947
HÜSEYİN UÇAR: 0000-0001-7330-6666
İMREN TAŞKIRAN: 0000-0002-6166-7496
ADNAN ATA: 0000-0001-7265-3017
ÖZHAN ÖZCAN: 0000-0001-9928-2383
KIVANÇ ÖNCÜ: 0000-0001-6052-5640
SABA MUKADDES ACARBAY: 0000-0002-4460-5453
TEMEL GÜNER: 0000-0002-5910-2277
PINAR ÖZGÜN: 0000-0002-7639-8233
ZERRİN ÖZÇELİK: 0000-0001-5761-2022
AYŞEGÜL ÇINAROĞLU: 0000-0002-3557-5539
GİZEM KURADA: 0000-0002-0008-1811
L. AVLAĞI: 0009-0004-5200-270X
ONUR GÖKÇE: 0000-0003-4964-1020
ÖZKUL YILMAZ ÇOLAK: 0000-0003-2846-6358
FATMA ÜLGER: 0000-0001-5366-532X
MELDA İŞEVİ: 0000-0001-5308-7662
ÖZGÜR KILIÇ: 0000-0001-7194-8569
RAHİME AYDIN KAYALI: 0000-0003-3819-3285
METİN YARICI: 0000-0002-3633-5211
BERKAY KÜÇÜK: 0000-0002-5166-1429
FATMA YILDIRIM: 0000-0003-3715-3097
KAMİL GÖNDEREN: 0000-0001-5152-6430
BİŞAR ERGÜN: 0000-0003-4828-7576
KUTLAY AYDIN: 0000-0003-2469-2833
KAMURAN ULUÇ: 0000-0001-6128-0462
SEVDA ONUK: 0000-0001-7601-1601
MİNE ALTINKAYA ÇAVUŞ: 0000-0003-2584-0463
YELDA BALIK: 0000-0001-8382-6569
AHMET SARI: 0000-0002-7368-8147
HAYRİYE CANKAR DAL: 0000-0003-4744-9959
ŞERİFE GÖKBULUT BEKTAŞ: 0000-0001-6057-723X
SEMA TURAN: 0000-0003-2443-0390
FERHAN DEMİRER AYDEMİR: 0000-0002-6740-1496
MURAT GÜNEŞ: 0000-0001-9287-7763
CANAN GÜRSOY: 0000-0003-0658-9138
HÜSEYİN YILMAZ: 0000-0001-8743-1476
KAMİL İNCİ: 0000-0002-3815-4342
TÜRKAY AKBAŞ: 0000-0002-2150-6866
HAMZA GÜLTEKİN: 0000-0001-9394-4999
BURCU ACAR ÇİNLETİ: 0000-0003-3369-6617
TUĞÇE MENGİ: 0000-0002-0639-0957
KANİYE AYDIN: 0000-0001-5538-3692
FERHAT ÇETİNKAYA: 0000-0003-1636-4979
SELİN EYÜPOĞLU: 0000-0003-2132-4605
ELİF KERİMOĞLU: 0000-0002-9846-2718
HÜSEYİN ÖZKÖK: 0000-0001-9948-4233
SELÇUK YAYLACI: 0000-0002-6768-7973
HAVVA KOCAYİĞİT: 0000-0002-8719-7031
BURAK KAYA: 0000-0001-6635-4061
METE ERDEMİR: 0000-0001-6355-835X
GÜRHAN TAŞKIN: 0000-0002-6406-9221
KAZIM ROLLAS: 0000-0003-2637-2219
HÜSEYİN ÖZKARAKAŞ: 0000-0002-3897-9985
MENSURE ÇAKIRGÖZ: 0000-0001-7687-0924
CENK KIRAKLI: 0000-0001-6013-7330
FERHAN DEMİRER AYDEMİR: 0000-0002-6740-1496
TÜRKAY AKBAŞ: 0000-0002-2150-6866
HAMZA GÜLTEKİN: 0000-0001-9394-4999
KANİYE AYDIN: 0000-0001-5538-3692
SELİN EYÜPOĞLU: 0000-0003-2132-4605
HAVVA KOCAYİĞİT: 0000-0002-8719-7031
GÜRHAN TAŞKIN: 0000-0002-6406-9221
KAZIM ROLLAS: 0000-0003-2637-2219
MENSURE ÇAKIRGÖZ: 0000-0001-7687-0924
CENK KIRAKLI: 0000-0001-6013-7330
DOI
10.55730/1300-0144.6138
Keywords
intensive care unit, mechanical ventilation, Point prevalence study, synchronized intermittent mandatory ventilation, ventilation modes, weaning
First Page
60
Last Page
70
Publisher
The Scientific and Technological Research Council of Türkiye (TÜBİTAK)
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
YILDIRIM, S, ÖZGÜN, N. K, ALPDOĞAN, Ö, UÇAR, H, TAŞKIRAN, İ, ATA, A, ÖZCAN, Ö, ÖNCÜ, K, ACARBAY, S, GÜNER, T, ÖZGÜN, P, ÖZÇELİK, Z, ÇINAROĞLU, A, KURADA, G, AVLAĞI, L. S, GÖKÇE, O, YILMAZ ÇOLAK, Ö, ÜLGER, F, İŞEVİ, M, KILIÇ, Ö, AYDIN KAYALI, R, YARICI, M, KÜÇÜK, B, YILDIRIM, F, GÖNDEREN, K, ERGÜN, B, AYDIN, K, ULUÇ, K, ONUK, S, ALTINKAYA ÇAVUŞ, M, BALIK, Y, SARI, A, CANKAR DAL, H, GÖKBULUT BEKTAŞ, Ş, TURAN, S, AYDEMİR, F. D, AKBAŞ, T, GÜLTEKİN, H, AYDIN, K, EYÜPOĞLU, S, KOCAYİĞİT, H, TAŞKIN, G, ROLLAS, K, ÇAKIRGÖZ, M, & KIRAKLI, C (2026). Preference of mechanical ventilation modes among intensivists in Türkiye: a national wide, point prevalence study. Turkish Journal of Medical Sciences 56 (1): 60-70. https://doi.org/10.55730/1300-0144.6138
