What do systematic reviews say?

Low tidal volume vs high tidal volume

Low tidal volume showed no clear difference in mortality compared with high tidal volume (low certainty).

• Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of… 2018 · Cochrane Headline outcomes only
  RR 0.8 [0.42, 1.53]
  12 studies · 1207 participants
  Low

Low tidal volume vs high tidal volume

Low tidal volume probably leads to lower pneumonia compared with high tidal volume (moderate certainty).

• Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of… 2018 · Cochrane Headline outcomes only
  RR 0.45 [0.25, 0.82]
  7 studies · 778 participants
  Moderate

Low tidal volume vs high tidal volume

Low tidal volume probably leads to lower need for postoperative non‐invasive ventilatory support compared with high tidal volume (moderate certainty).

• Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of… 2018 · Cochrane Headline outcomes only
  RR 0.31 [0.15, 0.64]
  3 studies · 506 participants
  Moderate

Low tidal volume vs high tidal volume

Low tidal volume probably leads to lower need for postoperative invasive ventilatory support compared with high tidal volume (moderate certainty).

• Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of… 2018 · Cochrane Headline outcomes only
  RR 0.33 [0.14, 0.77]
  11 studies · 957 participants
  Moderate

Low tidal volume vs high tidal volume

• Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of… 2018 · Cochrane Headline outcomes only
  no estimate extracted
  5 studies · 898 participants
  Low

Low tidal volume vs high tidal volume

• Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of… 2018 · Cochrane Headline outcomes only
  no estimate extracted
  14 studies · 1298 participants
  Low

Low tidal volume vs high tidal volume

It is very uncertain whether low tidal volume changes barotrauma: pneumothorax compared with high tidal volume (very low certainty).

• Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of… 2018 · Cochrane Headline outcomes only
  RR 1.77 [0.52, 5.99]
  5 studies · 708 participants
  Very low

Mortality: prone position vs supine

Mortality: prone position probably leads to lower subgroup analysis of longer‐term mortality: lower tidal volume… compared with supine (moderate certainty).

• Prone position for acute respiratory failure in adults 2015 · Cochrane Headline outcomes only
  RR 0.73 [0.55, 0.96]
  5 studies · 911 participants
  Moderate