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Updated: Oct 30, 2025

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses
Published on: November 10, 2023
2020 Year in Review: Shared Ventilation for COVID-19
Richard D Branson1, Dario Rodriquez2
1Department of Surgery, Division of Trauma & Critical Care, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, Ohio. branson@aarc.org.
Shared ventilation, using one ventilator for multiple patients, emerged during the COVID-19 pandemic. This review examines the technical, clinical, and ethical aspects of this controversial respiratory support method.
Area of Science:
- Critical Care Medicine
- Pulmonology
- Infectious Diseases
Background:
- The COVID-19 pandemic caused unprecedented respiratory failure, leading to predicted shortages of mechanical ventilators.
- Shared ventilation, using a single ventilator for multiple patients, was proposed to address potential ventilator scarcity.
- The concept gained traction in both lay and scientific press despite limited prior research.
Purpose of the Study:
- To review the peer-reviewed literature published in 2020 concerning shared ventilation techniques.
- To analyze the technical feasibility, clinical applications, limitations, and ethical considerations of shared ventilation.
Main Methods:
- Literature review of peer-reviewed articles published in 2020.
- Synthesis of information on technical aspects, clinical experiences, and ethical debates surrounding shared ventilation.
Main Results:
- Over 40 publications emerged in 2020, a significant increase from prior years.
- The literature covers technical implementation, clinical case studies, and extensive discussions on the limitations and ethics of shared ventilation.
Conclusions:
- Shared ventilation presents significant technical challenges and ethical dilemmas.
- The rapid proliferation of literature highlights the urgent need for careful consideration of this strategy in critical care settings.
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