Evidence map›Paper›PMID 15858606›Full record

Trial reportJournal of perinatology : official journal of the California Perinatal Association2005

Work of breathing during nasal continuous positive airway pressure in preterm infants: a comparison of bubble vs variable-flow devices.

Ellina Liptsen, Zubair H Aghai, Kee H Pyon, Judy G Saslow, Tarek Nakhla, Jennifer Long, Andrew M Steele, Robert H Habib, Sherry E Courtney

2 registry-linked trialsAbstract readClinical TrialComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of perinatology : official journal of the California Perinatal Association, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03592134 unknown statusnot on this mapstarted 2018, after this paper: background citation

Choice and Optimal Settings of Non Invasive Respiratory Support in Preterm Newborns < 30 Gestational Weeks

TypeobservationalSponsorHôpital Necker-Enfants MaladesRan2018 to 2018Enrolled60ConditionsPreterm Infant, Respiratory Distress SyndromeArmsesophageal pressure measurement
NCT03870243 nacompletednot on this mapstarted 2019, after this paper: background citation

Feasibility and Acceptability Followed by Effectiveness of Bubble Continuous Positive Airway Pressure (bCPAP) for Treatment of Children Aged 1-59 Months With Severe Pneumonia in Ethiopia: A Cluster Randomized Controlled Clinical Trial

TypeinterventionalSponsorInternational Centre for Diarrhoeal Disease Research, BangladeshRan2019 to 2022Enrolled1,240ConditionsSevere PneumoniaArmsBubble CPAP, Low flow oxygen
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Bubble and ventilator-derived nasal continuous positive airway pressure in premature infants: work of breathing and gas exchange.Journal of perinatology : official journal of the California Perinatal Association · 2011
    Trial
  5. Nasal continuous positive airway pressure from high flow cannula versus Infant Flow for Preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2006
    Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. CPAP review.European journal of pediatrics · 2012
    Review
  14. Bubble continuous positive airway pressure enhances lung volume and gas exchange in preterm lambs.American journal of respiratory and critical care medicine · 2007
    Article
  15. Early variable-flow nasal continuous positive airway pressure in infants < or =1000 grams at birth.Journal of perinatology : official journal of the California Perinatal Association · 2006
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Ellina LiptsenDepartment of Pediatrics, Schneider Children's Hospital, North Shore Long Island Jewish Health System, New Hyde Park, NY 11040, USA.
Zubair H Aghai
Kee H Pyon
Judy G Saslow
Tarek Nakhla
Jennifer Long
Andrew M Steele
Robert H Habib
Sherry E Courtney
Schneider Children's Hospital · USUniversity Medical Center · USCooper University Hospital · USMercy Children's Hospital · USNorthwell Health · USUniversity Hospital and Clinics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare work of breathing and breathing asynchrony during bubble nasal continuous positive airway pressure (NCPAP) vs variable-flow (VF)-NCPAP in premature infants. STUDY

designWe studied 18 premature infants of birth weight <1500 g who required NCPAP for mild respiratory distress. Each infant was studied on bubble and VF-NCPAP at 8, 6, 4, and 0 cm H2O. Tidal volumes were obtained by calibrated respiratory inductance plethysmography. Esophageal pressure estimated intrapleural pressure. Inspiratory and resistive work of breathing were calculated from pressure-volume data. Breathing asynchrony was assessed with phase angle. The results at all NCPAP levels were referenced to VF-NCPAP values at 8 cm H2O.

resultsProvision of NCPAP with either device decreased inspiratory work of breathing, tidal volume, and minute ventilation relative to NCPAP of 0 cm H2O. Bubble NCPAP did not decrease resistive work of breathing relative to 0 cm H2O. Resistive work of breathing (p=0.01), respiratory rate (p<0.03), and phase angle (p=0.002) were all greater with bubble compared to VF-NCPAP.

conclusionThe more labored and asynchronous breathing seen with bubble NCPAP may lead to higher failure rates over the long term than with VF-NCPAP.

Indexed as

Continuous Positive Airway PressureCross-Over StudiesHumansInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightLung ComplianceRespiratory Distress Syndrome, NewbornRespiratory MechanicsTidal VolumeWork of Breathing

Identifiers

PMID15858606
OpenAlexW2163084256

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.