Evidence map›Paper›PMID 20598114›Full record

ArticleCritical care (London, England)2010

Do recruitment maneuvers simply improve oxygenation?

Franco Valenza

Abstract readComment
In one paragraph

Article in Critical care (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Alveolar recruitment maneuvers in ventilated children: Caution required.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2011
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Franco ValenzaUniversità degli Studi di Milano, Fondazione IRCCS Policlinico Cá Granda, Via F, Sforza 35, 20122 Milano, Italy. franco.valenza@unimi.it

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recruitment maneuvers have been the subject of intense investigation. Their role in the acute care setting is debated given the lack of information on their influence on clinical outcomes. Oxygenation improvement is often a striking effect, together with changes of respiratory mechanics. However, hemodynamic compromise is frequently associated with the maneuver, sometimes even barotrauma. Another possible downside is bacterial translocation secondary to lung overdistention, as suggested by experimental and initial clinical data. When a recruitment maneuver is performed, the patho-physiological consequences of lung recruitment should guide clinicians more than oxygenation improvement alone.

Indexed as

Acute Lung InjuryContinuous Positive Airway PressureHumansHypoxiaIntubation, IntratrachealLungOxygenTreatment OutcomeOxygen

Identifiers

PMID20598114
PMCPMC2945070

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.