Evidence map›Paper›PMID 21143773›Full record

ReviewCritical care (London, England)2010

Clinical review: the ABC of weaning failure--a structured approach.

Leo M Heunks, Johannes G van der Hoeven

Registry-linked trialAbstract readReview
In one paragraph

Review in Critical care (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03608332 (Diaphragmatic Ultrasound as a Guide Tool During Weaning From Mechanical Ventilation), which is not on this map. Cited by 96 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 6 pooled it
–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.

NCT03608332 nacompletednot on this mapstarted 2018, after this paper: background citation

Diaphragmatic Ultrasound as a Guide Tool During Weaning From Mechanical Ventilation (Randomized Controlled Trial)

TypeinterventionalSponsorCairo UniversityRan2018 to 2019Enrolled160ConditionsDiaphragmatic Ultrasound in WeaningArmsdiaphragmatic ultrasound
3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
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  10. Can donepezil facilitate weaning from mechanical ventilation in difficult to wean patients? An interventional pilot study.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2015
    Trial
  11. Article
  12. Resuscitation preference conversation typologies: a constructivist grounded theory study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  13. Review
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Observational
  19. ECMO-weaning facilitated by neurally adjusted ventilatory assist (NAVA): a case for principal clarification.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025
    Article
  20. Review

36 more citing papers are in PubMed but not listed here.

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

2 authors.

Leo M HeunksDepartment of Intensive Care Medicine (632), Radboud University Nijmegen Medical Centre, Postbox 9101, 6500 HB Nijmegen, The Netherlands. L.Heunks@ic.umcn.nl
Johannes G van der Hoeven

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

About 20% to 30% of patients are difficult to wean from invasive mechanical ventilation. The pathophysiology of difficult weaning is complex. Accordingly, determining the reason for difficult weaning and subsequently developing a treatment strategy require a dedicated clinician with in-depth knowledge of the pathophysiology of weaning failure. This review presents a structural framework ('ABCDE') for the assessment and treatment of difficult-to-wean patients. Earlier recognition of the underlying causes may expedite weaning from mechanical ventilation.

Indexed as

AnimalsCardiovascular DiseasesHumansMetabolic DiseasesRespiration, ArtificialRespiratory InsufficiencyVentilator Weaning

Identifiers

PMID21143773
PMCPMC3220047

What OpenQuestion holds

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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.