Evidence map›Paper›PMID 22796845›Full record

ReviewChest2012

Technologic advances in endotracheal tubes for prevention of ventilator-associated pneumonia.

Juan F Fernandez, Stephanie M Levine, Marcos I Restrepo

Open access · bronzeAbstract readReview
In one paragraph

Review in Chest, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.1field-weighted citation impact, top 4% 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.

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

23 citing papers in PubMed, 77 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Endotracheal Tube Biofilm and its Impact on the Pathogenesis of Ventilator-Associated Pneumonia.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2018
    Article
  12. Article
  13. Article
  14. Article
  15. Microbial Biofilms in Pulmonary and Critical Care Diseases.Annals of the American Thoracic Society · 2016
    Review
  16. Review
  17. Article
  18. Article
  19. When does nutrition impact respiratory function?Current gastroenterology reports · 2013
    Review
  20. Mechanical ventilation: past lessons and the near future.Critical care (London, England) · 2013
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Juan F FernandezDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, the University of Texas Health Science Center at San Antonio, San Antonio, TX.
Stephanie M LevineDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, the University of Texas Health Science Center at San Antonio, San Antonio, TX.
Marcos I RestrepoDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, the University of Texas Health Science Center at San Antonio, San Antonio, TX; Veterans Evidence Based Research Dissemination and Implementation Center (VERDICT), Audie L. Murphy VA Hospital, San Antonio, TX. Electronic address: restrepom@uthscsa.edu.
The University of Texas Health Science Center at San Antonio · US

Funding

Effect of macrolides as immunomodulators in patients with sepsis and pneumoniaK23HL096054 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI RESTREPO, MARCOS I. · 2010 to 2014
$689k
NHLBI NIH HHS K23 HL096054NHLBI NIH HHS K23HL096054
6 · The paper itself

Abstract

Ventilator-associated pneumonia (VAP) is associated with high morbidity, mortality, and costs. Interventions to prevent VAP are a high priority in the care of critically ill patients requiring mechanical ventilation (MV). Multiple interventions are recommended by evidence-based practice guidelines to prevent VAP, but there is a growing interest in those related to the endotracheal tube (ETT) as the main target linked to VAP. Microaspiration and biofilm formation are the two most important mechanisms implicated in the colonization of the tracheal bronchial tree and the development of VAP. Microaspiration occurs when there is distal migration of microorganisms present in the secretions accumulated above the ETT cuff. Biofilm formation has been described as the development of a network of secretions and attached microorganisms that migrate along the ETT cuff polymer and inside the lumen, facilitating the transfer to the sterile bronchial tree. Therefore, our objective was to review the literature related to recent advances in ETT technologies regarding their impact on the control of microaspiration and biofilm formation in patients on MV, and the subsequent impact on VAP.

Indexed as

BiofilmsCritical IllnessEquipment DesignHumansIntubation, IntratrachealPneumonia, AspirationPneumonia, Ventilator-AssociatedRespiration, Artificial

Identifiers

PMID22796845
PMCPMC3418858
OpenAlexW2134246551

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.