Evidence map›Paper›PMID 24881080›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2014

Prone ventilation in acute respiratory distress syndrome.

Claude Guérin

Abstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Article
  2. Article
  3. Translational medicine for acute lung injury.Journal of translational medicine · 2024
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Awake Proning for Nonintubated Adult Hypoxic Patients with COVID-19: A Systematic Review of the Published Evidence.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  10. Prone ventilation as treatment of acute respiratory distress syndrome related to COVID-19.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Review
  11. Precision medicine in acute respiratory distress syndrome: workshop report and recommendations for future research.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  12. Review
  13. Safe surgical tracheostomy in patients with COVID-19: key clinical considerations.Annals of the Royal College of Surgeons of England · 2021
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. ARDS: challenges in patient care and frontiers in research.European respiratory review : an official journal of the European Respiratory Society · 2018
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Claude GuérinRéanimation Médicale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Université de Lyon, Créatis INSERM 1044, Lyon, France claude.guerin@chu-lyon.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prone positioning has been used for many years in patients with acute lung injury (ALI)/acute respiratory distress syndrome (ARDS), with no clear benefit for patient outcome. Meta-analyses have suggested better survival in patients with an arterial oxygen tension (PaO2 )/inspiratory oxygen fraction (FIO2 ) ratio <100 mmHg. A recent randomised controlled trial was performed in ARDS patients after a 12-24 h stabilisation period and severity criteria (PaO2 /FIO2 <150 mmHg at a positive end-expiratory pressure ≥5 cmH2O). This trial has demonstrated a significant reduction in mortality from 32.8% in the supine group to 16% in the prone group (p<0.001). The reasons for this dramatic effect are not clear but probably involves a reduction in ventilator-induced lung injury due to prone positioning, for which there is ample evidence in experimental and clinical studies. The aims of this article are to discuss: the rationale of prone positioning in patients with ALI/ARDS; the evidence of its use based on trial analysis; and the limitations of its use as well as the current place of prone positioning in the management of patients with ALI/ARDS. From the currently available data, prone positioning should be used as a first-line therapy in patients with severe ALI/ARDS.

Indexed as

Patient PositioningProne PositionAcute Lung InjuryAnimalsHumansLungProtective FactorsRespiration, ArtificialRespiratory Distress SyndromeRisk FactorsTreatment OutcomeVentilator-Induced Lung Injury

Identifiers

PMID24881080
PMCPMC9487564

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.