Evidence map›Paper›PMID 26686509›Full record

ArticleCritical care (London, England)2015

PEEP titration during prone positioning for acute respiratory distress syndrome.

Jeremy R Beitler, Claude Guérin, Louis Ayzac, Jordi Mancebo, Dina M Bates, Atul Malhotra, Daniel Talmor

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04024410 (Optimal Positive End-expiratory Pressure), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 7% 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.

NCT04024410 completednot on this mapstarted 2019, after this paper: background citation

Optimal Positive End-expiratory Pressure (PEEP) in Prone Position During Spine Surgery. A Prospective Observational Study

TypeobservationalSponsorParc de Salut MarRan2019 to 2021Enrolled20ConditionsAnesthesia, SurgeryArmsEvaluation of PEEP in prone position
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 31 citations in OpenAlex.

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  15. Ventilator-induced Lung Injury.Clinics in chest medicine · 2016
    Review
  16. Article
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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

7 authors at 4 institutions in 3 countries.

Jeremy R BeitlerDivision of Pulmonary and Critical Care Medicine, University of California, 200 West Arbor Drive, San Diego, CA, 92103, USA. jbeitler@ucsd.edu.
Claude GuérinService de Réanimation Médicale, Hôpital de la Croix-Rousse, Université de Lyon, 103 Grande Rue de la Croix-Rousse, 69004, Lyon, France.
Louis AyzacCentre de Coordination et de Lutte contre les Infections Nosocomiales Sud-Est, Hôpital Henri Gabrielle, 20 Routes de Vourles, 69230, Saint-Genis-Laval, France.
Jordi ManceboServei de Medicina Intensiva, Hospital de Sant Pau, Avinguda Sant Antoni Maria Claret 167, 08025, Barcelona, Spain.
Dina M BatesDivision of Pulmonary and Critical Care Medicine, University of California, 200 West Arbor Drive, San Diego, CA, 92103, USA.
Atul MalhotraDivision of Pulmonary and Critical Care Medicine, University of California, 200 West Arbor Drive, San Diego, CA, 92103, USA.
Daniel TalmorDepartment of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA.
University of California System · USBeth Israel Deaconess Medical Center · USHospital de Sant Pau · ESInserm · FR

Funding

Single Motor Unit Genioglossus Recordings to Understand Sleep Apnea PathogenesisR01HL085188 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2008 to 2018
$3.5M
Training in the Next Generation in Respiratory ScienceT32HL134632 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL, POWELL, FRANK L. · 2017 to 2021
$2.1M
Assessment of Upper Airway Mechanics Using Newer Electromyographic TechniquesK24HL132105 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2016 to 2020
$611k
NHLBI NIH HHS K24 HL132105NHLBI NIH HHS L30 HL129438NHLBI NIH HHS R01 HL085188NHLBI NIH HHS T32 HL134632
6 · The paper itself

Abstract

No major trial evaluating prone positioning for acute respiratory distress syndrome (ARDS) has incorporated a high-positive end-expiratory pressure (high-PEEP) strategy despite complementary physiological rationales. We evaluated generalizability of three recent proning trials to patients receiving a high-PEEP strategy. All trials employed a relatively low-PEEP strategy. After protocol ventilator settings were initiated and the patient was positioned per treatment assignment, post-intervention PEEP was not more than 5 cm H2O in 16.7 % and not more than 10 cm H2O in 66.0 % of patients. Post-intervention PEEP would have been nearly twice the set PEEP had a high-PEEP strategy been employed. Use of either proning or high-PEEP likely improves survival in moderate-severe ARDS; the role for both concomitantly remains unknown.

Indexed as

Prone PositionHumansPositive-Pressure RespirationRespiratory Distress Syndrome

Identifiers

PMID26686509
PMCPMC4699336
OpenAlexW2199659611

What OpenQuestion holds

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LicenceCC BY
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.