Evidence map›Paper›PMID 27324241›Full record

ArticleIntensive care medicine2016

Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.

Malik Haddam, Laurent Zieleskiewicz, Sebastien Perbet, Alice Baldovini, Christophe Guervilly, Charlotte Arbelot, Alexandre Noel, Coralie Vigne, Emmanuelle Hammad, François Antonini and 14 more

3 registry-linked trialsAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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.

NCT03018431 unknown statusnot on this mapstarted 2017, after this paper: background citation

Impact of CT Scan and Lung Ultrasonogrpahy in Early Diagnostic Accuracy for Ventilation Acquired Lower Respiratory Tract Infections in Intensive Care Units.

Typeobservational_patient_registrySponsorCentre Hospitalier Universitaire de BesanconRan2017 to 2019Enrolled160ConditionsVentilator-Associated Pneumonia, TracheobronchitisArmsCT Scan
NCT04692779 completednot on this mapstarted 2021, after this paper: background citation

A Prospective Clinical Study to Explore the Mechanism of Patients' Response to Prone Positioning in ARDS Patients, Including COVID-19

TypeobservationalSponsorRush University Medical CenterRan2021 to 2024Enrolled60ConditionsCovid19, ARDSArmsLung Ultrasound (LUS)
NCT05980494 nacompletednot on this mapstarted 2022, after this paper: background citation

Validity of Lung Ultrasound Score and Inferior Vena Cava Diameter Compared to Pulse Pressure Variation Predicting Fluid Responsiveness in Mechanically Ventilated Critically Ill Patients: a Comparative Study

TypeinterventionalSponsorFayoum University HospitalRan2022 to 2024Enrolled150ConditionsSepsis, Critical IllnessArmsnormal Saline, lung ultrasound, inferior vena cava measurements, passive leg raising test (PLRT), pulse pressure variation
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 2 syntheses or guidelines pooled it, 142 citations in OpenAlex.

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  6. Validation of Lung Ultrasound Score for Disease Severity and Outcomes in Pediatric Acute Respiratory Failure.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2026
    Observational
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 8 institutions in 1 country.

Malik HaddamService d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.
Laurent ZieleskiewiczService d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.
Sebastien PerbetDépartement de Médecine Périopératoire, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Alice BaldoviniService d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.
Christophe GuervillyService de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille, France.
Charlotte ArbelotRéanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.
Alexandre NoelService d'anesthésie et réanimation, Hôpital d'instruction des armées, Laveran, Marseille, France.
Coralie VigneService d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.
Emmanuelle HammadService d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.
François AntoniniService d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.
Samuel LehingueService de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille, France.
Eric PeytelService d'anesthésie et réanimation, Hôpital d'instruction des armées, Laveran, Marseille, France.
Qin LuRéanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.
Belaid BouhemadCentre Hospitalier Universitaire de Dijon, 36659, Service Anesthésie Réanimation, Dijon, Bourgogne, France.
Jean-Louis GolmardRéanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.
Olivier LangeronRéanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.
Claude MartinService d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.
Laurent MullerService des réanimations, pôle anesthésie réanimation douleur urgence, CHU Nîmes, Nîmes, France.
Jean-Jacques RoubyRéanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.
Jean-Michel ConstantinDépartement de Médecine Périopératoire, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Laurent PapazianService de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille, France.
Marc LeoneService d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France. marc.leone@ap-hm.fr.
CAR’Echo Collaborative Network
AzuRea Collaborative Network
Assistance Publique Hôpitaux de Marseille · FRAssistance Publique – Hôpitaux de Paris · FRAix-Marseille Université · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRHôpital Laveran · FRHôpital Nord · FRCentre Hospitalier Universitaire de Nîmes · FRCentre Hospitalier Universitaire Dijon Bourgogne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProne position (PP) improves oxygenation and outcome of acute respiratory distress syndrome (ARDS) patients with a PaO2/FiO2 ratio <150 mmHg. Regional changes in lung aeration can be assessed by lung ultrasound (LUS). Our aim was to predict the magnitude of oxygenation response after PP using bedside LUS.

methodsWe conducted a prospective multicenter study that included adult patients with severe and moderate ARDS. LUS data were collected at four time points: 1 h before (baseline) and 1 h after turning the patient to PP, 1 h before and 1 h after turning the patient back to the supine position. Regional lung aeration changes and ultrasound reaeration scores were assessed at each time. Overdistension was not assessed.

resultsFifty-one patients were included. Oxygenation response after PP was not correlated with a specific LUS pattern. The patients with focal and non-focal ARDS showed no difference in global reaeration score. With regard to the entire PP session, the patients with non-focal ARDS had an improved aeration gain in the anterior areas. Oxygenation response was not associated with aeration changes. No difference in PaCO2 change was found according to oxygenation response or lung morphology.

conclusionsIn ARDS patients with a PaO2/FiO2 ratio ≤150 mmHg, bedside LUS cannot predict oxygenation response after the first PP session. At the bedside, LUS enables monitoring of aeration changes during PP.

Indexed as

Prone PositionAdultAgedBlood Gas AnalysisFemaleHumansIntensive Care UnitsLungMaleMiddle AgedPartial PressurePositive-Pressure RespirationPredictive Value of TestsProspective StudiesRespirationRespiratory Distress SyndromeAcute respiratory distress syndromeLung ultrasoundOxygenationProne positionRecruitment

Identifiers

PMID27324241
OpenAlexW2471212625

What OpenQuestion holds

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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.