Evidence map›Paper›PMID 28578708›Full record

Trial reportCritical care (London, England)2017

Effects of neurally adjusted ventilatory assist on air distribution and dead space in patients with acute exacerbation of chronic obstructive pulmonary disease.

Qin Sun, Ling Liu, Chun Pan, Zhanqi Zhao, Jingyuan Xu, Airan Liu, Haibo Qiu

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Critical care (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02289573 (Effects of NAVA and PSV to AECOPD Patients' Air Distribution and Dead Space), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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.

NCT02289573 phase3unknown statusnot on this map

Effects of NAVA and PSV to AECOPD Patients' Air Distribution and Dead Space

TypeinterventionalSponsorSoutheast University, ChinaRan2014 to 2015Enrolled15ConditionsChronic Obstructive Pulmonary DiseaseArmsNAVA and PSV
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Observational
  9. Article
  10. Article
  11. Review
  12. Article
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 2 institutions in 2 countries.

Qin SunDepartment of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, No.87, Dingjiaqiao Road, Gulou District, Nanjing, 210009, Jiangsu, China.
Ling LiuDepartment of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, No.87, Dingjiaqiao Road, Gulou District, Nanjing, 210009, Jiangsu, China.
Chun PanDepartment of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, No.87, Dingjiaqiao Road, Gulou District, Nanjing, 210009, Jiangsu, China.
Zhanqi ZhaoInstitute of Technical Medicine, Furtwangen University, Villingen-Schwenningen, Germany.
Jingyuan XuDepartment of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, No.87, Dingjiaqiao Road, Gulou District, Nanjing, 210009, Jiangsu, China.
Airan LiuDepartment of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, No.87, Dingjiaqiao Road, Gulou District, Nanjing, 210009, Jiangsu, China.
Haibo QiuDepartment of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, No.87, Dingjiaqiao Road, Gulou District, Nanjing, 210009, Jiangsu, China. haiboq2000@163.com.
Zhongda Hospital Southeast University · CNFurtwangen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurally adjusted ventilatory assist (NAVA) could improve patient-ventilator interaction; its effects on ventilation distribution and dead space are still unknown. The aim of this study was to evaluate the effects of varying levels of assist during NAVA and pressure support ventilation (PSV) on ventilation distribution and dead space in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).

methodsFifteen mechanically ventilated patients with AECOPD were included in the study. The initial PSV levels were set to 10 cmH

resultsThe trigger and cycle delays were lower during NAVA than during PSV. The work of trigger was significantly lower during NAVA compared to PSV. The diaphragm activities based on ultrasonography were higher during NAVA compared to the same support level during PSV. The ventilation distribution in ROI4 increased significantly (P < 0.05) during NAVA compared to PSV (except for a support level of 50%). Similar results were found in ROI3 + 4. NAVA reduced dead space fraction compared to the corresponding support level of PSV.

conclusionsNAVA was superior to PSV in AECOPD for increasing ventilation distribution in ROI4 and reducing dead space.

trial registrationClinicaltrials.gov, NCT02289573 . Registered on 12 November 2014.

Indexed as

AgedAged, 80 and overAPACHEBlood Gas AnalysisElectric ImpedanceFemaleHumansIntensive Care UnitsInteractive Ventilatory SupportMaleMiddle AgedOrgan Dysfunction ScoresPulmonary Disease, Chronic ObstructiveRespiration, ArtificialRespiratory Dead SpaceTomographyElectrical impedance tomographyIntratidal gas distributionPatient-ventilator interactionVd/VtWork of trigger

Identifiers

PMID28578708
PMCPMC5455203
OpenAlexW2621244161

What OpenQuestion holds

Textmetadata
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.