Evidence map›Paper›PMID 28592276›Full record

Trial reportTrials2017

Different strategies for mechanical VENTilation during CardioPulmonary Bypass (CPBVENT 2014): study protocol for a randomized controlled trial.

Elena Bignami, Marcello Guarnieri, Francesco Saglietti, Enivarco Massimo Maglioni, Sabino Scolletta, Stefano Romagnoli, Stefano De Paulis, Gianluca Paternoster, Cinzia Trumello, Roberta Meroni and 5 more

Registry-linked trialOpen access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02090205 (Mechanical Ventilation During Cardiac Surgery, a Randomized Controlled Trial), 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
3.8field-weighted citation impact, top 6% 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.

NCT02090205 naunknown statusnot on this map

Mechanical Ventilation During Cardiac Surgery, a Randomized Controlled Trial

TypeinterventionalSponsorOspedale San RaffaeleRan2014 to 2017Enrolled780ConditionsRespiratory Failure, Pneumothorax, Atelectasis, Aspiration PneumoniaArmsNon-ventilation during CPB, Ventilation with CPAP, Ventilation with 5 act/minute, CPAP, Ventilator: 5 act/minute
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  3. Trial
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  7. Observational
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  12. Review
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

15 authors at 10 institutions in 1 country.

Elena BignamiDepartment of Anaesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy. bignami.elena@hsr.it.
Marcello GuarnieriDepartment of Anaesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Francesco SagliettiDepartment of Anaesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Enivarco Massimo MaglioniDepartment of Anaesthesia, Intensive Care and Medical Biotechnologies University of Siena, Siena, Italy.
Sabino ScollettaDepartment of Anaesthesia, Intensive Care and Medical Biotechnologies University of Siena, Siena, Italy.
Stefano RomagnoliDepartment of Anaesthesiology and Intensive Care, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.
Stefano De PaulisDepartment of Cardiovascular Sciences, Catholic University of the Sacred Heart, 00168, Rome, Italy.
Gianluca PaternosterDepartment of Cardiovascular Anaesthesia and Intensive Care, Azienda Ospedaliera S. Carlo, Potenza, Italy.
Cinzia TrumelloDepartment of Cardiac Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Roberta MeroniDepartment of Anaesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Antonio ScognamiglioSection of Anesthesia and Intensive Care, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Via Pansini 16, Naples, Italy.
Alessandro Maria BudillonDepartment of Cardiac Surgery, Parma University Hospital, Parma, Italy.
Vincenzo PotaDepartment of Anesthesia and Intensive Care, Pineta Grande Private Hospital, 80122, Castelvolturno, Italy.
Alberto ZangrilloDepartment of Anaesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Ottavio AlfieriDepartment of Cardiac Surgery, Parma University Hospital, Parma, Italy.
Vita-Salute San Raffaele University · ITUniversity of Parma · ITUniversity of Siena · ITAzienda Ospedaliera Carlo Poma · ITAzienda Ospedaliero-Universitaria Careggi · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleUniversità Cattolica del Sacro Cuore · ITUniversity of Naples Federico II · ITVilla Pineta Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no consensus on which lung-protective strategies should be used in cardiac surgery patients. Sparse and small randomized clinical and animal trials suggest that maintaining mechanical ventilation during cardiopulmonary bypass is protective on the lungs. Unfortunately, such evidence is weak as it comes from surrogate and minor clinical endpoints mainly limited to elective coronary surgery. According to the available data in the academic literature, an unquestionable standardized strategy of lung protection during cardiopulmonary bypass cannot be recommended. The purpose of the CPBVENT study is to investigate the effectiveness of different strategies of mechanical ventilation during cardiopulmonary bypass on postoperative pulmonary function and complications. METHODS/

designThe CPBVENT study is a single-blind, multicenter, randomized controlled trial. We are going to enroll 870 patients undergoing elective cardiac surgery with planned use of cardiopulmonary bypass. Patients will be randomized into three groups: (1) no mechanical ventilation during cardiopulmonary bypass, (2) continuous positive airway pressure of 5 cmH DISCUSSION: The CPBVENT trial will establish whether, and how, different ventilator strategies during cardiopulmonary bypass will have an impact on postoperative pulmonary complications and outcomes of patients undergoing cardiac surgery.

trial registrationClinicalTrials.gov, ID: NCT02090205 . Registered on 8 March 2014.

Indexed as

Cardiac Surgical ProceduresCardiopulmonary BypassClinical ProtocolsHumansItalyLungPostoperative ComplicationsResearch DesignRespiration, ArtificialRespiratory MechanicsRisk FactorsSingle-Blind MethodTime FactorsTreatment OutcomeCardiopulmonary bypassCPAPLow tidal volumePostoperative pulmonary complicationsProtective ventilationRespiratory insufficiencySystemic inflammatory response

Identifiers

PMID28592276
PMCPMC5463370
OpenAlexW2624337755

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.