Evidence map›Paper›PMID 28870157›Full record

ArticleBMC anesthesiology2017

Ten important articles on noninvasive ventilation in critically ill patients and insights for the future: A report of expert opinions.

A Cortegiani, V Russotto, M Antonelli, E Azoulay, A Carlucci, G Conti, A Demoule, M Ferrer, N S Hill, S Jaber and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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.

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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  16. Noninvasive Ventilation in Hypoxemic Patients: an Ongoing Soccer Game or a Lost One?Turkish journal of anaesthesiology and reanimation · 2017
    Article
  17. 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

14 authors at 10 institutions in 4 countries.

A CortegianiDepartment of Biopathology and Medical Biotechnologies (DIBIMED). Section of Anestesia, Analgesia, Intensive Care and Emergency, Policlinico P. Giaccone, University of Palermo, Palermo, Italy. cortegiania@gmail.com.ORCID http://orcid.org/0000-0003-1416-9993
V RussottoDepartment of Biopathology and Medical Biotechnologies (DIBIMED). Section of Anestesia, Analgesia, Intensive Care and Emergency, Policlinico P. Giaccone, University of Palermo, Palermo, Italy.
M AntonelliDepartment of Intensive Care and Anaesthesia, Policlinico A. Gemelli, Catholic University of Rome, Rome, Italy.
E AzoulayRéanimation médicale, Hôpital Saint Louis, APHP, Paris, France.
A CarlucciPulmonary Rehabilitation Unit, IRCCS Fondazione S. Maugeri, Pavia, Italy.
G ContiDepartment of Intensive Care and Anaesthesia, Policlinico A. Gemelli, Catholic University of Rome, Rome, Italy.
A DemouleUMRS1158 Neurophysiologie respiratoire expérimentale et clinique, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Paris, France.
M FerrerDepartment of Pneumology, Respiratory Institute, Hospital Clinic-Institut d'Investigacions Biomèdiques August Pi i Sunyer, CibeRes (CB06/06/0028), University of Barcelona, Barcelona, Spain.
N S HillDivision of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center, Boston, MA, USA.
S JaberDepartment of Anesthesiology and Critical Care Medicine B (DAR B), Saint-Eloi Hospital, University Teaching Hospital of Montpellier, Montpellier, France.
P NavalesiAnesthesia and Intensive Care, Department of Medical and Surgical Science, Magna Graecia University, Catanzaro, Italy.
P PelosiIRCCS AOU San Martino-IST, Department of Surgical Sciences and Integrated Diagnostics (DISC), IRCCS AOU San Martino IST, University of Genoa, Genoa, Italy.
R ScalaPulmonology and RICU, S. Donato Hospital, Arezzo, Italy.
C GregorettiDepartment of Biopathology and Medical Biotechnologies (DIBIMED). Section of Anestesia, Analgesia, Intensive Care and Emergency, Policlinico P. Giaccone, University of Palermo, Palermo, Italy.
Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITInserm · FRUniversità Cattolica del Sacro Cuore · ITAssistance Publique – Hôpitaux de Paris · FRConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESFondazione Salvatore Maugeri · ITIRCCS Policlinico San Donato · ITMagna Graecia University · ITOspedale Policlinico San Martino · ITTufts Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNoninvasive ventilation is used worldwide in many settings. Its effectiveness has been proven for common clinical conditions in critical care such as cardiogenic pulmonary edema and chronic obstructive pulmonary disease exacerbations. Since the first pioneering studies of noninvasive ventilation in critical care in the late 1980s, thousands of studies and articles have been published on this topic. Interestingly, some aspects remain controversial (e.g. its use in de-novo hypoxemic respiratory failure, role of sedation, self-induced lung injury). Moreover, the role of NIV has recently been questioned and reconsidered in light of the recent reports of new techniques such as high-flow oxygen nasal therapy.

methodsWe conducted a survey among leading experts on NIV aiming to 1) identify a selection of 10 important articles on NIV in the critical care setting 2) summarize the reasons for the selection of each study 3) offer insights on the future for both clinical application and research on NIV.

resultsThe experts selected articles over a span of 26 years, more clustered in the last 15 years. The most voted article studied the role of NIV in acute exacerbation chronic pulmonary disease. Concerning the future of clinical applications for and research on NIV, most of the experts forecast the development of innovative new interfaces more adaptable to patients characteristics, the need for good well-designed large randomized controlled trials of NIV in acute "de novo" hypoxemic respiratory failure (including its comparison with high-flow oxygen nasal therapy) and the development of software-based NIV settings to enhance patient-ventilator synchrony.

conclusionsThe selection made by the experts suggests that some applications of NIV in critical care are supported by solid data (e.g. COPD exacerbation) while others are still waiting for confirmation. Moreover, the identified insights for the future would lead to improved clinical effectiveness, new comparisons and evaluation of its role in still "lack of full evidence" clinical settings.

Indexed as

Critical CareCritical IllnessForecastingHumansNoninvasive VentilationRandomized Controlled Trials as TopicResearch ReportSurveys and QuestionnairesCPAPNon invasive ventilationRespiratory failure

Identifiers

PMID28870157
PMCPMC5584318
OpenAlexW2752047875

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.