Evidence map›Paper›PMID 29030754›Full record

ArticleCritical ultrasound journal2017

Postural lung recruitment assessed by lung ultrasound in mechanically ventilated children.

Gerardo Tusman, Cecilia M Acosta, Stephan H Böhm, Andreas D Waldmann, Carlos Ferrando, Manuel Perez Marquez, Fernando Suarez Sipmann

Open access · goldAbstract read
In one paragraph

Article in Critical ultrasound journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

14 citing papers in PubMed, 33 citations in OpenAlex.

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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 5 institutions in 4 countries.

Gerardo TusmanDepartment of Anesthesiology, Hospital Privado de Comunidad, 7600, Mar del Plata, Buenos Aires, Argentina. gtusman@hotmail.com.
Cecilia M AcostaDepartment of Anesthesiology, Hospital Privado de Comunidad, 7600, Mar del Plata, Buenos Aires, Argentina.
Stephan H BöhmHepa Wash GmbH, Munich, Germany.
Andreas D WaldmannSwisstom AG, Landquart, Switzerland.
Carlos FerrandoDepartment of Anesthesiology, University Hospital Valencia, Valencia, Spain.
Manuel Perez MarquezDepartment of Intensive Care Medicine, Instituto de Investigación Sanitaria Fundación Jiménez Díaz, IIS-FJD, Madrid, Spain.
Fernando Suarez SipmannHedenstierna Laboratory, Department of Surgical Sciences, Section of Anesthesia and Critical Care, Uppsala University Hospital, Uppsala, Sweden.
Hospital Privado de Comunidad · ARCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESHospital Clínico Universitario de Valencia · ESHospital Universitario Fundación Jiménez Díaz · ESSwisstom (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtelectasis is a common finding in mechanically ventilated children with healthy lungs. This lung collapse cannot be overcome using standard levels of positive end-expiratory pressure (PEEP) and thus for only individualized lung recruitment maneuvers lead to satisfactory therapeutic results. In this short communication, we demonstrate by lung ultrasound images (LUS) the effect of a postural recruitment maneuver (P-RM, i.e., a ventilatory strategy aimed at reaerating atelectasis by changing body position under constant ventilation).

resultsData was collected in the operating room of the Hospital Privado de Comunidad, Mar del Plata, Argentina. Three anesthetized children undergoing mechanical ventilation at constant settings were sequentially subjected to the following two maneuvers: (1) PEEP trial in the supine position PEEP was increased to 10 cmH

conclusionsWe provide LUS images that illustrate the concept and effects of postural recruitment in children. This maneuver has the advantage of achieving recruitment effects without the need to elevate airways pressures.

Indexed as

AirwaysAnesthesia-induced atelectasisChildrenLung recruitmentLung ultrasoundMechanical ventilationOutcomePEEPRespiration

Identifiers

PMID29030754
PMCPMC5640559
OpenAlexW2761255317

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.