Evidence map›Paper›PMID 29089460›Full record

ArticleRespiratory care2018

Measurements Obtained From Esophageal Balloon Catheters Are Affected by the Esophageal Balloon Filling Volume in Children With ARDS.

Justin C Hotz, Cary T Sodetani, Jeffrey Van Steenbergen, Robinder G Khemani, Timothy W Deakers, Christopher J Newth

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Respiratory care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 9% 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.

NCT02354365 unknown statusnot on this map

Transpulmonary Pressure Monitoring as a Guide to Ventilator Management

Typeobservational_patient_registrySponsorChildren's Hospital Los AngelesRan2014 to 2024Enrolled55ConditionsTranspulmonary Pressure, Pressure.Rate Product, Guide to Mechanical Ventilator Management, Extubation ReadinessArmsTranspulmonary Pressure measurement
NCT06051292 narecruitingnot on this mapstarted 2023, after this paper: background citation

Decremental Esophageal Catheter Filling Volume Titration For Esophageal Pressure Measurement

TypeinterventionalSponsorDr. Behcet Uz Children's HospitalRan2023 to 2025Enrolled27ConditionsPediatric Acute Respiratory Distress Syndrome (PARDS), Acute Respiratory Failure, Acute Respiratory Distress SyndromeArmsFast method, Conventional method
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Estimation of Transpulmonary Driving Pressure, Strain, and Lung-Specific Elastance Using Volumetric Methods in Invasively Ventilated Children-A Feasibility Study.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
    Article
  6. Review
  7. Article
  8. Article
  9. The effects of flow settings during high-flow nasal cannula oxygen therapy for neonates and young children.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Real-Time Effort Driven Ventilator Management: A Pilot Study.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020
    Article
  15. Review
  16. 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

6 authors at 2 institutions in 1 country.

Justin C HotzDepartment of Respiratory Care, Children's Hospital Los Angeles, CA. jhotz@chla.usc.edu.
Cary T SodetaniDepartment of Respiratory Care, Children's Hospital Los Angeles, CA.
Jeffrey Van SteenbergenDepartment of Respiratory Care, Children's Hospital Los Angeles, CA.
Robinder G KhemaniDepartment of Anesthesiology and Critical Care Medicine, Children's Hospital Los Angeles, CA.
Timothy W DeakersDepartment of Anesthesiology and Critical Care Medicine, Children's Hospital Los Angeles, CA.
Christopher J NewthDepartment of Anesthesiology and Critical Care Medicine, Children's Hospital Los Angeles, CA.
Children's Hospital of Los Angeles · USUniversity of Southern California · US

Funding

Minimally invasive techniques to measure upper airway obstruction in childrenK23HD075069 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI KHEMANI, ROBINDER · 2012 to 2016
$668k
NICHD NIH HHS K23 HD075069
6 · The paper itself

Abstract

backgroundEsophageal balloon inflation volume may affect the accuracy of transpulmo-nary pressure estimates in adults, but the effect is unknown in pediatrics. Using a combination bench and human study, we sought to determine a range of optimal filling volumes for esophageal balloon catheters and to derive a technique to inflate catheters to yield the most accurate estimates of pleural pressure.

methodsIn the laboratory study, we evaluated 4 pediatric and adult esophageal balloon catheters, a liquid-filled catheter, and a micro-tip catheter, both with and without a model esophagus. We compared the measured esophageal pressure for each type of catheter within a pressurized chamber. Esophageal balloon catheters were also tested by manipulating the esophageal balloon inflation volume, and we attempted to derive a filling-volume technique that would assure accuracy. We then tested the feasibility of this technique in 5 mechanically ventilated pediatric subjects with ARDS.

resultsIn the laboratory study, smaller inflation volumes underestimated the chamber pressure at higher chamber pressures, and larger inflation volumes overestimated the chamber pressure at lower chamber pressures. Using an optimal filling-volume technique resulted in a mean total error that ranged from -0.53 to -0.10 cm H

conclusionsManufacturer-recommended esophageal balloon inflation ranges do not assure accuracy. Individual titration of esophageal balloon volume may improve accuracy. Better esophageal catheters are needed to provide reliable esophageal pressure measurements in children.

Indexed as

Mechanical PhenomenaAdolescentCalibrationCathetersChildChild, PreschoolEsophagusFeasibility StudiesFemaleHumansInfantMaleManometryMaterials TestingPressureRespiratory Distress Syndromeadultartificialcathetersesophaguslungpediatricspleurapressurerespirationrespiratory distress syndrome

Identifiers

PMID29089460
PMCPMC7853405
OpenAlexW2766844722

What OpenQuestion holds

Textmetadata
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.