Evidence map›Paper›PMID 30186538›Full record

ReviewCanadian respiratory journal2018

Respiratory Care for the Ventilated Neonate.

Gustavo Rocha, Paulo Soares, Américo Gonçalves, Ana Isabel Silva, Diana Almeida, Sara Figueiredo, Susana Pissarra, Sandra Costa, Henrique Soares, Filipa Flôr-de-Lima and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Canadian respiratory journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Nasal high-flow therapy to Optimise Stability during Intubation: the NOSI pilot trial.Archives of disease in childhood. Fetal and neonatal edition · 2023
    Trial
  3. Respiratory Physiotherapy Techniques in Neonatal Intensive Care Units: A Scoping Review.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Implementing a ventilation index for assessing indoor air PMEnvironmental monitoring and assessment · 2022
    Article
  15. Inhaled Pharmacotherapy for Neonates: A Narrative Review.Turkish archives of pediatrics · 2022
    Article
  16. Observational
  17. Article
  18. Article
  19. Risk factors for respiratory assistance in premature infants.Experimental and therapeutic medicine · 2021
    Article
  20. 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

11 authors at 2 institutions in 1 country.

Gustavo RochaDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.ORCID 0000-0003-3057-6054
Paulo SoaresDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.
Américo GonçalvesDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.
Ana Isabel SilvaDepartment of Physical and Rehabilitation Medicine, Centro Hospitalar São João, Porto, Portugal.
Diana AlmeidaDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.
Sara FigueiredoDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.
Susana PissarraDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.
Sandra CostaDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.
Henrique SoaresDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.
Filipa Flôr-de-LimaDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.ORCID 0000-0003-1358-0254
Hercília GuimarãesDepartment of Neonatology, Centro Hospitalar São João, Porto, Portugal.
Universidade do Porto · PTCentro Hospitalar do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive ventilation is often necessary for the treatment of newborn infants with respiratory insufficiency. The neonatal patient has unique physiological characteristics such as small airway caliber, few collateral airways, compliant chest wall, poor airway stability, and low functional residual capacity. Pathologies affecting the newborn's lung are also different from many others observed later in life. Several different ventilation modes and strategies are available to optimize mechanical ventilation and to prevent ventilator-induced lung injury. Important aspects to be considered in ventilating neonates include the use of correct sized endotracheal tube to minimize airway resistance and work of breathing, positioning of the patient, the nursing care, respiratory kinesiotherapy, sedation and analgesia, and infection prevention, namely, the ventilator-associated pneumonia and nosocomial infection, as well as prevention and treatment of complications such as air leaks and pulmonary hemorrhage. Aspects of ventilation in patients under ECMO (extracorporeal membrane oxygenation) and in palliative care are of increasing interest nowadays. Online pulmonary mechanics and function testing as well as capnography are becoming more commonly used. Echocardiography is now a routine in most neonatal units. Near infrared spectroscopy (NIRS) is an attractive tool potentially helping in preventing intraventricular hemorrhage and periventricular leukomalacia. Lung ultrasound is an emerging tool of diagnosis and can be of added value in helping monitoring the ventilated neonate. The aim of this scientific literature review is to address relevant aspects concerning the respiratory care and monitoring of the invasively ventilated newborn in order to help physicians to optimize the efficacy of care.

Indexed as

AnalgesiaCapnographyCross InfectionEchocardiographyExtracorporeal Membrane OxygenationHumansInfant, NewbornIntubation, IntratrachealLungPalliative CarePatient PositioningPneumonia, Ventilator-AssociatedRespiration, ArtificialRespiratory Distress Syndrome, NewbornRespiratory Function TestsRespiratory Insufficiency

Identifiers

PMID30186538
PMCPMC6110042
OpenAlexW2886943930

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.