Evidence map›Paper›PMID 30787094›Full record

ArticleBMJ open2019

Transnasal Humidified Rapid Insufflation Ventilatory Exchange in children requiring emergent intubation (Kids THRIVE): a protocol for a randomised controlled trial.

Shane George, Susan Humphreys, Tara Williams, Ben Gelbart, Arjun Chavan, Katie Rasmussen, Anusha Ganeshalingham, Simon Erickson, Subodh Suhas Ganu, Nitesh Singhal and 8 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 26 citations in OpenAlex.

  1. [THRIVE combined with i-gel laryngeal mask for prolonging apneic oxygenation time in retrograde intrarenal surgery].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023
    Trial
  2. Trial
  3. The Australian and New Zealand Intensive Care Society Paediatric Study Group (ANZICS PSG): 20 Years of Collaborative Research.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Article
  4. Article
  5. Article
  6. 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

18 authors at 11 institutions in 2 countries.

Shane GeorgeChildren's Critical Care Service, Gold Coast University Hospital, Southport, Queensland, Australia.ORCID 0000-0002-8880-1245
Susan HumphreysPaediatric Critical Care Research Group (PCCRG), Queensland Children's Hospital and The University of Queensland, Brisbane, Queensland, Australia.
Tara WilliamsPaediatric Critical Care Research Group (PCCRG), Queensland Children's Hospital and The University of Queensland, Brisbane, Queensland, Australia.
Ben GelbartPaediatric Intensive Care Unit, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
Arjun ChavanPaediatric Intensive Care Unit, The Townsville Hospital, Townsville, Queensland, Australia.
Katie RasmussenCritical Care Division, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Anusha GaneshalinghamStarship Children's Hospital, Auckland, Auckland, New Zealand.
Simon EricksonPaediatric Critical Care, Perth Children's Hospital, Perth, Western Australia, Australia.
Subodh Suhas GanuDepartment of Paediatric Critical Care Medicine, Women's and Children's Hospital, North Adelaide, South Australia, Australia.
Nitesh SinghalPaediatric Intensive Care Unit, Royal Alexandra Hospital for Children, Westmead, New South Wales, Australia.
Kelly FosterPaediatric Research in Emergency Departments International Collaborative (PREDICT), Parkville, Victoria, Australia.
Brenda GannonCentre for the Business and Economics of Health, The University of Queensland, Brisbane, Queensland, Australia.
Kristen GibbonsPaediatric Critical Care Research Group (PCCRG), Queensland Children's Hospital and The University of Queensland, Brisbane, Queensland, Australia.
Luregn J SchlapbachPaediatric Critical Care Research Group (PCCRG), Queensland Children's Hospital and The University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0003-2281-2598
Marino FestaPaediatric Study Group, Australia and New Zealand Intensive Care Society (ANZICS PSG), Melbourne, Victoria, Australia.
Stuart DalzielPaediatric Research in Emergency Departments International Collaborative (PREDICT), Parkville, Victoria, Australia.
Andreas SchiblerPaediatric Critical Care Research Group (PCCRG), Queensland Children's Hospital and The University of Queensland, Brisbane, Queensland, Australia.
Paediatric Critical Care Research Group (PCCRG), Paediatric Research in Emergency Departments International Collaborative (PREDICT) and the Australia and New Zealand Intensive Care Society Paediatric Study Group (ANZICS PSG)
The University of Queensland · AUChildren's Hospital at Westmead · AUChildren's Health Queensland Hospital and Health Service · AUCollaborative Research Group · AUGriffith University · AUPrincess Margaret Hospital for Children · AURoyal Children's Hospital · AUStarship Children's Health · NZTownsville Hospital · AUUniversity of Auckland · NZWomen's and Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmergency intubation of children with abnormal respiratory or cardiac physiology is a high-risk procedure and associated with a high incidence of adverse events including hypoxemia. Successful emergency intubation is dependent on inter-related patient and operator factors. Preoxygenation has been used to maximise oxygen reserves in the patient and to prolong the safe apnoeic time during the intubation phase. Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) prolongs the safe apnoeic window for a safe intubation during elective intubation. We designed a clinical trial to test the hypothesis that THRIVE reduces the frequency of adverse and hypoxemic events during emergency intubation in children and to test the hypothesis that this treatment is cost-effective compared with standard care. METHODS AND ANALYSIS: The Kids THRIVE trial is a multicentre randomised controlled trial performed in participating emergency departments and paediatric intensive care units. 960 infants and children aged 0-16 years requiring emergency intubation for all reasons will be enrolled and allocated to THRIVE or control in a 1:1 allocation with stratification by site, age (<1, 1-7 and >7 years) and operator (junior and senior). Children allocated to THRIVE will receive weight appropriate transnasal flow rates with 100% oxygen, whereas children in the control arm will not receive any transnasal oxygen insufflation. The primary outcomes are defined as follows: (1) hypoxemic event during the intubation phase defined as SpO ETHICS AND DISSEMINATION: Ethics approval for the protocol and consent process has been obtained (HREC/16/QRCH/81). The trial has been actively recruiting since May 2017. The study findings will be submitted for publication in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: ACTRN12617000147381.

Indexed as

Airway ManagementAdministration, IntranasalApneaCarbon DioxideChildEmergency Service, HospitalHumansHumidifiersInsufflationIntensive Care Units, PediatricIntubation, IntratrachealMulticenter Studies as TopicOxygen Inhalation TherapyRandomized Controlled Trials as TopicCarbon Dioxideairway managementapnoeic oxygenationintubationnasal high-flowpaediatricstransnasal humidified rapid insufflation ventilatory exchange

Identifiers

PMID30787094
PMCPMC6398737
OpenAlexW2915553680

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.