Evidence map›Paper›PMID 31836913›Full record

ArticleAnnals of intensive care2019

Low-pressure support vs automatic tube compensation during spontaneous breathing trial for weaning.

Claude Guérin, Nicolas Terzi, Mehdi Mezidi, Loredana Baboi, Nader Chebib, Hodane Yonis, Laurent Argaud, Leo Heunks, Bruno Louis

2 registry-linked trialsAbstract read
In one paragraph

Article in Annals of intensive care, 2019. 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT02939963 nacompletednot on this map

Comparison of Two Ventilatory Modes During Spontaneous Breathing Trial in Intubated Patients

TypeinterventionalSponsorHospices Civils de LyonRan2017 to 2018Enrolled20ConditionsAcute Respiratory InsufficiencyArmsATC then pressure support 7 cm H2O PEP 4 cm H2O, Pressure support 7 cm H2O PEP 4 cm H2O then ATC
NCT07005505 narecruitingnot on this mapstarted 2025, after this paper: background citation

Automatic Tube Compensation vs. Pressure Support Ventilation During Spontaneous Breathing Trials in Critically Ill Adults: A Cluster-Randomized, Cluster-Crossover Trial

TypeinterventionalSponsorRush University Medical CenterRan2025 to 2027Enrolled880ConditionsSpontaneous Breathing Trial in ICUArmsPressure Support Ventilation (PSV), Automatic tube compensation (ATC)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Gasping at Straws: Role of Pressure Support During Spontaneous Breathing Trials in Children.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
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

9 authors.

Claude GuérinMédecine-Intensive Réanimation, Hopital Edouard Herriot, CHU de Lyon, Lyon, France. claude.guerin@chu-lyon.fr.ORCID http://orcid.org/0000-0003-4700-6672
Nicolas TerziMédecine-Intensive Réanimation, CHU de Grenoble-Alpes, La Tronche, France.
Mehdi MezidiUniversité de Lyon, Lyon, France.
Loredana BaboiMédecine-Intensive Réanimation, Groupement Hospitalier Nord, CHU de Lyon, Lyon, France.
Nader ChebibUniversité de Lyon, Lyon, France.
Hodane YonisMédecine-Intensive Réanimation, Groupement Hospitalier Nord, CHU de Lyon, Lyon, France.
Laurent ArgaudMédecine-Intensive Réanimation, Hopital Edouard Herriot, CHU de Lyon, Lyon, France.
Leo HeunksDepartment of Intensive Care, University of Amsterdam, Amsterdam, The Netherlands.
Bruno LouisINSERM 955, Créteil, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring spontaneous breathing trial, low-pressure support is thought to compensate for endotracheal tube resistance, but it actually should provide overassistance. Automatic tube compensation is an option available in the ventilator to compensate for flow-resistance of endotracheal tube. Its effects on patient effort have been poorly investigated. We aimed to compare the effects of low-pressure support and automatic tube compensation during spontaneous breathing trial on breathing power and lung ventilation distribution.

resultsWe performed a randomized crossover study in 20 patients ready to wean. Each patient received both methods for 30 min separated by baseline ventilation: pressure support 0 cmH

conclusionsWe found that ATC was associated with higher breathing power than low PS during SBT without altering the distribution of lung ventilation.

Indexed as

ArtificialMechanical ventilator weaningPositive-pressure ventilationRespirationRespiratory musclesWork of breathing

Identifiers

PMID31836913
PMCPMC6911134

What OpenQuestion holds

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LicenceCC BY
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.