Evidence map›Paper›PMID 32238613›Full record

ArticleIndian pediatrics2020

Novel Coronavirus 2019 (2019-nCoV) Infection: Part II - Respiratory Support in the Pediatric Intensive Care Unit in Resource-limited Settings.

Manu Sundaram, Namita Ravikumar, Arun Bansal, Karthi Nallasamy, G V Basavaraja, Rakesh Lodha, Dhiren Gupta, Marti Pons Odena, R N Ram Ashwath, Muralidharan Jayashree and 1 more

Registry-linked trialOpen access · bronzeAbstract readComment
In one paragraph

Article in Indian pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04592510 (Impact of COVID-19 on Pediatric Dental Practice During First, Second And Third Wave Among a Group of Pediatric Dentists), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
4.2field-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.

NCT04592510 unknown statusnot on this mapstarted 2021, after this paper: background citation

Impact of COVID-19 on Pediatric Dental Practice During First, Second And Third Wave Among a Group of Pediatric Dentists : A Cross -Sectional Study

TypeobservationalSponsorCairo UniversityRan2021 to 2022Enrolled345ConditionsSARS-CoV2
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. The use of non-invasive ventilation in COVID-19: A systematic review.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Pooled it
  3. Trial
  4. Article
  5. Making respiratory care safe for neonatal and paediatric intensive care unit staff: mitigation strategies and use of filters.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2024
    Article
  6. Respiratory Care in Children with COVID-19.Journal of pediatric intensive care · 2023
    Review
  7. Article
  8. Review
  9. Review
  10. Assessment of paediatric dental guidelines and caries management alternatives in the post COVID-19 period. A critical review and clinical recommendations.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2020
    Review
  11. Paediatric critical care during the COVID-19 pandemic.The Southern African journal of critical care : the official journal of the Critical Care Society · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Manu SundaramDivision of Critical Care Medicine, Sidra Medicine, Doha, Qatar.
Namita RavikumarDivision of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Arun BansalDivision of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Correspondence to: Dr Arun Bansal, Professor, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India. drarunbansal@gmail.com.
Karthi NallasamyDivision of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
G V BasavarajaPediatric Intensive Care Unit, Indira Gandhi Institute of Child Health, Bangalore, Karnataka, India.
Rakesh LodhaDepartment of Pediatrics, All India Institute of Medical Sciences, Delhi, India.
Dhiren GuptaPediatric Intensive Care Unit, Sir Ganga Ram Hospital, Delhi, India.
Marti Pons OdenaDepartment of Pediatric Intensive Care, Sant Joan de Due Hospital, Barcelona, Spain.
R N Ram AshwathDepartment of Pediatric Intensive Care, Manipal Hospital, Bangalore, India.
Muralidharan JayashreeDivision of Pediatric Critical Care, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Intensive Care Chapter of Indian Academy of Pediatrics
Post Graduate Institute of Medical Education and Research · INAll India Institute of Medical Sciences · INHospital Sant Joan de Déu Barcelona · ESIndira Gandhi Institute of Child Health · INManipal Hospital · INSir Ganga Ram Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 2019-novel coronavirus predominantly affects the respiratory system with manifestations ranging from upper respiratory symptoms to full blown acute respiratory distress syndrome (ARDS). It is important to recognize the risk factors, categorize severity and provide early treatment. Use of high flow devices and non-invasive ventilation has been discouraged due to high chances of aerosol generation. Early intubation and mechanical ventilation areessential to prevent complications and worsening, especially in resource-limited settings with very few centers having expertise to manage critical cases. Hydrophobic viral filter in the ventilator circuit minimizes chances of transmission of virus. Strategies to manage ARDS in COVID-19 include low tidal volume ventilation with liberal sedation-analgesia. At the same time, prevention of transmission of the virus to healthcare workers is extremely important in the intensive care setting dealing with severe cases and requiring procedures generating aerosol. We, herein, provide guidance on non-invasive respiratory support, intubation and management of ARDS in a child with COVID-19.

Indexed as

CoronavirusPneumonia, ViralRespiratory Distress SyndromeBetacoronavirusChildCoronavirus InfectionsCOVID-19HumansIntensive Care Units, PediatricPandemicsRespiration, ArtificialSARS-CoV-2

Identifiers

PMID32238613
PMCPMC7182733
OpenAlexW3014306528

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.