Evidence map›Paper›PMID 32355903›Full record

ArticleTurkish journal of emergency medicine

Barium sulfate aspiration: Is early bronchioalveolar lavage a life-saving procedure?

Amarjeet Kumar, Ajeet Kumar, Neeraj Kumar, Chandni Sinha, Jitendra Kumar Singh

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Turkish journal of emergency medicine. 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
1.9field-weighted citation impact, top 15% 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, 7 citations in OpenAlex.

  1. Article
  2. Unexpected detour - A case of barium aspiration.Lung India : official organ of Indian Chest Society · 2024
    Article
  3. Article
  4. Article
  5. Unexpected Barium Aspiration.Journal of investigative medicine high impact case reports
    Article
  6. Medical Management With Mechanical Ventilation of a Dog With Severe Barium Sulfate Aspiration.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)
    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

5 authors at 1 institution in 1 country.

Amarjeet KumarDepartment of Trauma and Emergency, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID 0000-0002-4272-5750
Ajeet KumarDepartment of Anaesthesia, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID 0000-0002-1464-6684
Neeraj KumarDepartment of Trauma and Emergency, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID 0000-0002-9161-7000
Chandni SinhaDepartment of Anaesthesia, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID 0000-0002-4107-2671
Jitendra Kumar SinghDepartment of Anaesthesia, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID 0000-0003-4115-4578
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aspiration of barium sulfate is a well-known complication, occurring accidentally during contrast-enhanced examinations of the upper gastrointestinal system. Massive aspiration of contrast material causes mechanical obstruction that increases alveolar dead space leading to altered ventilation/perfusion (V/Q) ratio with secondary respiratory failure and death. The potential treatment strategies include early recognition of predisposing factors, pretreatment with antireflux medications, such as domperidone, correct choice of contrast media, and use of retroesophageal suction catheter during barium swallow study. We report a case of barium swallow aspiration, which was successfully managed by early institution of bronchioalveolar lavage (BAL) and positive pressure mechanical ventilation. Till date, BAL has not been recommended for the same, with studies showing it can worsen the clinical scenario.

Indexed as

Aspiration pneumoniabariumbarium sulfatebronchioalveolar lavage

Identifiers

PMID32355903
PMCPMC7189819
OpenAlexW3003471502

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.