Evidence map›Paper›PMID 32457170›Full record

ReviewRespiratory care2020

Esophageal Manometry.

Tài Pham, Irene Telias, Jeremy R Beitler

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Respiratory care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06391424 (Oxygen Consumption), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 5% 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.

NCT06391424 recruitingnot on this mapstarted 2024, after this paper: background citation

Oxygen Consumption (VO2), Effort, and Weaning in the Mechanically Ventilated Patient in the Intensive Care Unit (ICU): EXTUBATE Study

Typeobservational_patient_registrySponsorLeiden University Medical CenterRan2024 to 2026Enrolled60ConditionsCritical Illness, Intensive Care Unit, Oxygen Consumption, Weaning FailureArmsSpontaneous Breathing Trial
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Respiratory therapists' perceptions of electrical impedance tomography in pediatric intensive care: A mixed methods implementation study.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The oesophageal balloon for respiratory monitoring in ventilated patients: updated clinical review and practical aspects.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 2021 Acute Respiratory Distress Syndrome Update, With Coronavirus Disease 2019 Focus.Journal of cardiothoracic and vascular anesthesia · 2022
    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

3 authors at 2 institutions in 3 countries.

Tài PhamInterdepartmental Division of Critical Care Medicine, University of Toronto, Ontario, Canada. taiopham@gmail.com.
Irene TeliasInterdepartmental Division of Critical Care Medicine, University of Toronto, Ontario, Canada.
Jeremy R BeitlerCenter for Acute Respiratory Failure and Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians & Surgeons, New York, New York.
St. Michael's Hospital · CAColumbia University · US

Funding

Breath stacking dyssynchrony in acute respiratory distress syndromeK23HL133489 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BEITLER, JEREMY R. · 2017 to 2021
$871k
Measuring lung stress to identify occult ventilation-induced lung injury in ARDSR21HL145506 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BEITLER, JEREMY R. · 2019 to 2020
$243k
NHLBI NIH HHS K23 HL133489NHLBI NIH HHS R21 HL145506
6 · The paper itself

Abstract

The estimation of pleural pressure with esophageal manometry has been used for decades, and it has been a fertile area of physiology research in healthy subject as well as during mechanical ventilation in patients with lung injury. However, its scarce adoption in clinical practice takes its roots from the (false) ideas that it requires expertise with years of training, that the values obtained are not reliable due to technical challenges or discrepant methods of calculation, and that measurement of esophageal pressure has not proved to benefit patient outcomes. Despites these criticisms, esophageal manometry could contribute to better monitoring, optimization, and personalization of mechanical ventilation from the acute initial phase to the weaning period. This review aims to provide a comprehensive but comprehensible guide addressing the technical aspects of esophageal catheter use, its application in different clinical situations and conditions, and an update on the state of the art with recent studies on this topic and on remaining questions and ways for improvement.

Indexed as

CathetersEsophagusHumansManometryMonitoring, PhysiologicRespiration, ArtificialRespiratory MechanicsARDSasynchronymechanical ventilationmechanical ventilator weaningphysiologic monitoringrespiratory mechanics

Identifiers

PMID32457170
PMCPMC7362579
OpenAlexW4245125250

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.