Evidence map›Paper›PMID 32655950›Full record

Trial reportPulmonary medicine2020

Noninvasive Neurally Adjusted Ventilator Assist Ventilation in the Postoperative Period Produces Better Patient-Ventilator Synchrony but Not Comfort.

L O Harnisch, U Olgemoeller, J Mann, M Quintel, O Moerer

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pulmonary medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Clinical review of non-invasive ventilation.The European respiratory journal · 2024
    Review
  2. 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.

L O HarnischDepartment of Anaesthesiology, University Medical Centre Göttingen, Germany Robert-Koch-Str. 40 D-37099 Göttingen.ORCID https://orcid.org/0000-0002-4935-3240
U OlgemoellerDepartment of Cardiology and Pulmonology, University Medical Centre Göttingen, Robert-Koch-Str. 40 D-37099 Göttingen, Germany.
J MannDepartment of Anaesthesiology, University Medical Centre Göttingen, Germany Robert-Koch-Str. 40 D-37099 Göttingen.ORCID https://orcid.org/0000-0003-0930-5030
M QuintelDepartment of Anaesthesiology, University Medical Centre Göttingen, Germany Robert-Koch-Str. 40 D-37099 Göttingen.
O MoererDepartment of Anaesthesiology, University Medical Centre Göttingen, Germany Robert-Koch-Str. 40 D-37099 Göttingen.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNoninvasive neurally adjusted ventilatory assist (NAVA) has been shown to improve patient-ventilator interaction in many settings. There is still scarce data with regard to postoperative patients indicated for noninvasive ventilation (NIV) which this study elates. The purpose of this trial was to evaluate postoperative patients for synchrony and comfort in noninvasive pressure support ventilation (NIV-PSV) vs. NIV-NAVA.

methodsTwenty-two subjects received either NIV-NAVA or NIV-PSV in an object-blind, prospective, randomized, crossover fashion (observational trial). We evaluated blood gases and ventilator tracings throughout as well as comfort of ventilation at the end of each ventilation phase.

resultsThere was an effective reduction in ventilator delays (

conclusionIn the postoperative setting, NIV-NAVA is well suitable for use and effective in reducing asynchronies as well as a surrogate for work of breathing. Although increased synchrony was not transferred into an increased comfort, there was an advantage with regard to patient-ventilator interaction. The trial was registered at the German clinical Trials Register (DRKS no.: DRKS00005408).

Indexed as

AdultAgedAged, 80 and overBlood Gas AnalysisCross-Over StudiesFemaleGermanyHumansInteractive Ventilatory SupportMaleMiddle AgedNoninvasive VentilationPatient ComfortPostoperative CareProspective StudiesSingle-Blind Method

Identifiers

PMID32655950
PMCPMC7327603

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Registered trials

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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.