Evidence map›Paper›PMID 32746793›Full record

ArticleBMC pediatrics2020

Using airway resistance measurement to determine when to switch ventilator modes in congenital diaphragmatic hernia: a case report.

Sasagu Kimura, Katsuaki Toyoshima, Tomoaki Shimokaze, Rikuo Hoshino

Abstract readCase Reports
In one paragraph

Article in BMC pediatrics, 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. Article
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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

4 authors.

Sasagu KimuraDepartment of Neonatology, Kanagawa Children's Medical Center, 4-138-2 Mutsukawa Minamiku Yokohama, Yokohama, Kanagawa, 232-2351, Japan. sasakim@yamaguchi-u.ac.jp.ORCID 0000-0003-3103-1750
Katsuaki ToyoshimaDepartment of Neonatology, Kanagawa Children's Medical Center, 4-138-2 Mutsukawa Minamiku Yokohama, Yokohama, Kanagawa, 232-2351, Japan.
Tomoaki ShimokazeDepartment of Neonatology, Kanagawa Children's Medical Center, 4-138-2 Mutsukawa Minamiku Yokohama, Yokohama, Kanagawa, 232-2351, Japan.
Rikuo HoshinoDepartment of Neonatology, Kanagawa Children's Medical Center, 4-138-2 Mutsukawa Minamiku Yokohama, Yokohama, Kanagawa, 232-2351, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital diaphragmatic hernia is a deficiency of the fetal diaphragm resulting in herniation of the abdominal viscera into the thoracic cavity. The best method of respiratory management of congenital diaphragmatic hernia is unclear, but high frequency oscillatory ventilation is often used as the initial ventilator mode for severe congenital diaphragmatic hernia. When it becomes impossible to maintain the pre-ductal saturations, the timing of successful switching of the ventilation mode from high frequency oscillatory ventilation to conventional mechanical ventilation remains unclear. Herein, we reported two cases in which airway resistance measurements based on pulmonary function tests were used for making the decision to switch the ventilator mode from high frequency oscillatory ventilation to conventional mechanical ventilation in patients with left isolated congenital diaphragmatic hernia. CASE PRESENTATION: Two 0-day-old infants with congenital diaphragmatic hernia were admitted to our hospital. In both patients, high frequency oscillatory ventilation was started initially, and the levels of saturation gradually rose within a few hours after birth. After 24 h of high frequency oscillatory ventilation, the level of saturation decreased, and the dissociation of pre-ductal and post-ductal saturation re-occurred. The respiratory-system resistance was 515 and 403 cmH

conclusionsIn patients with congenital diaphragmatic hernia, resistance levels of > 400 cmH

Indexed as

Hernias, Diaphragmatic, CongenitalHigh-Frequency VentilationAirway ResistanceHumansInfantRespiration, ArtificialVentilators, MechanicalConventional mechanical ventilationExtra-corporeal membrane oxygenationHigh frequency oscillatory ventilationOxygenation indexPersistent pulmonary hypertension of the newborn

Identifiers

PMID32746793
PMCPMC7396326

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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.