Evidence map›Paper›PMID 33020101›Full record

Trial reportBMJ open2020

Incremental effect of non-invasive oscillating device on chest physiotherapy in critically ill children: a cross-over randomised trial.

Atsushi Kawaguchi, Gabrielle Bernier, Andy Adler, Guillaume Emeriaud, Philippe A Jouvet

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03821389 (Airway Clearance Using Non-Invasive Oscillating Device in Critically Ill Children), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 46% 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.

NCT03821389 phase2 / phase3unknown statusnot on this map

Airway Clearance Using Non-Invasive Oscillating Device in Critically Ill Children

TypeinterventionalSponsorSt. Justine's HospitalRan2020 to 2021Enrolled20ConditionsRespiratory InsufficiencyArmsNIOD Frequencer
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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 3 institutions in 1 country.

Atsushi KawaguchiPediatrics, University of Montreal, Montreal, Quebec, Canada.ORCID 0000-0002-2209-5835
Gabrielle BernierFaculty of Medicine, University of Montreal, Montreal, Quebec, Canada.
Andy AdlerSystems and Computer Engineering, Carleton University, Ottawa, Ontario, Canada.
Guillaume EmeriaudPediatrics, University of Montreal, Montreal, Quebec, Canada.
Philippe A JouvetPediatrics, University of Montreal, Montreal, Quebec, Canada philippe.jouvet@umontreal.ca.
Université de Montréal · CACarleton University · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChest physiotherapy (CPT) and intrathoracic percussion ventilation have been recognised as to encourage dislodging the secretions; nonetheless, the tolerance to the procedure and its efficiency have not been proven to be sufficient. METHOD AND ANALYSES: This study aims to examine the tolerance, feasibility and physiological effects in airway clearance by using a novel extrathoracic non-invasive oscillating transducer device (NIOD) in critically ill children. A two-stage cross-over randomised controlled study in a paediatric intensive care unit in a Canadian Academic Children's Hospital will be applied. Children under 24 months old, for whom CPT is prescribed for airway clearance, will be included. The study consists of two stages; (1) Stage 1 'Frequency Level': we will apply two different frequencies of the NIOD (40 Hz vs 60 Hz) for 12 min each, on each patient 3 hours apart, and (2) Stage 2 'NIOD versus CPT': we will implement NIOD and CPT alternatingly for 3 hours apart. The order of the procedures will be randomly allocated for each case. We will compare the average Δchanges of tidal lung volume measured by a 3D imaging system and regional lung functions using electrical impedance tomography, between the two different frequencies and between the NIOD periods and the CPT periods. We will also examine tolerance by seeing COMFORT Scales and related complications during the procedures. We estimate necessary sample size as 6 for each arm (Total 12 cases) for stage 1 and 48 cases for Stage 2, with power of 0.8 and alpha of 0.05. ETHICS AND DISSEMINATION: This study has been approved by the Health Research Ethics Board of University of Montreal, Canada (REB number: 2020-2471). We will disseminate our findings through peer-reviewed publications and conference presentations in paediatric or/and critical care fields. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Registry (NCT03821389).

Indexed as

Critical IllnessRespiratory TherapyCanadaChildChild, PreschoolCritical CareHumansPhysical Therapy Modalitieschest imagingpaediatric intensive & critical carepaediatric thoracic medicine

Identifiers

PMID33020101
PMCPMC7537431
OpenAlexW3091473327

What OpenQuestion holds

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LicenceCC BY-NC
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.