Evidence map›Paper›PMID 33159530›Full record

ReviewIntensive care medicine2020

Myorelaxants in ARDS patients.

Sami Hraiech, Takeshi Yoshida, Djillali Annane, Abhijit Duggal, Vito Fanelli, Arnaud Gacouin, Leo Heunks, Samir Jaber, Peter D Sottile, Laurent Papazian

Open access · bronzeAbstract readReview
In one paragraph

Review in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
  2. Article
  3. Advances in anti-inflammatory treatment of sepsis-associated acute respiratory distress syndrome.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Neuromuscular blocking agents in the intensive care unit.The Journal of international medical research · 2022
    Review
  17. Article
  18. ARDS Clinical Practice Guideline 2021.Journal of intensive care · 2022
    Article
  19. Article
  20. 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

10 authors at 7 institutions in 5 countries.

Sami HraiechAssistance Publique - Hôpitaux de Marseille, Hôpital Nord, Médecine Intensive Réanimation, 13015, Marseille, France.
Takeshi YoshidaThe Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Djillali AnnaneSchool of Medicine Simone Veil, Lab of Infection and Inflammation, U1173, RHU-RECORDS, FHU SEPSIS, INSERM, Université Paris Saclay, UVSQ, Hôpital Raymond Poincaré (APHP), 104 boulevard Raymond Poincaré, 92380, Garches, France.
Abhijit DuggalDepartment of Critical Care, Respiratory Institute, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, 44195, USA.
Vito FanelliDepartment of Surgical Sciences, Anaesthesia and Intensive Care Medicine, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
Arnaud GacouinCentre Hospitalier Universitaire de Rennes, Maladies Infectieuses et Réanimation Médicale, Inserm-CIC-1414, Université Rennes I, IFR 140, F-35033, Rennes, France.
Leo HeunksDepartment of Intensive Care Medicine, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands.
Samir JaberRéanimation Chirurgicale, Centre Hospitalier Universitaire de Montpellier, Hôpital St-Eloi, Montpellier, France.
Peter D SottileDivision of Pulmonary Sciences and Critical Care Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Laurent PapazianAssistance Publique - Hôpitaux de Marseille, Hôpital Nord, Médecine Intensive Réanimation, 13015, Marseille, France. laurent.papazian@ap-hm.fr.ORCID 0000-0002-8125-9406
Inserm · FRAssistance Publique Hôpitaux de Marseille · FRAmsterdam University Medical Centers · NLAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITCleveland Clinic · USThe University of Osaka · JPUniversity of Colorado Anschutz Medical Campus · US

Funding

The Detection, Quantification, and Management of Ventilator DyssynchronyK23HL145011 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SOTTILE, PETER D · 2019 to 2023
$846k
NHLBI NIH HHS K23 HL145011
6 · The paper itself

Abstract

Neuromuscular blocking agents (NMBAs) inhibit patient-initiated active breath and the risk of high tidal volumes and consequent high transpulmonary pressure swings, and minimize patient/ ventilator asynchrony in acute respiratory distress syndrome (ARDS). Minimization of volutrauma and ventilator-induced lung injury (VILI) results in a lower incidence of barotrauma, improved oxygenation and a decrease in circulating proinflammatory markers. Recent randomized clinical trials did not reveal harmful muscular effects during a short course of NMBAs. The use of NMBAs should be considered during the early phase of severe ARDS for patients to facilitate lung protective ventilation or prone positioning only after optimising mechanical ventilation and sedation. The use of NMBAs should be integrated in a global strategy including the reduction of tidal volume, the rational use of PEEP, prone positioning and the use of a ventilatory mode allowing spontaneous ventilation as soon as possible. Partial neuromuscular blockade should be evaluated in future trials.

Indexed as

Neuromuscular Blocking AgentsRespiratory Distress SyndromeVentilator-Induced Lung InjuryHumansRespiration, ArtificialTidal VolumeNeuromuscular Blocking AgentsCorticosteroidsECMOMuscle relaxantsPEEPProne positioningProtective ventilationSedation

Identifiers

PMID33159530
PMCPMC7648542
OpenAlexW3097093266

What OpenQuestion holds

Textmetadata
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.