Evidence map›Paper›PMID 33559864›Full record

Trial reportJournal of clinical monitoring and computing2022

Effects of Varying Levels of Inspiratory Assistance with Pressure Support Ventilation and Neurally Adjusted Ventilatory Assist on Driving Pressure in Patients Recovering from Hypoxemic Respiratory Failure.

Gianmaria Cammarota, Federico Verdina, Nello De Vita, Ester Boniolo, Riccardo Tarquini, Antonio Messina, Marta Zanoni, Paolo Navalesi, Luigi Vetrugno, Elena Bignami and 4 more

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

Trial report in Journal of clinical monitoring and computing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03719365 (Driving Pressure Variation During Proportional Assisted Ventilation), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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.

NCT03719365 naunknown statusnot on this map

Driving Pressure Variation During Proportional Assisted Ventilation: Comparison Between NAVA and PSV

TypeinterventionalSponsorAzienda Ospedaliero Universitaria Maggiore della CaritaRan2018 to 2020Enrolled20ConditionsMechanical Ventilation Complication, Ventilator-Induced Lung InjuryArmsNAVAPSV
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. 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

14 authors at 6 institutions in 1 country.

Gianmaria Cammarota *Anesthesia and General Intensive Care, "Maggiore Della Carità" University Hospital, Novara, Italy. gmcamma@gmail.com.ORCID 0000-0001-9112-2705
Federico Verdina *Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Nello De VitaDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Ester BonioloDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Riccardo TarquiniAnesthesia and General Intensive Care, "Maggiore Della Carità" University Hospital, Novara, Italy.
Antonio MessinaHumanitas Clinical and Research Center - IRCCS, Rozzano, Milan, Italy.
Marta ZanoniAnesthesia and General Intensive Care, "Maggiore Della Carità" University Hospital, Novara, Italy.
Paolo NavalesiDepartment of Medicine, University of Padua, Padova, Italy.
Luigi VetrugnoDepartment of Medicine, Anesthesia and Intensive Care Clinic, Università Di Udine, Udine, Italy.
Elena BignamiAnesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Francesco Della CorteDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Edoardo De RobertisDepartment of Medicine and Surgery, Università Degli Studi Di Perugia, Perugia, Italy.
Erminio SantangeloDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Rosanna VaschettoDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Università degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITHumanitas University · ITUniversity of Padua · ITUniversity of Parma · ITUniversity of Perugia · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDriving pressure can be readily measured during assisted modes of ventilation such as pressure support ventilation (PSV) and neurally adjusted ventilatory assist (NAVA). The present prospective randomized crossover study aimed to assess the changes in driving pressure in response to variations in the level of assistance delivered by PSV vs NAVA.

methods16 intubated adult patients, recovering from hypoxemic acute respiratory failure (ARF) and undergoing assisted ventilation, were randomly subjected to six 30-min-lasting trials. At baseline, PSV (PSV100) was set with the same regulation present at patient enrollment. The corresponding level of NAVA (NAVA100) was set to match the same inspiratory peak of airway pressure obtained in PSV100. Therefore, the level of assistance was reduced and increased by 50% in both ventilatory modes (PSV50, NAVA50; PSV150, NAVA150). At the end of each trial, driving pressure obtained in response to four short (2-3 s) end-expiratory and end-inspiratory occlusions was analyzed.

resultsDriving pressure at PSV50 (6.6 [6.1-7.8] cmH

conclusionsNAVA delivers better lung-protective ventilation compared to PSV in hypoxemic ARF patients. TRIAL REGISTRATION NUMBER AND DATE OF REGISTRATION: The present trial was prospectively registered at www.clinicatrials.gov (NCT03719365) on 24 October 2018.

Indexed as

Interactive Ventilatory SupportRespiratory InsufficiencyAdultCross-Over StudiesHumansLungProspective StudiesRespirationDriving pressureNeurally adjusted ventilatory assistPressure support ventilation

Identifiers

PMID33559864
PMCPMC7871131
OpenAlexW3126884405

What OpenQuestion holds

Textmetadata
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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.