Evidence map›Paper›PMID 33608400›Full record

ArticleBMJ open2021

Inased (inhaled sedation in ICU) trial protocol: a multicentre randomised open-label trial.

Pierre Bailly, Pierre-Yves Egreteau, Stephan Ehrmann, Arnaud W Thille, Christophe Guitton, Guillaume Grillet, Florian Reizine, Olivier Huet, S Jaber, Emmanuel Nowak and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04341350 (Comparison of an Inhaled Sedation Strategy to an Intravenous Sedation Strategy in Intensive Care Unit Patients Treated With Invasive Mechanical 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
–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.

NCT04341350 phase3active not recruitingnot on this map

Comparison of an Inhaled Sedation Strategy to an Intravenous Sedation Strategy in Intensive Care Unit Patients Treated With Invasive Mechanical Ventilation : INASED Study

TypeinterventionalSponsorUniversity Hospital, BrestRan2020 to 2026Enrolled250ConditionsPrevention of DeliriumArmsPropofol + analgesic drug, Isoflurane + analgesic drug
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Article
  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

11 authors.

Pierre BaillyMédecine Intensive et Réanimation, CHRU de Brest, Brest, Bretagne, France pierre.bailly@chu-brest.fr.ORCID 0000-0001-8187-8672
Pierre-Yves EgreteauRéanimation polyvalente, Centre Hospitalier des Pays de Morlaix, Morlaix, France.
Stephan EhrmannMédecine Intensive et Réanimation, Centre Hospitalier Régional Universitaire de Tours, Tours, Centre, France.
Arnaud W ThilleMédecine Intensive et Réanimation, CHU de Poitiers, Poitiers, France.ORCID 0000-0002-7798-6715
Christophe GuittonService de Réanimation Médico- Chirurgicale & USC, Centre Hospitalier de Mans, Le Mans, France.
Guillaume GrilletRéanimation polyvalente, Centre Hospitalier de Lorient, Lorient, Bretagne, France.
Florian ReizineMédecine Intensive et Réanimation, Centre Hospitalier Universitaire de Rennes, Rennes, Bretagne, France.
Olivier HuetRéanimation chirurgicale, Centre Hospitalier Régional et Universitaire de Brest, Brest, Bretagne, France.
S JaberAnesthesia and Critical Care, Montpellier Univ Hosp, Montpellier, France.ORCID 0000-0002-7257-8069
Emmanuel NowakCIC INSERM 1412, CHRU de Brest, Brest, NA, France.
Erwan L'herMédecine Intensive et Réanimation, CHRU de Brest, Brest, NA, France.ORCID 0000-0002-3341-7086

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of sedation in intensive care units (ICUs) is necessary and ubiquitous. The impact of sedation strategy on outcome, particularly when delivered early after initiation of mechanical ventilation, is unknown. Evidence is increasing that volatile anaesthetic agents could be associated with better outcome. Their use in delirium prevention is unknown. METHODS AND ANALYSIS: This study is an investigator-initiated, prospective, multicentre, two-arm, randomised, control, open-trial comparing inhaled sedation strategy versus intravenous sedation strategy in mechanically ventilated patients in ICU. Two hundred and fifty patients will be randomly assigned to the intravenous sedation group or inhaled sedation group, with a 1:1 ratio in two groups according to the sedation strategy. The primary outcome is the occurrence of delirium assessed using two times a day confusion assessment method for the ICU (CAM-ICU). Secondary outcomes include cognitive and functional outcomes at 3 and 12 months. ETHICS AND DISSEMINATION: The study has been approved by the Regional Ethics Committee (CPP Ouest) and national authorities (ANSM). The results will be submitted for publication in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT04341350.

Indexed as

AnesthesiaDeliriumHumansIntensive Care UnitsMulticenter Studies as TopicProspective StudiesRandomized Controlled Trials as TopicRespiration, Artificialadult anaesthesiaadult intensive & critical caredelirium & cognitive disorders

Identifiers

PMID33608400
PMCPMC7896597

What OpenQuestion holds

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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.