Evidence map›Paper›PMID 33670987›Full record

ReviewMembranes2021

Extracorporeal Gas Exchange for Acute Respiratory Distress Syndrome: Open Questions, Controversies and Future Directions.

Marco Giani, Simone Redaelli, Antonio Siragusa, Benedetta Fumagalli, Roberto Rona, Giuseppe Foti

Open access · goldAbstract readReview
In one paragraph

Review in Membranes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
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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

6 authors at 2 institutions in 1 country.

Marco GianiSchool of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0001-8048-2721
Simone RedaelliSchool of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0003-0128-7376
Antonio SiragusaSchool of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy.
Benedetta FumagalliSchool of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy.
Roberto RonaEmergency and Intensive Care, Azienda Socio Sanitaria Territoriale di Monza, 20900 Monza (MB), Italy.ORCID 0000-0003-3907-3074
Giuseppe FotiSchool of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy.
Azienda Socio Sanitaria Territoriale Lariana · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Veno-venous extracorporeal membrane oxygenation (V-V ECMO) in acute respiratory distress syndrome (ARDS) improves gas exchange and allows lung rest, thus minimizing ventilation-induced lung injury. In the last forty years, a major technological and clinical improvement allowed to dramatically improve the outcome of patients treated with V-V ECMO. However, many aspects of the care of patients on V-V ECMO remain debated. In this review, we will focus on main issues and controversies on caring of ARDS patients on V-V ECMO support. Particularly, the indications to V-V ECMO and the feasibility of a less invasive extracorporeal carbon dioxide removal will be discussed. Moreover, the controversies on management of mechanical ventilation, prone position and sedation will be explored. In conclusion, we will discuss evidences on transfusions and management of anticoagulation, also focusing on patients who undergo simultaneous treatment with ECMO and renal replacement therapy. This review aims to discuss all these clinical aspects with an eye on future directions and perspectives.

Indexed as

acute respiratory distress syndromeanticoagulationARDSECMOindicationsmechanical ventilationprone positioningveno-venous extracorporeal membrane oxygenation

Identifiers

PMID33670987
PMCPMC7997339
OpenAlexW3134178833

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.