Prone ventilation in a pregnant patient with scrub typhus-induced acute respiratory distress syndrome.

Meenupriya Arasu, Nagalakshmi Swaminathan, Anusha Cherian, Magesh Parthiban

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In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact, top 95% 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

0 citing papers in PubMed, 0 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

4 authors at 1 institution in 1 country.

Meenupriya ArasuAnaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.

Nagalakshmi SwaminathanAnaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.

Anusha CherianAnaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India anushacherian@gmail.com.ORCID http://orcid.org/0000-0001-9017-5311

Magesh ParthibanAnaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.

Jawaharlal Institute of Post Graduate Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 23-year-old primigravida at 20 weeks of gestation presented to our hospital with undifferentiated febrile illness and severe acute respiratory distress syndrome. She was intubated in the emergency department and transferred to the intensive care unit. Initial treatment included ventilatory care, vasopressor support and broad-spectrum antibiotics. Based on a positive PCR assay for scrub typhus, she was treated with intravenous doxycycline and azithromycin. Despite reduction in fever, her oxygenation further declined. Following a risk-benefits assessment, we decided to ventilate her in prone position for 8 hours a day for three consecutive days using a checklist-based protocol. Her oxygenation indices and lung compliance markedly improved over this period, and she was extubated a day later. She was eventually discharged home after 1 week.

Indexed as

Respiratory Distress SyndromeScrub TyphusAdultAnti-Bacterial AgentsAzithromycinDoxycyclineFemaleHumansPregnancyYoung AdultAnti-Bacterial AgentsAzithromycinDoxycyclineadult intensive careinfectious diseasesmechanical ventilationpregnancyultrasonography

Identifiers

PMID33827889

DOI10.1136/bcr-2021-242870

PMCPMC8031017

OpenAlexW3150818186

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.