Evidence map›Paper›PMID 34025757›Full record

ArticleJournal of the Intensive Care Society2021

A survey on the practices and capabilities in the management of respiratory failure in South East England.

Abhishek Jha, Francesco Vasques, Barnaby Sanderson, Kathleen Daly, Guy Glover, Nicholas Ioannou, Duncan Wyncoll, Peter Sherren, Chris Langrish, Chris Meadows and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the Intensive Care Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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 2 institutions in 1 country.

Abhishek JhaCardiothoracic Intensive Care Unit, St George's Hospitals NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-4928-357X
Francesco VasquesGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Barnaby SandersonGuy's and Saint Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-9621-143X
Kathleen DalyGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Guy GloverGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Nicholas IoannouGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Duncan WyncollGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Peter SherrenGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Chris LangrishGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Chris MeadowsGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Andrew RetterGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Richard PaulGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Nicholas A BarrettGuy's and Saint Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-4641-8192
Luigi CamporotaGuy's and Saint Thomas' NHS Foundation Trust, London, UK.
Guy's and St Thomas' NHS Foundation Trust · GBSt George's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe variability of acute respiratory distress syndrome management may affect the referral practice to severe respiratory failure centres. We described the management of acute respiratory distress syndrome in our catchment area.

methodsAn electronic survey was administered to 42 intensive care units in South-East England.

resultsResponse rate was 71.4%. High-flow nasal oxygen and non-invasive ventilation were used 'often' in moderate-acute respiratory distress syndrome by 46.7% and 60%. During invasive ventilation, 90% preferred pressure control, targeting tidal volumes of 6-8 ml/kg (53.3%) or 4-6 ml/kg (46.7%). Positive end-expiratory pressure was selected by positive end-expiratory pressure/inspiratory fraction of oxygen tables (50%) or decremental positive end-expiratory pressure trials (20%). Neuro-muscular blockers were widely used, although routinely by only 3.3%. High-frequency oscillatory ventilation (10%) and inhaled nitric oxide (13.3%) were rarely used. None used oesophageal manometry. Recruitment manoeuvres were used 'often' by 26.7%. Equipment (90%) and protocols (80%) for prone position were common, with sessions mostly lasting 12-18 h.

conclusionsAlthough variable, practice well reflected the available evidence. Proning was widely practiced with good availability of educational resources and protocolised care.

Indexed as

Acute respiratory distress syndromeextracorporeal membrane oxygenationmechanical ventilation

Identifiers

PMID34025757
PMCPMC8120569
OpenAlexW3033768501

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.