Evidence map›Paper›PMID 34209380›Full record

ArticleMembranes2021

Apneic Tracheostomy in COVID-19 Patients on Veno-Venous Extracorporeal Membrane Oxygenation.

Matteo Rossetti, Chiara Vitiello, Valeria Campitelli, Raffaele Cuffaro, Claudia Bianco, Gennaro Martucci, Giovanna Panarello, Federico Pappalardo, Antonio Arcadipane

Open access · goldAbstract read
In one paragraph

Article in Membranes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

9 authors at 1 institution in 1 country.

Matteo RossettiDepartment of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC Italy, 90133 Palermo, Italy.
Chiara VitielloDepartment of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC Italy, 90133 Palermo, Italy.
Valeria CampitelliDepartment of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC Italy, 90133 Palermo, Italy.
Raffaele CuffaroDepartment of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC Italy, 90133 Palermo, Italy.
Claudia BiancoDepartment of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC Italy, 90133 Palermo, Italy.
Gennaro MartucciDepartment of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC Italy, 90133 Palermo, Italy.ORCID 0000-0001-8443-2414
Giovanna PanarelloDepartment of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC Italy, 90133 Palermo, Italy.
Federico PappalardoDepartment of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC Italy, 90133 Palermo, Italy.
Antonio ArcadipaneDepartment of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC Italy, 90133 Palermo, Italy.
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 creates an impressive burden for intensive care units in terms of need for advanced respiratory care, with a huge number of acute respiratory distress syndromes (ARDS) requiring prolonged mechanical ventilation. In some cases, this proves to be insufficient, with a refractory respiratory failure calling for an extracorporeal approach (veno-venous ECMO). In this scenario, most of these patients need an early tracheostomy procedure to be carried out, which creates the risk of distribution of aerosol particles, possibly leading to personnel infection. The use of apneic tracheostomy has been proposed for COVID-19 patients, but in case of ECMO it may produce lung derecruitment, severe hypoxemia, and sudden worsening of respiratory mechanics. We developed an apneic tracheostomy technique and applied it in over 32 patients supported by veno-venous ECMO. We present data showing the safety and feasibility of this technique in terms of patient care and personnel protection. Gas exchange and pH did not show statistically significant changes after the tracheostomy, nor did respiratory mechanics data or the need for inspiratory pressure and FiO

Indexed as

ARDSCOVID-19infection controlrespiratory faiuluresafetySARS-CoV-2tracheostomyveno-venous ECMO

Identifiers

PMID34209380
PMCPMC8306463
OpenAlexW3177207784

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.