Evidence map›Paper›PMID 34349223›Full record

ArticleScientific reports2021

Effects of heliox and non-invasive neurally adjusted ventilatory assist (NIV-NAVA) in preterm infants.

Natalia Neumann-Klimasińska, T Allen Merritt, Jennifer Beck, Izabela Miechowicz, Marta Szymankiewicz-Bręborowicz, Tomasz Szczapa

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. FiOFrontiers in pediatrics · 2021
    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

6 authors.

Natalia Neumann-KlimasińskaNeonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Department of Neonatology, Poznan University of Medical Sciences, Poznan, ul. Polna 33, 60-535, Poznan, Poland.
T Allen MerrittLoma Linda University School of Medicine, Loma Linda, CA, USA.
Jennifer BeckDepartment of Critical Care, Keenan Research Centre for Biomedical Science of St. Michael's Hospital, St. Michael's Hospital, Toronto, ON, M5B1W8, Canada.
Izabela MiechowiczDepartment of Computer Science and Statistics, Poznan University of Medical Sciences, Poznan, Poland.
Marta Szymankiewicz-BręborowiczNeonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Department of Neonatology, Poznan University of Medical Sciences, Poznan, ul. Polna 33, 60-535, Poznan, Poland.
Tomasz SzczapaNeonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Department of Neonatology, Poznan University of Medical Sciences, Poznan, ul. Polna 33, 60-535, Poznan, Poland. tszczapa@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to its unique properties, helium-oxygen (heliox) mixtures may provide benefits during non-invasive ventilation, however, knowledge regarding the effects of such therapy in premature infants is limited. This is the first report of heliox non-invasive neurally adjusted ventilatory assist (NIV-NAVA) ventilation applied in neonates born ≤ 32 weeks gestational age. After baseline NIV-NAVA ventilation with a standard mixture of air and oxygen, heliox was introduced for 3 h, followed by 3 h of air-oxygen. Heart rate, peripheral capillary oxygen saturation, cerebral oxygenation, electrical activity of the diaphragm (Edi) and selected ventilatory parameters (e.g., respiratory rate, peak inspiratory pressure) were continuously monitored. We found that application of heliox NIV-NAVA in preterm infants was feasible and associated with a prompt and significant decrease of Edi suggesting reduced respiratory effort, while all other parameters were stable throughout the study, and had similar values during heliox and air-oxygen ventilation. This therapy may potentially enhance the efficacy of non-invasive respiratory support in preterm neonates and reduce the number of infants progressing to ventilatory failure.

Indexed as

Infant, PrematureFeasibility StudiesHeliumHumansInfant, NewbornNoninvasive VentilationOxygenRespiratory InsufficiencyhelioxHeliumOxygen

Identifiers

PMID34349223
PMCPMC8338984

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Registered trials

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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.