Evidence map›Paper›PMID 34476657›Full record

ReviewHeart failure reviews2022

Advanced airway management and respiratory care in decompensated pulmonary hypertension.

Cyrus A Vahdatpour, John J Ryan, Joshua M Zimmerman, Samuel J MacCormick, Harold I Palevsky, Hassan Alnuaimat, Ali Ataya

Open access · bronzeAbstract readReview
In one paragraph

Review in Heart failure reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Observational
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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

7 authors at 4 institutions in 1 country.

Cyrus A VahdatpourDepartment of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, P.O Box 100225 JHMHC, Gainesville, FL, 32610-0225, USA. Cyrus.vahdatpour@medicine.ufl.edu.ORCID 0000-0002-8917-2807
John J RyanDivision of Cardiovascular Medicine, University of Utah, Salt Lake City, UT, USA.
Joshua M ZimmermanDepartment of Anesthesiology, University of Utah, Salt Lake City, UT, USA.
Samuel J MacCormickDepartment of Anesthesiology, University of Virginia, Charlottesville, VA, USA.
Harold I PalevskyDivision of Pulmonary, Allergy and Critical Care, University of Pennsylvania, Philadelphia, PA, USA.
Hassan AlnuaimatDepartment of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, P.O Box 100225 JHMHC, Gainesville, FL, 32610-0225, USA.
Ali AtayaDepartment of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, P.O Box 100225 JHMHC, Gainesville, FL, 32610-0225, USA.
University of Florida · USUniversity of Utah · USUniversity of Pennsylvania · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meticulous risk stratification is essential when considering intubation of a patient with decompensated pulmonary hypertension (dPH). It is paramount to understand both the pathophysiology of dPH (and associated right ventricular failure) and the complications related to a high-risk intubation before attempting the procedure. There are few recommendations in this area and the literature, guiding these recommendations, is limited to expert opinion and very few case reports/case series. This review will discuss the complex pathophysiology of dPH, the complications associated with intubation, the debates surrounding induction agents, and the available options for the intubation procedure, with specific emphasis on the emerging role for awake fiberoptic intubation. All patients should be evaluated for candidacy for veno-arterial extracorporeal membrane oxygen as a bridge to recovery, lung transplantation, or pulmonary endarterectomy prior to intubation. Only an experienced proceduralist who is both comfortable with high-risk intubations and the pathophysiology of dPH should perform these intubations.

Indexed as

Extracorporeal Membrane OxygenationHypertension, PulmonaryAirway ManagementEndarterectomyHumansIntubation, IntratrachealCardiogenic shockDecompensated pulmonary hypertensionIntubationRespiratory failure

Identifiers

PMID34476657
PMCPMC8412384
OpenAlexW3197722692

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.