Evidence map›Paper›PMID 34655568›Full record

ReviewChest2022

Complications of Critical COVID-19: Diagnostic and Therapeutic Considerations for the Mechanically Ventilated Patient.

David M Maslove, Stephanie Sibley, J Gordon Boyd, Ewan C Goligher, Laveena Munshi, Isaac I Bogoch, Bram Rochwerg

Abstract readReview
In one paragraph

Review in Chest, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

David M MasloveDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada; Kingston Health Sciences Centre, Kingston, ON, Canada. Electronic address: david.maslove@queensu.ca.
Stephanie SibleyDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada; Kingston Health Sciences Centre, Kingston, ON, Canada.
J Gordon BoydDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada; Kingston Health Sciences Centre, Kingston, ON, Canada.
Ewan C GoligherInterdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada; University Health Network, Toronto, ON, Canada.
Laveena MunshiInterdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada; Sinai Health System, Toronto, ON, Canada.
Isaac I BogochUniversity Health Network, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.
Bram RochwergDepartment of Medicine, McMaster University, Hamilton, ON, Canada; Juravinski Hospital, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients admitted to the ICU with critical COVID-19 often require prolonged periods of mechanical ventilation. Difficulty weaning, lack of progress, and clinical deterioration are commonly encountered. These conditions should prompt a thorough evaluation for persistent or untreated manifestations of COVID-19, as well as complications from COVID-19 and its various treatments. Inflammation may persist and lead to fibroproliferative changes in the lungs. Infectious complications may arise including bacterial superinfection in the earlier stages of disease. Use of immunosuppressants may lead to the dissemination of latent infections, and to opportunistic infections. Venous thromboembolic disease is common, as are certain neurologic manifestations of COVID-19 including delirium and stroke. High levels of ventilatory support may lead to ventilator-induced injury to the lungs and diaphragm. We present diagnostic and therapeutic considerations for the mechanically ventilated patient with COVID-19 who shows persistent or worsening signs of critical illness, and we offer an approach to treating this complex but common scenario.

Indexed as

COVID-19Respiration, ArtificialCritical IllnessDiaphragmHumansARDScomplicationsCOVID-19critical careICUmechanical ventilation

Identifiers

PMID34655568
PMCPMC8511547

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.