Evidence map›Paper›PMID 34876630›Full record

Trial reportScientific reports2021

RAM cannula with Cannulaide versus Hudson prongs for delivery of nasal continuous positive airway pressure in preterm infants: an RCT.

Shravani Maram, Srinivas Murki, Sidharth Nayyar, Sandeep Kadam, Tejo Pratap Oleti, Rajendra Prasad Anne, Saikiran Deshobhotla, Deepak Sharma, Subhash Arun, Praveen Rao Vadije

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Comparison of two different Nasal Interfaces used in Non-Invasive Respiratory support in terms of Neonate comfort.Malawi medical journal : the journal of Medical Association of Malawi · 2024
    Trial
  5. Trial
  6. OcclusiveEuropean respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

10 authors at 4 institutions in 1 country.

Shravani MaramNeonatology, Fernandez Hospital, Hyderabad, Telangana, India.
Srinivas MurkiParamitha Children's Hospital, Kothapet, Hyderabad, Telangana, 500 074, India. srinivasmurki2001@gmail.com.
Sidharth NayyarNeonatology, King Edward Memorial (KEM) Hospital, Pune, Maharashtra, India.
Sandeep KadamNeonatology, King Edward Memorial (KEM) Hospital, Pune, Maharashtra, India.
Tejo Pratap OletiNeonatology, Fernandez Hospital, Hyderabad, Telangana, India.
Rajendra Prasad AnnePediatrics, All India Institute of Medical Sciences, Hyderabad, Telangana, India.
Saikiran DeshobhotlaNeonatology, Fernandez Hospital, Hyderabad, Telangana, India.
Deepak SharmaNeonatology, Fernandez Hospital, Hyderabad, Telangana, India.
Subhash ArunNeonatology, Fernandez Hospital, Hyderabad, Telangana, India.
Praveen Rao VadijeNeonatology, Fernandez Hospital, Hyderabad, Telangana, India.
Fernandez Hospital · INKing Edward Memorial Hospital Research Centre · INAll India Institute of Medical Sciences · INRainbow Children's Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nasal continuous positive airway pressure (nCPAP) is the standard non-invasive respiratory support for newborns with respiratory distress. Nasal injury is a common problem with the interfaces used. To compare the incidence and severity of nasal injury in neonates with respiratory distress and supported on nCPAP with Hudson prong or RAM cannula with Cannulaide, a semipermeable membrane. This is an open-label, parallel-arm, gestational age-stratified, bi-centric, randomized control trial including neonates between 28 and 34 weeks gestational age and birth weight > 1000 g needing nCPAP. The size of the interface was chosen as per the manufacturer's recommendation. Of the 229 neonates enrolled, 112 were randomized to RAM cannula with Cannulaide and 117 to Hudson prong. The baseline characteristics were similar. Any nasal injury at CPAP removal was significantly lower in the RAM cannula with Cannulaide group [6 (5.4%) vs. 31 (26.4%); risk ratio-0.77 (95% CI 0.69-0.87); p = 0.0001]. The incidence of moderate to severe nasal injury, need for mechanical ventilation within 72 h of age, duration of oxygen, and requirement of nCPAP for > 3 days were similar. For preterm infants on nCPAP, RAM cannula with Cannulaide, compared to Hudson prongs, decreases nasal injury without increasing the need for mechanical ventilation.Trail registration: CTRI/2019/03/018333, http://www.ctri.nic.in .

Indexed as

CannulaContinuous Positive Airway PressureFemaleGestational AgeHumansIncidenceInfant, NewbornInfant, PrematureMaleNoseRespiration, ArtificialRespiratory Distress Syndrome, NewbornVentilator Weaning

Identifiers

PMID34876630
PMCPMC8651736
OpenAlexW4200351577

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.