Evidence map›Paper›PMID 34911541›Full record

ArticleCritical care (London, England)2021

Flow Index accurately identifies breaths with low or high inspiratory effort during pressure support ventilation.

Filippo Albani, Federica Fusina, Gianni Ciabatti, Luigi Pisani, Valeria Lippolis, Maria Elena Franceschetti, Alessia Giovannini, Rossella di Mussi, Francesco Murgolo, Antonio Rosano and 2 more

Abstract read
In one paragraph

Article in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Observational
  5. Article
  6. Article
  7. Ventilator Waveforms May Give Clues to Expiratory Muscle Activity.American journal of respiratory and critical care medicine · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. 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

12 authors.

Filippo AlbaniDepartment of Anesthesia and Intensive Care, Fondazione Poliambulanza, Brescia, Italy.
Federica FusinaDepartment of Anesthesia and Intensive Care, Fondazione Poliambulanza, Brescia, Italy. f.fusina@gmail.com.ORCID 0000-0002-3341-5793
Gianni CiabattiDepartment of Anesthesiology, Neurointensive Care Unit, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.
Luigi PisaniDepartment of Anesthesia and Intensive Care, Miulli Regional Hospital, Acquaviva Delle Fonti, Bari, Italy.
Valeria LippolisDepartment of Anesthesia and Intensive Care, Mater Dei Hospital, Bari, Italy.
Maria Elena FranceschettiDepartment of Anesthesia and Intensive Care, Fondazione Poliambulanza, Brescia, Italy.
Alessia GiovanniniDepartment of Anesthesia and Intensive Care, Fondazione Poliambulanza, Brescia, Italy.
Rossella di MussiDepartment of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Francesco MurgoloDepartment of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Antonio RosanoDepartment of Anesthesia and Intensive Care, Fondazione Poliambulanza, Brescia, Italy.
Salvatore GrassoDepartment of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Giuseppe NataliniDepartment of Anesthesia and Intensive Care, Fondazione Poliambulanza, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlow Index, a numerical expression of the shape of the inspiratory flow-time waveform recorded during pressure support ventilation, is associated with patient inspiratory effort. The aim of this study was to assess the accuracy of Flow Index in detecting high or low inspiratory effort during pressure support ventilation and to establish cutoff values for the Flow index to identify these conditions. The secondary aim was to compare the performance of Flow index,of breathing pattern parameters and of airway occlusion pressure (P

methodsData from 24 subjects was included in the analysis, accounting for a total of 702 breaths. Breaths with high inspiratory effort were defined by a pressure developed by inspiratory muscles (P

resultsP

conclusionsFlow Index is accurate in detecting high and low spontaneous inspiratory effort during pressure support ventilation.

Indexed as

Positive-Pressure RespirationRespiration, ArtificialHumansLungRespirationTidal VolumeArtificial respirationInspiratory effortIntensive care unitsPatient-ventilator interactionPositive-pressure respiration

Identifiers

PMID34911541
PMCPMC8672539

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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.