Evidence map›Paper›PMID 35193329›Full record

Observational studyAnaesthesiology intensive therapy2022

The effect of non-invasive ventilation on intra-abdominal pressure.

Adrian Regli, Reoch Nanda, Jan Braun, Massimo Girardis, Martin Max, Manu Malbrain, Bart De Keulenaer

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Anaesthesiology intensive therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.3field-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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Intra-abdominal hypertension and abdominal compartment syndrome in acute pancreatitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 5 countries.

Adrian RegliDepartment of Intensive Care Medicine, Fiona Stanley Hospital, Murdoch, Australia.
Reoch NandaDepartment of Emergency, Royal Perth Hospital, Perth, Australia.
Jan BraunDepartment of Anaesthesiology and Intensive Care, Charité, Universitätsmedizin Berlin, Berlin, Germany.
Massimo GirardisUniversity Hospital of Modena, University of Modena & Reggio Emilia, Modena, Italy.
Martin MaxDepartment of Intensive Care Medicine, Centre Hospitalier, Luxembourg.
Manu MalbrainFirst Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Bart De KeulenaerDepartment of Intensive Care Medicine, Fiona Stanley Hospital, Murdoch, Australia.
Centre Hospitalier de Luxembourg · LUCharité - Universitätsmedizin Berlin · DEMedical University of Lublin · PLRoyal Perth Hospital · AUThe University of Notre Dame Australia · AUUniversity of Modena and Reggio Emilia · ITUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-invasive ventilation is a well-established treatment modality in patients with respiratory failure of different aetiologies. A previous case report described how non-invasive ventilation caused gastric distension and intra-abdominal hypertension with subsequent cardio-respiratory arrest and clinical recovery following resuscitative efforts including gastric decompression with a nasogastric tube.

methodsThe aim of this prospective multicentre observational study was to assess the effect of non-invasive ventilation on intra-abdominal pressure. Following informed consent, intra-abdominal pressure and PaCO2 were measured before and after the application of non-invasive ventilation for up to three days in critically ill patients requiring non-invasive ventilation.

resultsThirty-five patients were enrolled; mean (±SD) age of 67.8 (±12.5) years, median (interquartile range) body mass index of 27.9 (24.5-30.0) kg m-2, Acute Physiology and Chronic Health Evaluation II score of 15.8 (±6.4). On admission and after 24 hours of non-invasive ventilation, intra-abdominal pressure was 11.0 (7.5-15.0) mm Hg and 11.0 (8.5-14.5) mm Hg (P = 0.82) and PaCO2 was 44.4 (±11.4) mm Hg and 51.3 (±14.3) mm Hg (P = 0.19), respectively.

conclusionsThe application of non-invasive ventilation was not associated with an increase in intra-abdominal pressure over 72 hours in this small observational study. Thus, it appears that intra-abdominal pressure does not frequently increase when applying non-invasive ventilation in critically ill patients with respiratory failure.

Indexed as

Intra-Abdominal HypertensionNoninvasive VentilationAgedAged, 80 and overCritical IllnessHumansMiddle AgedProspective StudiesRespiration, Artificialchronic obstructive pulmonary diseaseintra-abdominal hypertensionintra-abdominal pressurenon-invasive ventilation

Identifiers

PMID35193329
PMCPMC10156478
OpenAlexW4212961506

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.