Evidence map›Paper›PMID 35716377›Full record

SynthesisPhysiotherapy research international : the journal for researchers and clinicians in physical therapy2022

Use of mechanical insufflation exsufflation and manual techniques in an intubated adult with COVID-19 positioned in prone-A case study.

Chloe Apps, Kelly Morris, Laura Allum, Neeraj Shah, Laura Mylott, Isobel Hinton, Danielle Spencer, Rachel Farley, Hannah Mitchell, Leyla Osman

Open access · greenAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Use of mechanical insufflation exsufflation and manual techniques in an intubated adult with COVID-19 positioned in prone-A case study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

10 authors at 3 institutions in 1 country.

Chloe AppsCritical Care Research Group, Guy's and St. Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-4855-4243
Kelly MorrisPhysiotherapy Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Laura AllumLane Fox Clinical Respiratory Physiology Research Centre, St. Thomas' Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Neeraj ShahLane Fox Clinical Respiratory Physiology Research Centre, St. Thomas' Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Laura MylottPhysiotherapy Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Isobel HintonPhysiotherapy Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Danielle SpencerPhysiotherapy Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Rachel FarleyPhysiotherapy Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Hannah MitchellPhysiotherapy Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Leyla OsmanPhysiotherapy Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Guy's and St Thomas' NHS Foundation Trust · GBSt Thomas' Hospital · GBKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe therapeutic benefits of prone positioning have been described over the last 50 years culminating in a systematic review supporting this management strategy for patients with severe hypoxaemic respiratory failure. Early work detailing treatment approaches for COVID-19 have advocated the use of prone positioning. Limited data exists regarding physiotherapy intervention in patients with COVID-19 owing to the recent emergence of this novel disease. Despite the acknowledged beneficial effects of physiotherapy on secretion clearance and lung recruitment in the general critical care population, there is a lack of evidence pertaining to physiotherapeutic intervention for acutely unwell intubated adults in prone lying.

methodsThis case study report follows the CARE case report guidelines. One patient with COVID-19 pneumonitis who underwent physiotherapy intervention in prone lying is discussed. Informed consent was gained from next of kin for data to be published.

resultsTreatment techniques including mechanical insufflation-exsufflation in prone were feasible and well tolerated by this patient with only transient adverse effects noted. Treatment techniques assisted with secretion clearance. DISCUSSION: Further work on safety, feasibility, and efficacy of physiotherapy intervention in patients with and without COVID-19 in prone will contribute to the evidence base on this subject.

Indexed as

COVID-19InsufflationRespiratory InsufficiencyAdultCritical CareHumansRespiration, Artificialcase reportspatient positioningphysical therapy modalities

Identifiers

PMID35716377
PMCPMC9349782
OpenAlexW4283122128

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.