Evidence map›Paper›PMID 35780154›Full record

Observational studyCritical care (London, England)2022

Response to PEEP in COVID-19 ARDS patients with and without extracorporeal membrane oxygenation. A multicenter case-control computed tomography study.

Jean-Christophe Richard, Florian Sigaud, Maxime Gaillet, Maciej Orkisz, Sam Bayat, Emmanuel Roux, Touria Ahaouari, Eduardo Davila, Loic Boussel, Gilbert Ferretti and 10 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 33% 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, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Current knowledge gaps in extracorporeal respiratory support.Intensive care medicine experimental · 2023
    Review
  6. Article
  7. 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

20 authors at 10 institutions in 1 country.

Jean-Christophe RichardService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France. j-christophe.richard@chu-lyon.fr.
Florian SigaudService de Médecine-Intensive Réanimation, CHU Grenoble-Alpes, Grenoble, France.
Maxime GailletService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Maciej OrkiszINSA-Lyon, CNRS, INSERM, CREATIS UMR 5220, Univ Lyon, Université Claude Bernard Lyon 1, U1294, Villeurbanne, France.
Sam BayatSynchrotron Radiation for Biomedicine Laboratory (STROBE), INSERM UA07, Univ. Grenoble Alpes, Grenoble, France.
Emmanuel RouxINSA-Lyon, CNRS, INSERM, CREATIS UMR 5220, Univ Lyon, Université Claude Bernard Lyon 1, U1294, Villeurbanne, France.
Touria AhaouariSynchrotron Radiation for Biomedicine Laboratory (STROBE), INSERM UA07, Univ. Grenoble Alpes, Grenoble, France.
Eduardo DavilaINSA-Lyon, CNRS, INSERM, CREATIS UMR 5220, Univ Lyon, Université Claude Bernard Lyon 1, U1294, Villeurbanne, France.
Loic BousselINSA-Lyon, CNRS, INSERM, CREATIS UMR 5220, Univ Lyon, Université Claude Bernard Lyon 1, U1294, Villeurbanne, France.
Gilbert FerrettiGrenoble, France Service de Radiologie Diagnostique Et Interventionnelle, Université Grenoble Alpes, CHU Grenoble-Alpes, Grenoble, France.
Hodane YonisService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Mehdi MezidiService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
William DanjouService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Alwin BazzaniService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Francois DhelftService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Laure FollietService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Mehdi GirardService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Matteo PozziService de Chirurgie Cardiaque, Hôpital Louis Pradel, Hospices Civils de Lyon, Lyon, France.
Nicolas TerziService de Médecine-Intensive Réanimation, CHU Grenoble-Alpes, Grenoble, France.
Laurent BitkerService de Médecine Intensive Réanimation, Hôpital de la Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Hospices Civils de Lyon · FRHôpital de la Croix-Rousse · FRUniversité Claude Bernard Lyon 1 · FRCentre Hospitalier Universitaire de Grenoble · FRCentre de Recherche en Acquisition et Traitement de l'Image pour la Santé · FRCentre National de la Recherche Scientifique · FREuropean Synchrotron Radiation Facility · FRHôpital Louis Pradel · FRInserm · FRUniversité Grenoble Alpes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPEEP selection in severe COVID-19 patients under extracorporeal membrane oxygenation (ECMO) is challenging as no study has assessed the alveolar recruitability in this setting. The aim of the study was to compare lung recruitability and the impact of PEEP on lung aeration in moderate and severe ARDS patients with or without ECMO, using computed tomography (CT).

methodsWe conducted a two-center prospective observational case-control study in adult COVID-19-related patients who had an indication for CT within 72 h of ARDS onset in non-ECMO patients or within 72  h after ECMO onset. Ninety-nine patients were included, of whom 24 had severe ARDS under ECMO, 59 severe ARDS without ECMO and 16 moderate ARDS.

resultsNon-inflated lung at PEEP 5 cmH

conclusionsLung recruitability of COVID-19 pneumonia is not significantly different between ECMO and non-ECMO patients, with substantial interindividual variations. The balance between hyperinflation and recruitment induced by PEEP increase from 5 to 15 cmH

Indexed as

COVID-19Extracorporeal Membrane OxygenationRespiratory Distress SyndromeAdultCase-Control StudiesHumansPositive-Pressure RespirationTomography, X-Ray ComputedARDSComputed tomographyCOVID-19ECMOPEEP

Identifiers

PMID35780154
PMCPMC9250720
OpenAlexW4283778065

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.