Evidence map›Paper›PMID 35815895›Full record

ReviewJournal of intensive care medicine2022

To Wean or Not to Wean: A Practical Patient Focused Guide to Ventilator Weaning.

Padmastuti Akella, Louis P Voigt, Sanjay Chawla

2 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Journal of intensive care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.6field-weighted citation impact, top 2% 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.

NCT06493929 unknown statusnot on this mapstarted 2024, after this paper: background citation

Mechanical Power As a Predictor for Weaning in Chronic Obstructive Pulmonary Disease Patients :Prospective Cohort Study.

TypeobservationalSponsorAssiut UniversityRan2024 to 2026Enrolled84ConditionsMechanical PowerArmsChest ultrasound, Calculation of Mechanical Power on the first day of intubation and before First trial of weaning:
NCT06510517 unknown statusnot on this mapstarted 2024, after this paper: background citation

Mechanical Power Versus Diaphragmatic Excursion As a Predictor for Weaning in Chronic Obstructive Pulmonary Disease Patients: Prospective Cohort Study

Typeobservational_patient_registrySponsorAssiut UniversityRan2024 to 2026Enrolled84ConditionsMechanical PowerArmsCalculation of Mechanical Power., Measurement Diaphragmatic Excursion after first SBT
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Diaphragmatic Ultrasound Parameters as Predictors of Weaning Success in Cervical Spinal Cord Injury.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Observational
  19. Review
  20. 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

3 authors at 1 institution in 1 country.

Padmastuti AkellaDepartment of Anesthesiology & Critical Care Medicine, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-5395-4308
Louis P VoigtDepartment of Anesthesiology & Critical Care Medicine, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-1291-4611
Sanjay ChawlaDepartment of Anesthesiology & Critical Care Medicine, 5803Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-6840-7988
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Since the inception of critical care medicine and artificial ventilation, literature and research on weaning has transformed daily patient care in intensive care units (ICU). As our knowledge of mechanical ventilation (MV) improved, so did the need to study patient-ventilator interactions and weaning predictors. Randomized trials have evaluated the use of protocol-based weaning (vs. usual care) to study the duration of MV in ICUs, different techniques to conduct spontaneous breathing trials (SBT), and strategies to eventually extubate a patient whose initial SBT failed. Despite considerable milestones in the management of multiple diseases contributing to reversible respiratory failure, in the application of early rehabilitative interventions to preserve muscle integrity, and in ventilator technology that mitigates against ventilator injury and dyssynchrony, major barriers to successful liberation from MV persist. This review provides a broad encompassing view of weaning classification, causes of weaning failure, and evidence behind weaning predictors and weaning modes.

Indexed as

Respiratory InsufficiencyVentilator WeaningHumansIntensive Care UnitsRespiration, ArtificialVentilators, Mechanicalmechanical ventilationspontaneous breathing trialventilator discontinuationweaning

Identifiers

PMID35815895
PMCPMC10329429
OpenAlexW4285005404

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.