Evidence map›Paper›PMID 36102687›Full record

Observational studyPediatric pulmonology2023

Humidity during high-frequency oscillatory ventilation compared to intermittent positive pressure ventilation in extremely preterm neonates: An in vitro and in vivo observational study.

Claude Danan, Manon Tauzin, Camille Jung, Xavier Durrmeyer, Laurence Caeymaex, Charles Treussart, Fabrice Decobert, Bruno Louis

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Pediatric pulmonology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Observational
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

8 authors at 3 institutions in 1 country.

Claude DananNeonatal Intensive Care Unit, Centre Hospitalier Intercommunal de Creteil, Creteil, France.ORCID 0000-0001-9204-5713
Manon TauzinNeonatal Intensive Care Unit, Centre Hospitalier Intercommunal de Creteil, Creteil, France.ORCID 0000-0003-0547-4566
Camille JungClinical Research Center, Centre Hospitalier Intercommunal de Creteil, Creteil, France.
Xavier DurrmeyerNeonatal Intensive Care Unit, Centre Hospitalier Intercommunal de Creteil, Creteil, France.
Laurence CaeymaexNeonatal Intensive Care Unit, Centre Hospitalier Intercommunal de Creteil, Creteil, France.
Charles TreussartNeonatal Intensive Care Unit, Centre Hospitalier Intercommunal de Creteil, Creteil, France.
Fabrice DecobertNeonatal Intensive Care Unit, Centre Hospitalier Intercommunal de Creteil, Creteil, France.
Bruno LouisEMR 7000, IMRB, CNRS, Universite Paris Est Creteil, Creteil, France.
Centre National de la Recherche Scientifique · FRHôpital Intercommunal de Créteil · FRUniversité Paris-Est Créteil · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInappropriate humidification of inspired gas during mechanical ventilation can impair lung development in extremely low birthweight (ELBW) infants. Humidification depends on multiple factors, such as the heater-humidifier device used, type of ventilation, and environmental factors. Few studies have examined inspired gas humidification in these infants, especially during high-frequency oscillatory ventilation (HFOV). Our objective was to compare humidity during HFOV and intermittent positive pressure ventilation (IPPV), in vitro and in vivo.

methodsIn vitro and in vivo studies used the same ventilator during both HFOV and IPPV. The bench study used a neonatal test lung and two heater-humidifiers with their specific circuits; the in vivo study prospectively included preterm infants born before 28 weeks of gestation.

resultsOn bench testing, mean absolute (AH) and relative (RH) humidity values were significantly lower during HFOV than IPPV (RH = 79.4 ± 8.1% vs. 89.0 ± 6.2%, p < 0.001). Regardless of the ventilatory mode, mean RH significantly differed between the two heater-humidifiers (89.6 ± 6.7% vs 78.7 ± 6.8%, p = 0.003). The in vivo study included 10 neonates (mean ± SD gestational age: 25.7 ± 0.9 weeks and birthweight: 624.4 ± 96.1 g). Mean RH during HFOV was significantly lower than during IPPV (74.6 ± 5.7% vs. 83.0 ± 6.7%, p = 0.004).

conclusionRH was significantly lower during HFOV than IPPV, both in vitro and in vivo. The type of heater-humidifier also influenced humidification. More systematic measurements of humidity of inspired gas, especially during HFOV, should be considered to optimize humidification and consequently lung protection in ELBW infants.

Indexed as

High-Frequency VentilationRespiratory Distress Syndrome, NewbornHumansHumidityInfantInfant, Extremely PrematureInfant, NewbornIntermittent Positive-Pressure VentilationELBWHFOVhumidification

Identifiers

PMID36102687
PMCPMC10086959
OpenAlexW4295678595

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.