Evidence map›Paper›PMID 36307187›Full record

Trial reportArchives of disease in childhood. Fetal and neonatal edition2023

Nasal high-flow therapy to Optimise Stability during Intubation: the NOSI pilot trial.

Jason Foran, Carmel Maria Moore, Caitriona M Ni Chathasaigh, Shirley Moore, Jyothsna R Purna, Anna Curley

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of disease in childhood. Fetal and neonatal edition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06898801 (Neonatal INtubation After "Just-in-time" Audiovisual Training), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06898801 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Neonatal INtubation After "Just-in-time" Audiovisual Training: a Randomised Controlled Trial

TypeinterventionalSponsorUniversity College DublinRan2025 to 2027Enrolled140ConditionsRespiratory Distress Syndrome, Newborn, Endotracheal Intubation, Neonatal Intubation Performance, PrematurityArmsJust-in-time video training
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. 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

6 authors.

Jason ForanDepartment of Neonatology, National Maternity Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0002-2809-8383
Carmel Maria MooreDepartment of Neonatology, National Maternity Hospital, Dublin, Ireland carmelmariamoore@gmail.com.ORCID http://orcid.org/0000-0003-4164-3195
Caitriona M Ni ChathasaighDepartment of Neonatology, National Maternity Hospital, Dublin, Ireland.
Shirley MooreDepartment of Neonatology, National Maternity Hospital, Dublin, Ireland.
Jyothsna R PurnaDepartment of Neonatology, National Maternity Hospital, Dublin, Ireland.
Anna CurleyDepartment of Neonatology, National Maternity Hospital, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn adult patients with acute respiratory failure, nasal high-flow (NHF) therapy at the time of intubation can decrease the duration of hypoxia. The objective of this pilot study was to calculate duration of peripheral oxygen saturation below 75% during single and multiple intubation attempts in order to inform development of a larger definitive trial. DESIGN AND

settingThis double-blinded randomised controlled pilot trial was conducted at a single, tertiary neonatal centre from October 2020 to October 2021.

participantsInfants undergoing oral intubation in neonatal intensive care were included. Infants with upper airway anomalies were excluded.

interventionsInfants were randomly assigned (1:1) to have NHF 6 L/min, FiO

main outcome measuresThe primary outcome was duration of hypoxaemia of <75% up to the time of successful intubation,

results43 infants were enrolled (26 <34 weeks and 17 ≥34 weeks) with 50 intubation episodes. In infants <34 weeks' gestation, median duration of SpO

conclusionThis pilot study showed that it is feasible to provide NHF during intubation attempts. No significant differences were noted in duration of oxygen saturation of <75% between groups; however, this trial was not powered to detect a difference. A larger, higher-powered blinded study is warranted.

Indexed as

HypoxiaIntubation, IntratrachealGestational AgeHumansInfantInfant, NewbornNoseOxygenOxygen Inhalation TherapyPilot ProjectsOxygenChild HealthEmergency CareIntensive Care Units, NeonatalNeonatologyRespiratory Medicine

Identifiers

PMID36307187
PMCPMC10176365

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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.