Evidence map›Paper›PMID 36878644›Full record

ArticleRespiratory care2023

Cough Peak Flow Assessment Without Disconnection From the ICU Ventilator in Mechanically Ventilated Patients.

Guillaume Fossat, Emmanuelle Desmalles, Léa Courtes, Cécile Fossat, Thierry Boulain

3 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Respiratory care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% 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.

NCT07098611 recruitingnot on this mapstarted 2025, after this paper: background citation

A New Tool for Extubation Readiness in Mechanically Ventilated Patients: Readiness for EXtubation Score (REXs STUDY)

Typeobservational_patient_registrySponsorMedipol UniversityRan2025 to 2026Enrolled470ConditionsVentilator Weaning, Respiration, Artificial, Respiratory Failure, Extubation Readiness
NCT07130123 narecruitingnot on this mapstarted 2025, after this paper: background citation

Removal of the Intubation Tube Under Positive Pressure With or Without Endotracheal Suctioning During Extubation in Intensive Care: a Prospective Randomised Controlled Trial

TypeinterventionalSponsorCentre Hospitalier Régional d'OrléansRan2025 to 2027Enrolled120ConditionsMechanical Ventilation With Oral Intubation, Weaning Invasive Mechanical Ventilation, Oxygen Saturation Measurement, Rox IndexArmsSuctionning extubation, No suctionning Extubation
NCT07420946 recruitingnot on this mapstarted 2026, after this paper: background citation

Mechanical Insufflation-Exsufflation in Critically Ill Patients: An International DELphi Consensus (DELMI-E)

TypeobservationalSponsorMedipol UniversityRan2026 to 2026Enrolled30ConditionsAirway Clearance, Mechanical Insufflation-exsufflation, Mechanical Insufflation-exsufflation Session ( With Cough Assist), Delphi StudyArmsDelphi Questionnaire
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. Ultrasound assessment of abdominal respiratory muscles during ventilator weaning: A scoping review.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2026
    Review
  3. 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

5 authors at 2 institutions in 1 country.

Guillaume FossatMédecine Intensive Réanimation, Centre Hospitalier Régional d'Orléans, Orléans, France. guillaume.fossat@chr-orleans.fr.
Emmanuelle DesmallesMédecine Intensive Réanimation, Centre Hospitalier Régional d'Orléans, Orléans, France.
Léa CourtesMédecine Intensive Réanimation, Centre Hospitalier Régional d'Orléans, Orléans, France.
Cécile FossatMédecine Intensive Réanimation, Centre Hospitalier Régional d'Orléans, Orléans, France.
Thierry BoulainMédecine Intensive Réanimation, Centre Hospitalier Régional d'Orléans, Orléans, France.
Centre hospitalier universitaire d'Orléans · FRUniversité d'Orléans · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause ICU ventilators incorporate flow velocity measurement, cough peak expiratory flow (CPF) can be assessed without disconnecting the patient from the ICU ventilator. Our goal was to estimate the correlation between CPF obtained with the built-in ventilator flow meter (ventilator CPF) and CPF obtained with an electronic portable handheld peak flow meter connected to the endotracheal tube.

methodsCooperative mechanically ventilated patients who entered the weaning process and who were ventilated with pressure support < 15 cm H

resultsWe analyzed CPF obtained in 61 subjects. The mean ± SD value of ventilator CPF and peak flow meter CPF were 72.6 ± 27.5 L/min and 31.1 ± 13.4 L/min. The Pearson correlation coefficient was 0.63 (95% CI 0.45-0.76),

conclusionsCPF measurements using a built-in ventilator flow meter were feasible in routine practice with cooperative ICU subjects who were intubated and correlated with CPF assessed by an electronic portable peak flow meter.

Indexed as

CoughRespiration, ArtificialHumansIntensive Care UnitsIntubation, IntratrachealVentilators, MechanicalVentilator Weaningcough assessmentintensive care unitmechanical ventilationventilator weaning

Identifiers

PMID36878644
PMCPMC10173113
OpenAlexW4323347423

What OpenQuestion holds

Textmetadata
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.