Evidence map›Paper›PMID 36912404›Full record

ArticleTuberkuloz ve toraks2023

Lung and diaphragm ultrasound in noninvasive respiratory support: A real tool or fashion?

Domenica Di Costanzo, Mariano Mazza, Paolo Ruggeri, Jacobo Bacariza Blanco, Bushra Mina, Giuseppe Fiorentino, Biljana Lazovic, Gaetano Scaramuzzo, Antonio Esquinas

Open access · diamondAbstract read
In one paragraph

Article in Tuberkuloz ve toraks, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

9 authors at 8 institutions in 5 countries.

Domenica Di CostanzoUnit of Pulmonology and Respiratory Pathophysiology, Clinic of Medical Sciences, Aorn Sant'Anna and San Sebastiano Hospital, Caserta, Italy.
Mariano MazzaUnit of Pulmonology and Respiratory Pathophysiology, Clinic of Medical Sciences, Aorn Sant'Anna and San Sebastiano Hospital, Caserta, Italy.
Paolo RuggeriUnit of Pulmonology, Department of Biomedical and Dental Sciences, Messina University Faculty of Medicine, Messina, Italy.
Jacobo Bacariza BlancoIntensive Care Unit, Hospital Garcia de Orta, Almada, Portuga.
Bushra MinaClinic of Pulmonary and Critical Care, Lenox Hill Hospital, New York, United States.
Giuseppe FiorentinoClinic of Pathophysiology and Respiratory Rehabilitation, Monaldi Hospital Azienda Ospedaliera Dei Colli, Napoli, Italy.
Biljana LazovicPulmonogy Ward, University Clinical Hospital Center Zemun, Belgrade, Serbia.
Gaetano ScaramuzzoDepartment of Translational Medicine, Ferrara University Faculty of Medicine, Ferrara, Italy.
Antonio EsquinasIntensive Care Unit, Hospital Morales Meseguer, Murcia, Spain.
Ospedale Sant'Anna · ITHospital Garcia de Orta · PTHospital General Universitario Morales Meseguer · ESLenox Hill Hospital · USOspedale Monaldi · ITUniversity of Ferrara · ITUniversity of Messina · ITZemun Hospital · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Over the past few years, there has been an increase in lung and diaphragm ultrasound applications as a tool to evaluate the outcomes and settings of noninvasive respiratory supports. However, actual clinical practices in this field are yet to be known. The aim of this study was to investigate the current clinical utilization of ultrasound for noninvasive respiratory supports on an international level. Materials and Methods: The study employed an online survey consisting of 32 items, which was sent via email to intensivists, pulmonologists, emergency medicine physicians, and other specialists with expertise in using ultrasound and/or noninvasive respiratory supports. Result: We collected 52 questionnaires. The ultrasound study of diaphragm dysfunction was well-known by the majority of respondents (57.7%). Diaphragm performance was used as a weaning failure predictor (48.5%), as a predictor of noninvasive ventilation failure (38.5%) and as a tool for the ventilator settings adjustment (30.8%). In patients with acute respiratory failure, 48.1% used ultrasound to assess the damaged lung area to set up ventilatory parameters, 34.6% to monitor it after noninvasive ventilation application, and 32.7% to match it with the ventilatory settings for adjustment purposes. When administering high flow nasal cannula - oxygen therapy, 42.3% of participants used ultrasound to evaluate lung involvement and assess flow parameters. Conclusions: Lung and diaphragm ultrasound is an established clinical practice to evaluate noninvasive respiratory supports outcomes and settings. Further studies are needed to evaluate the educational aspects to increase confidence and indications for its use.

Indexed as

Noninvasive VentilationRespiratory InsufficiencyDiaphragmHumansLungRespiration, ArtificialThorax

Identifiers

PMID36912404
PMCPMC10795273
OpenAlexW4324020428

What OpenQuestion holds

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LicenceCC BY
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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.