Evidence map›Paper›PMID 37438068›Full record

ArticleBMJ open2023

Which spontaneous breathing trial to predict effort to breathe after extubation according to five critical illnesses: the cross-over GLOBAL WEAN study protocol.

Mathieu Capdevila, Audrey De Jong, Yassir Aarab, Aurelie Vonarb, Julie Carr, Nicolas Molinari, Xavier Capdevila, Laurent Brochard, Samir Jaber

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04222569 (Determination of the Optimal Spontaneous Breathing Trial During Weaning of Mechanical Ventilation), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 25% 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.

NCT04222569 naterminatednot on this map

Determination of the Optimal Spontaneous Breathing Trial During Weaning of Mechanical Ventilation: a Randomized and Personalized Cross Over Physiologic Study in the Perioperative and Critically Ill Patient

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2020 to 2023Enrolled117ConditionsIntensive Care Unit, Invasive Mechanical Ventilation, Ready to Wean From VentilationArmsT-piece, PSV 7 and PEEP 0, PSV 0 and PEEP 0
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. 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 3 institutions in 2 countries.

Mathieu CapdevilaDepartment of Anaesthesiology and Critical Care Medicine B, University Hospital Centre Montpellier, Montpellier, France.
Audrey De JongDepartment of Anaesthesiology and Critical Care Medicine B, University Hospital Centre Montpellier, Montpellier, France.
Yassir AarabDepartment of Anaesthesiology and Critical Care Medicine B, University Hospital Centre Montpellier, Montpellier, France.
Aurelie VonarbDepartment of Anaesthesiology and Critical Care Medicine B, University Hospital Centre Montpellier, Montpellier, France.
Julie CarrDepartment of Anaesthesiology and Critical Care Medicine B, University Hospital Centre Montpellier, Montpellier, France.
Nicolas MolinariDepartment of Statistics, University Hospital Centre Montpellier, Montpellier, France.
Xavier CapdevilaDepartment of Anaesthesiology and Critical Care Medicine A, University Hospital Centre Montpellier, Montpellier, France.ORCID 0000-0002-9791-8779
Laurent BrochardInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.
Samir JaberDepartment of Anaesthesiology and Critical Care Medicine B, University Hospital Centre Montpellier, Montpellier, France s-jaber@chu-montpellier.fr.ORCID 0000-0002-7257-8069
Centre Hospitalier Universitaire de Montpellier · FRInserm · FRSt. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionReadiness to be freed from ventilatory support can be evaluated by spontaneous breathing trial (SBT) assessing the patient's ability to sustain respiratory effort after extubation. Current SBT practices are heterogenous and there are few physiological studies on the topic. The objective of this study is to assess which SBT best reproduces inspiratory effort to breathe after extubation depending on the patient's illness. METHODS AND ANALYSIS: This will be a multicentre randomised cross-over physiological study, in a large population, in the era of modern intensive care units using last generation modern ventilators. Each included patient will perform three 15-minute SBTs in a random order: pressure support ventilation (PSV) level of 7 cmH ETHICS AND DISSEMINATION: The study project was approved by the appropriate ethics committee (2019-A01063-54, Comité de Protection des Personnes TOURS - Région Centre - Ouest 1, France). Informed consent is required, for all patients or surrogate in case of inability to give consent. TRIAL REGISTRATION NUMBER: NCT04222569.

Indexed as

Brain InjuriesCritical IllnessAirway ExtubationHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicRespirationRespiration, Artificialadult intensive & critical carerehabilitation medicinerespiratory physiology

Identifiers

PMID37438068
PMCPMC10347495
OpenAlexW4384029355

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.