Evidence map›Paper›PMID 37648746›Full record

Trial reportPediatric research2024

Lung ultrasound-guided best positive end-expiratory pressure in neonatal anesthesia: a proposed randomized, controlled study.

Anna Camporesi, Ugo Maria Pierucci, Giuseppe Paladini, Andrea Gentile, Danilo Buonsenso, Gloria Pelizzo

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric research, 2024. 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
0.4field-weighted citation impact, top 38% 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. 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

6 authors at 4 institutions in 1 country.

Anna CamporesiDepartment of Pediatric Anesthesia and Intensive Care, Buzzi Children's Hospital, Milan, Italy. anna.camporesi@gmail.com.ORCID 0000-0002-1160-1456
Ugo Maria PierucciPediatric Surgery Department, Buzzi Children's Hospital, Milan, Italy.
Giuseppe PaladiniDepartment of Pediatric Anesthesia and Intensive Care, Buzzi Children's Hospital, Milan, Italy.
Andrea GentileDepartment of Medical-Surgical Physiopathology and Transplants, University of Milan, Milan, Italy.
Danilo BuonsensoDepartment of Woman and Child Health and Public Health, Fondazione Policlinico Universitario "A. Gemelli", Roma, Italy.
Gloria PelizzoPediatric Surgery Department, Buzzi Children's Hospital, Milan, Italy.
Ospedale dei Bambini Vittore Buzzi · ITAgostino Gemelli University Polyclinic · ITLuigi Sacco Hospital · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtelectasis is a common complication in neonatal anesthesia. Lung ultrasound (LUS) can be used intraoperatively to evaluate and recognize atelectatic lung areas. Hypotheses for the study are: (1) The use of LUS to guide choice of best positive end-expiratory pressure (PEEP) can lead to reduction of FiO

methodsWe propose a randomized controlled trial that compares standard PEEP settings with LUS-guided PEEP choice in patients under 2 months of age undergoing general anesthesia.

resultsThe primary aim is to determine whether LUS-guided PEEP choice in neonatal anesthesia, compared to standard PEEP choice, can lead to reduction of FiO

conclusionsWe expect a significant reduction of FiO IMPACT: Lung atelectasis is extremely common in neonatal anesthesia, because of the physiology of the neonatal lung and chest wall and leads to hypoxemia, being a lung area with a perfusion/ventilation mismatch. Raising inspired fraction of oxygen can overcome temporarily hypoxemia but oxygen is a toxic compound for newborns. Lung ultrasound (LUS) can detect atelectasis at bedside and be used to optimize ventilator settings including choice of positive end-expiratory pressure (PEEP). This randomized controlled trial (RCT) aims at demonstrating that LUS-guided choice of best PEEP during neonatal anesthesia can lead to reduction of inspired fractions of oxygen to keep same peripheral saturations SpO

Indexed as

LungPulmonary AtelectasisAnesthesia, GeneralHumansHypoxiaInfant, NewbornOxygenPositive-Pressure RespirationPostoperative ComplicationsRespirationUltrasonography, InterventionalOxygen

Identifiers

PMID37648746
OpenAlexW4386283767

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.