Evidence map›Paper›PMID 38357549›Full record

ArticleRespiratory medicine case reports2024

High PEEP extubation as guided by esophageal manometry.

Kathryn M Pendleton, Jacob Fiocchi, Julia Meyer, Alexandra Fuher, Sarah Green, William M LeTourneau, Ronald A Reilkoff

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Respiratory medicine case reports, 2024. 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
–field-weighted citation impact, top 99% 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, 0 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

7 authors at 3 institutions in 1 country.

Kathryn M PendletonDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Jacob FiocchiDepartment of Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Julia MeyerUniversity of Minnesota Medical School, University of Minnesota, Minneapolis, MN, USA.
Alexandra FuherUniversity of Minnesota Medical School, University of Minnesota, Minneapolis, MN, USA.
Sarah GreenMHealth-Fairview Southdale Hospital, Edina, MN, USA.
William M LeTourneauDepartment of Anesthesiology and Perioperative Medicine, Respiratory Therapy, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Ronald A ReilkoffDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
University of Minnesota Medical Center · USFairview Southdale Hospital · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ventilatory management of morbidly obese patients presents an ongoing challenge in the Intensive Care Unit (ICU) as multiple physiologic changes in the respiratory system complicate weaning efforts and make extubation more difficult, often leading to increased time on the ventilator. We report the case of a young adult male who presented to our ICU on two separate occasions with hypoxemic respiratory failure requiring intubation. Esophageal manometry (EM) guided positive end expiratory pressure (PEEP) titration was utilized during both ICU admissions to improve oxygenation and aid in extubation with spontaneous breathing trials performed on higher-than-normal PEEP settings and successful liberation on both occasions.

Indexed as

Esophageal manometryMorbid obesityObesePositive end expiratory pressure (PEEP)Spontaneous breathing trials (SBT)Ventilator weaning

Identifiers

PMID38357549
PMCPMC10865048
OpenAlexW4391115343

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.