Evidence map›Paper›PMID 38664685›Full record

Observational studyRespiratory research2024

Electrical Impedance Tomography as a monitoring tool during weaning from mechanical ventilation: an observational study during the spontaneous breathing trial.

Jantine J Wisse, Tom G Goos, Annemijn H Jonkman, Peter Somhorst, Irwin K M Reiss, Henrik Endeman, Diederik Gommers

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Respiratory research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
9.2field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

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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.

Jantine J WisseDepartment of Adult Intensive Care, Erasmus Medical Centre, Rotterdam, the Netherlands. j.j.smit@erasmusmc.nl.
Tom G GoosDepartment of Neonatal and Pediatric Intensive Care, Erasmus Medical Centre - Sophia Children's Hospital, Rotterdam, The Netherlands.
Annemijn H JonkmanDepartment of Adult Intensive Care, Erasmus Medical Centre, Rotterdam, the Netherlands.
Peter SomhorstDepartment of Adult Intensive Care, Erasmus Medical Centre, Rotterdam, the Netherlands.
Irwin K M ReissDepartment of Neonatal and Pediatric Intensive Care, Erasmus Medical Centre - Sophia Children's Hospital, Rotterdam, The Netherlands.
Henrik EndemanDepartment of Adult Intensive Care, Erasmus Medical Centre, Rotterdam, the Netherlands.
Diederik GommersDepartment of Adult Intensive Care, Erasmus Medical Centre, Rotterdam, the Netherlands.
Erasmus University Rotterdam · NLErasmus MC - Sophia Children’s Hospital · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged weaning from mechanical ventilation is associated with poor clinical outcome. Therefore, choosing the right moment for weaning and extubation is essential. Electrical Impedance Tomography (EIT) is a promising innovative lung monitoring technique, but its role in supporting weaning decisions is yet uncertain. We aimed to evaluate physiological trends during a T-piece spontaneous breathing trail (SBT) as measured with EIT and the relation between EIT parameters and SBT success or failure.

methodsThis is an observational study in which twenty-four adult patients receiving mechanical ventilation performed an SBT. EIT monitoring was performed around the SBT. Multiple EIT parameters including the end-expiratory lung impedance (EELI), delta Tidal Impedance (ΔZ), Global Inhomogeneity index (GI), Rapid Shallow Breathing Index (RSBI

resultsEELI values dropped after the start of the SBT (p < 0.001) and did not recover to baseline after restarting mechanical ventilation. The ΔZ dropped (p < 0.001) but restored to baseline within seconds after restarting mechanical ventilation. Five patients failed the SBT, the GI (p = 0.01) and transcutaneous CO

conclusionEIT has the potential to assess changes in ventilation distribution and quantify the inhomogeneity of the lungs during the SBT. High lung inhomogeneity was found during SBT failure. Insight into physiological trends for the individual patient can be obtained with EIT during weaning from mechanical ventilation, but its role in predicting weaning failure requires further study.

Indexed as

Electric ImpedanceTomographyVentilator WeaningAdultAgedAged, 80 and overFemaleHumansLungMaleMiddle AgedMonitoring, PhysiologicRespirationRespiration, ArtificialEITElectrical Impedance TomographySpontaneous breathing trialWeaning

Identifiers

PMID38664685
PMCPMC11044327
OpenAlexW4395453644

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.