Evidence map›Paper›PMID 38756610›Full record

ArticleHeliyon2024

The development and implementation of a low-cost mechanical ventilator in a low-middle-income country during the COVID-19 pandemic: The Unisabana-HERONS.

Luis Fernando Giraldo-Cadavid, Julian Echeverry, Fabio Varón-Vega, Alirio Bastidas, Andrés Ramírez-Jaime, Andrés Felipe Cardona, Cristian Joao Lopez Vega, Cristian C Serrano-Mayorca, Diana Garay, Diego Nicolás Rincón and 16 more

Registry-linked trialAbstract read
In one paragraph

Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04497623 (Clinical Evaluation of Ventilator Innovation Product in Colombia in the SARS Pandemic Covid 19, Unisabana Herons - A Cohort Study - Phase 1), which is not on this 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
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.

NCT04497623 nacompletednot on this map

Clinical Evaluation of Ventilator Innovation Product in Colombia in the SARS Pandemic Covid 19, Unisabana Herons - A Cohort Study - Phase 1

TypeinterventionalSponsorFundación Neumologica ColombianaRan2020 to 2020Enrolled5ConditionsCovid19ArmsInvasive mechanical ventilation using the Unisabana-Herons Ventilator during 24 hours
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

26 authors.

Luis Fernando Giraldo-CadavidUniversidad de La Sabana, Chía, Colombia.
Julian EcheverryUniversidad de La Sabana, Chía, Colombia.
Fabio Varón-VegaFundación Neumológica Colombiana, Bogotá, Colombia.
Alirio BastidasUniversidad de La Sabana, Chía, Colombia.
Andrés Ramírez-JaimeUniversidad de La Sabana, Chía, Colombia.
Andrés Felipe CardonaUniversidad de La Sabana, Chía, Colombia.
Cristian Joao Lopez VegaFundación Clínica Shaio, Bogotá, Colombia.
Cristian C Serrano-MayorcaUniversidad de La Sabana, Chía, Colombia.
Diana GarayUniversidad de La Sabana, Chía, Colombia.
Diego Nicolás RincónUniversidad de La Sabana, Chía, Colombia.
Henry OliverosUniversidad de La Sabana, Chía, Colombia.
Iván Arturo RamírezUniversidad de La Sabana, Chía, Colombia.
Esteban Garcia-GalloUniversidad de La Sabana, Chía, Colombia.
Valeria A Enciso-PrietoUniversidad de La Sabana, Chía, Colombia.
Elsa D Ibáñez-PradaUniversidad de La Sabana, Chía, Colombia.
Juan Carlos CameloUniversidad de La Sabana, Chía, Colombia.
Laura CucunuboFundación Neumológica Colombiana, Bogotá, Colombia.
Lina BuitragoUniversidad Nacional de Colombia, Bogotá, Colombia.
Luis Alfredo PaipaUniversidad de La Sabana, Chía, Colombia.
Luis Carlos LongasUniversidad de La Sabana, Chía, Colombia.
Luis Mauricio Agudelo-OtáloraUniversidad de La Sabana, Chía, Colombia.
Nestor Fernando Porras DiazUniversidad de La Sabana, Chía, Colombia.
Rolando Roncancio RachidUniversidad de La Sabana, Chía, Colombia.
Rubén Darío Henao IUniversidad de La Sabana, Chía, Colombia.
Santiago PedrazaUniversidad de La Sabana, Chía, Colombia.
Luis Felipe ReyesUniversidad de La Sabana, Chía, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The COVID-19 pandemic in Latin America generated the need to develop low-cost, fast-manufacturing mechanical ventilators. The Universidad de La Sabana and the Fundacion Neumologica Colombiana designed and manufactured the Unisabana-HERONS (USH) ventilator. Here, we present the preclinical and clinical study results to evaluate its effectiveness and safety characteristics in an animal model (Y Methods: The effectiveness and safety outcomes included maintaining arterial blood gases and pulse oximetry saturation (SpO2), respiratory pressures and volumes (during continuous monitoring) in the range of ARDS and lung-protective strategy goals, and the occurrence of barotrauma. A significance level of 0.05 was used for statistical tests. This clinical trial was registered on Clinicaltrials.gov (NCT04497623) and approved by the ethics committee. Results: Among patients treated with the Unisabana-HERONS, the most frequent causes of acute respiratory failure were pneumonia in 3/5 (60 %) and ARDS in 2/5 (40 %). During the treatment, the ventilatory parameters related to lung protection protocols were kept within the safety range, and vital signs and blood gas were stable. The percentage of time that the respiratory pressures or volumes were out of safety range were plateau pressure >30 cm H2O: 0.00 %; driving pressure >15 cm H2O: 0.06 %; mechanical power >15 J/min: 0.00 %; and Tidal volume >8 mL/kg: 0.00 %. There were no adverse events related to the ventilator. The usability questionnaire retrieved a median score for all items between 9 and 10 (best score: 10), indicating great ease of use. Conclusion: The Unisabana-HERONS ventilator effectively provided adequate gas exchange and maintained the ventilatory parameters in the range of lung protection strategies in humans and an animal model. Furthermore, it is straightforward to use and is a low-cost medical device.

Indexed as

COVID-19Invasive mechanical ventilatorRespiratory failure

Identifiers

PMID38756610
PMCPMC11096896

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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.