Evidence map›Paper›PMID 38939038›Full record

ReviewJACC. Advances2023

Liberation From Mechanical Ventilation in the Cardiac Intensive Care Unit.

Andi Shahu, Soumya Banna, Willard Applefeld, Penelope Rampersad, Carlos L Alviar, Tariq Ali, Adriana Luk, Elaine Fajardo, Sean van Diepen, P Elliott Miller

Abstract readReview
In one paragraph

Review in JACC. Advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

11 citing papers in PubMed.

  1. Article
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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

10 authors.

Andi ShahuSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Soumya BannaDepartment of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Willard ApplefeldDivision of Cardiology, Duke University School of Medicine, Durham, North Carolina, USA.
Penelope RampersadThe Tomsich Family Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Connecticut, USA.
Carlos L AlviarThe Leon H. Charney Division of Cardiovascular Medicine, New York University Langone Medicine Center, New York, New York, USA.
Tariq AliDivision of Pulmonary and Critical Care, Mayo, Rochester, Minnesota, USA.
Adriana LukPeter Munk Cardiac Centre, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Elaine FajardoDivision of Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Sean van DiepenDepartment of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
P Elliott MillerSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA. Electronic address: Elliott.Miller@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of respiratory failure is increasing in the contemporary cardiac intensive care unit (CICU) and is associated with a significant increase in morbidity and mortality. For patients that survive their initial respiratory decompensation, liberation from invasive mechanical ventilation (IMV) and the decision to extubate requires careful clinical assessment and planning. Therefore, it is essential for the CICU clinician to know how to assess and manage the various stages of IMV liberation, including ventilator weaning, evaluation of extubation readiness, and provide post-extubation care. In this review, we provide a comprehensive approach to liberation from IMV in the CICU, including cardiopulmonary interactions relative to withdrawal from positive pressure ventilation, evaluation of readiness for and assessment of spontaneous breathing trials, sedation management to optimize extubation, strategies for patients at a high risk for extubation failure, and tracheostomy in the cardiovascular patient.

Indexed as

cardiac intensive caremechanical ventilation

Identifiers

PMID38939038
PMCPMC11198553

What OpenQuestion holds

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Registered trials

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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.