ArticleCritical care (London, England)2024
Physiological and clinical effects of trunk inclination adjustment in patients with respiratory failure: a scoping review and narrative synthesis.
Article in Critical care (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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.
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Who cites it
8 citing papers in PubMed.
- Electrical Impedance Tomography-Guided Synergistic Intervention of Respiratory Muscle Training and Postural Adjustment for Lung Recruitment in Critically Ill Patients With Respiratory Failure.Physiological research · 2026Trial
- Effects of out-of-bed armchair positioning on oxygenation in spontaneously breathing ICU patients receiving respiratory support: a randomized controlled trial.Intensive care medicine · 2026Trial
- Back Support Pressure for Severity Evaluation and Long-Term Prognostication in Acute Anterior Circulation Ischemic Stroke: A Prospective Cohort Study.Journal of clinical medicine · 2026Article
- A small step for oxygenation, a giant leap for ICU liberation.Intensive care medicine · 2026Article
- Comparing Transcutaneous Electrical Nerve Stimulation Added to Thoracolumbosacral Orthosis with Thoracolumbosacral Orthosis Alone on Pain, Trunk Control, and Respiratory Function in Chronic Incomplete Spinal Cord Injury: A Pilot Randomized Controlled Trial.Bioengineering (Basel, Switzerland) · 2026Article
- PaCOFrontiers in medicine · 2026Review
- Respiratory effects of trunk inclination in obese and non-obese patients mechanically ventilated for ARDS.Critical care (London, England) · 2025Article
- Effect of trunk upward verticalization on pulmonary vascular resistance in ARDS.Critical care (London, England) · 2025Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdjusting trunk inclination from a semi-recumbent position to a supine-flat position or vice versa in patients with respiratory failure significantly affects numerous aspects of respiratory physiology including respiratory mechanics, oxygenation, end-expiratory lung volume, and ventilatory efficiency. Despite these observed effects, the current clinical evidence regarding this positioning manoeuvre is limited. This study undertakes a scoping review of patients with respiratory failure undergoing mechanical ventilation to assess the effect of trunk inclination on physiological lung parameters.
methodsThe PubMed, Cochrane, and Scopus databases were systematically searched from 2003 to 2023.
interventionsChanges in trunk inclination. MEASUREMENTS: Four domains were evaluated in this study: 1) respiratory mechanics, 2) ventilation distribution, 3) oxygenation, and 4) ventilatory efficiency.
resultsAfter searching the three databases and removing duplicates, 220 studies were screened. Of these, 37 were assessed in detail, and 13 were included in the final analysis, comprising 274 patients. All selected studies were experimental, and assessed respiratory mechanics, ventilation distribution, oxygenation, and ventilatory efficiency, primarily within 60 min post postural change.
conclusionIn patients with acute respiratory failure, transitioning from a supine to a semi-recumbent position leads to decreased respiratory system compliance and increased airway driving pressure. Additionally, C-ARDS patients experienced an improvement in ventilatory efficiency, which resulted in lower PaCO
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