Evidence map›Paper›PMID 39224433›Full record

ArticleJournal of the Intensive Care Society2024

Swallowing during provision of helmet ventilation: Review and provisional multidisciplinary guidance.

José Vergara, Michael J Brenner, Stacey A Skoretz, Vinciya Pandian, Amy Freeman-Sanderson, Alessandra Dorça, Debra Suiter, Martin B Brodsky

Abstract read
In one paragraph

Article in Journal of the Intensive Care Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Redefining Nursing in Otorhinolaryngology-Head & Neck Care: Implications of the ICN's 2025 Definitions for an Evolving Specialty.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026
    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

8 authors.

José VergaraDepartment of Surgery, University of Campinas, Campinas, SP, Brazil.ORCID https://orcid.org/0000-0001-9922-9347
Michael J BrennerDepartment of Otolaryngology-Head & Neck Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Stacey A SkoretzSchool of Audiology & Speech Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Vinciya PandianDepartment of Nursing Faculty, Johns Hopkins University, Baltimore, MD, USA.
Amy Freeman-SandersonGraduate School of Health, University of Technology Sydney, NSW, Australia.
Alessandra DorçaDepartment of Health Sciences, Federal University of Goiás, Goiânia, Brazil.
Debra SuiterDepartment of Communication Sciences and Disorders, University of Kentucky, Lexington, USA.
Martin B BrodskyHead and Neck Institute, Cleveland Clinic, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Use of noninvasive ventilation provided by a helmet increased globally during and after the COVID-19 pandemic. This approach may reduce need for intubation and its associated clinical complications in critically ill patients. Use of helmet interface minimizes virus aerosolization while enabling verbal communication, oral feeding and coughing/expectoration of secretions during its administration. Although improved oral hydration is a recognized benefit of helmet NIV, relatively little is known about the safety and efficiency of swallowing during helmet NIV. Risk of aspiration is a key consideration given the fragile pulmonary status of critically ill patients requiring respiratory support, and therefore the decision to initiate oral intake is best made based on multidisciplinary input. We reviewed the current published evidence on NIV and its effects on upper airway physiology and swallowing function. We then presented a case example demonstrating preservation of swallowing performance with helmet NIV. Last, we offer provisional multidisciplinary guidance for clinical practice, and provide directions for future research.

Indexed as

coronavirusCOVID-19deglutitiondysphagiahelmetNIVNoninvasive ventilationSARS-CoV-2voice

Identifiers

PMID39224433
PMCPMC11366189

What OpenQuestion holds

Textmetadata
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.