Evidence map›Paper›PMID 39453494›Full record

Trial reportIntensive care medicine2024

Spontaneous breathing trials should be adapted for each patient according to the critical illness. A new individualised approach: the GLOBAL WEAN study.

Mathieu Capdevila, Yassir Aarab, Clement Monet, Audrey De Jong, Aurelie Vonarb, Julie Carr, Nicolas Molinari, Xavier Capdevila, Laurent Brochard, Samir Jaber

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04222569 (Determination of the Optimal Spontaneous Breathing Trial During Weaning of Mechanical Ventilation), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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.

NCT04222569 naterminatednot on this map

Determination of the Optimal Spontaneous Breathing Trial During Weaning of Mechanical Ventilation: a Randomized and Personalized Cross Over Physiologic Study in the Perioperative and Critically Ill Patient

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2020 to 2023Enrolled117ConditionsIntensive Care Unit, Invasive Mechanical Ventilation, Ready to Wean From VentilationArmsT-piece, PSV 7 and PEEP 0, PSV 0 and PEEP 0
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. ARDS management in trauma patients.Intensive care medicine · 2026
    Review
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  7. Update on acute respiratory failure.Intensive care medicine · 2026
    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.

Mathieu CapdevilaIntensive Care Unit, Department of Anaesthesiology and Critical Care Medicine B (DAR B), Saint-Eloi Hospital, University Teaching Hospital of Montpellier, Montpellier Cedex 5, France.
Yassir AarabIntensive Care Unit, Department of Anaesthesiology and Critical Care Medicine B (DAR B), Saint-Eloi Hospital, University Teaching Hospital of Montpellier, Montpellier Cedex 5, France.
Clement MonetIntensive Care Unit, Department of Anaesthesiology and Critical Care Medicine B (DAR B), Saint-Eloi Hospital, University Teaching Hospital of Montpellier, Montpellier Cedex 5, France.
Audrey De JongIntensive Care Unit, Department of Anaesthesiology and Critical Care Medicine B (DAR B), Saint-Eloi Hospital, University Teaching Hospital of Montpellier, Montpellier Cedex 5, France.ORCID 0000-0002-3413-2752
Aurelie VonarbIntensive Care Unit, Department of Anaesthesiology and Critical Care Medicine B (DAR B), Saint-Eloi Hospital, University Teaching Hospital of Montpellier, Montpellier Cedex 5, France.
Julie CarrIntensive Care Unit, Department of Anaesthesiology and Critical Care Medicine B (DAR B), Saint-Eloi Hospital, University Teaching Hospital of Montpellier, Montpellier Cedex 5, France.
Nicolas MolinariDepartment of Statistics, University of Montpellier Lapeyronie Hospital, UMR 729 MISTEA, Montpellier, France.
Xavier CapdevilaDepartment of Anaesthesiology and Critical Care Medicine A (DAR A), Lapeyronie Hospital, University Teaching Hospital of Montpellier, Montpellier, France.
Laurent BrochardInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.
Samir JaberIntensive Care Unit, Department of Anaesthesiology and Critical Care Medicine B (DAR B), Saint-Eloi Hospital, University Teaching Hospital of Montpellier, Montpellier Cedex 5, France. s-jaber@chu-montpellier.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSpontaneous breathing trials (SBT) evaluate the patient's capacity to maintain inspiratory effort after extubation. SBT practices are heterogeneous and not individualised. The objective of this study was to assess which SBT best reproduces inspiratory effort after extubation in five critical illnesses.

methodsIn this multicentre randomized cross-over study, adult intensive care unit patients under invasive mechanical ventilation for at least 24-h and ready for extubation, underwent three 15-min SBTs in random order: pressure support ventilation level of 7-cmH

resultsFive hundred measures of effort from 100 patients were analysed. PTPmin (cmH

conclusionUnassisted SBTs, namely PSV0PEEP0 and T-piece trial, are the most appropriate to replicate the postextubation effort to breathe.

Indexed as

Airway ExtubationCritical IllnessCross-Over StudiesVentilator WeaningAgedFemaleHumansIntensive Care UnitsMaleMiddle AgedPositive-Pressure RespirationRespiration, ArtificialMechanical ventilationSpontaneous breathing trialWeaning

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.