Evidence map›Paper›PMID 40074210›Full record

SynthesisJornal de pediatria

Volume-targeted on high-frequency oscillatory ventilation in preterm infants: a systematic review.

Eduardo Antonio de Sousa Orlandin, Thais Iwashita-Lages, Luis Kanhiti Oharomari-Junior, Milena Ramos Tomé, Mariana Tosato Zinher, Sofia Oliveira Dias, Walusa Assad Gonçalves-Ferri

Abstract readSystematic Review
In one paragraph

Synthesis in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Eduardo Antonio de Sousa OrlandinHospital das Clínicas de Ribeirão Preto da Universidade de São Paulo, Departamento de Pediatria, Divisão de Terapia Intensiva Neonatal, Ribeirão Preto, SP, Brazil. Electronic address: eduardo.orlandin.91@gmail.com.
Thais Iwashita-LagesHospital das Clínicas de Ribeirão Preto da Universidade de São Paulo, Departamento de Pediatria, Divisão de Terapia Intensiva Neonatal, Ribeirão Preto, SP, Brazil.
Luis Kanhiti Oharomari-JuniorHospital das Clínicas de Ribeirão Preto da Universidade de São Paulo, Departamento de Pediatria, Divisão de Terapia Intensiva Neonatal, Ribeirão Preto, SP, Brazil.
Milena Ramos ToméUniversidade Federal de Campina Grande, Faculdade de Medicina de Campina Grande, Campina Grande, PB, Brazil.
Mariana Tosato ZinherHospital Infantil Joana de Gusmão, Divisão de Oftalmologia, Florianópolis, SC, Brazil.
Sofia Oliveira DiasFaculdade de Ciências Médicas de São José dos Campos, Departamento de Medicina, São José dos Campos, SP, Brazil.
Walusa Assad Gonçalves-FerriHospital das Clínicas de Ribeirão Preto da Universidade de São Paulo, Departamento de Pediatria, Divisão de Terapia Intensiva Neonatal, Ribeirão Preto, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review aimed to analyze, in neonates, the effects of high-frequency oscillatory ventilation (HFOV) with volume-targeted (VT) compared with conventional HFOV. SOURCES: The authors searched PubMed, EMBASE, Cochrane, and ClinicalTrials.gov from inception until August 4th, 2024, to identify studies comparing HFOV with and without VT in neonates under 44 weeks corrected age. Outcomes analyzed were VThf, amplitude and carbon dioxide partial pressure (PCO SUMMARY OF THE

findingsThis systematic review included 260 preterm infants from two crossover and four cohort studies. Five studies were considered as having a relevant risk of bias. Meta-analysis could not be performed, due to the differences in study design and incomplete reporting. The report of included studies indicates that HFOV with VT, compared with HFOV, may reduce VThf variability, hypocarbia and hypercarbia incidence. Findings on hypoxemia incidence and mechanical ventilation duration are mixed. Two studies found no difference in BPD rates, while one noted higher survival without BPD grades 2-3 under HFOV with VT. IVH, leukomalacia, and mortality outcomes were similar.

conclusionsInclusion of VT during HFOV may reduce VThf variability, hypocarbia and hypercarbia incidence. However, there is a need for randomized trials to compare clinical outcomes from both ventilatory strategies.

Indexed as

High-Frequency VentilationInfant, PrematureBronchopulmonary DysplasiaHumansInfant, NewbornHigh-frequency ventilationLung protectionPremature infantRespiratory distress syndromeVolume-targeted

Identifiers

PMID40074210
PMCPMC12039505

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.