Evidence map›Paper›PMID 40298066›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025

Tracheostomy Tube Change Versus PEEP Titration on Tracheostomy-Dependent Infants With Airway Malacia and Ventilator Instability.

Harrison M Thompson, Mikayla Hubbard, Johnny Krasinkiewicz, Sarah E Bauer, Diane W Chen

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Harrison M ThompsonDepartment of Otolaryngology-Head and Neck Surgery, Indiana University, Indianapolis, Indiana, USA.ORCID http://orcid.org/0000-0001-7030-6388
Mikayla HubbardDepartment of Otolaryngology-Head and Neck Surgery, Indiana University, Indianapolis, Indiana, USA.
Johnny KrasinkiewiczDepartment of Pediatric Pulmonology, Allergy, and Sleep Medicine, Indiana University, Indianapolis, Indiana, USA.
Sarah E BauerDepartment of Pediatric Pulmonology, Allergy, and Sleep Medicine, Indiana University, Indianapolis, Indiana, USA.
Diane W ChenDepartment of Otolaryngology-Head and Neck Surgery, Indiana University, Indianapolis, Indiana, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the impact of positive end-expiratory pressure (PEEP) titrations or tracheostomy size change (trach change) on ventilation stability in infants with tracheobronchomalacia. STUDY

designA retrospective chart review.

settingTertiary care children's hospital from 2015 to 2023.

methodsA retrospective chart review on ventilator and tracheostomy-dependent patients <1 year of age. Demographics, bronchoscopic findings, and ventilator outcomes within 14 days were recorded. Analysis was performed with chi-square, Fisher's exact, binomial regression analysis, and two-tailed t tests.

resultsOf 71 patients (66% male, median 6.1 months old [interquartile range, IQR, 4.6-7.3]) who underwent 74 initial bronchoscopies, the PEEP titration cohort (n = 37) experienced an improvement (narrower) in 24-hour mean ventilatory ranges (peak inspiratory pressure [PIP] 5.6 pre vs 2.9 post, P = .01; fraction of inspired oxygen [FiO

conclusionPEEP titration was associated with improved PIP and FiO

Indexed as

Positive-Pressure RespirationRespiration, ArtificialTracheobronchomalaciaTracheostomyBronchoscopyFemaleHumansInfantInfant, NewbornMaleRetrospective Studiesbronchoscopymechanical ventilationpediatricPEEP titrationtracheostomyventilatory instability

Identifiers

PMID40298066
PMCPMC12379860

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