Evidence map›Paper›PMID 41312468›Full record

SynthesisFrontiers in medicine2025

Effects of extracorporeal carbon dioxide removal in facilitating ultra-protective ventilation strategies for patients with acute respiratory distress syndrome: a systematic review and meta-analysis.

Weifeng Zhen, Xiaoning Zhang, Zhenhua Shi, Yu Zhu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Extracorporeal COAnnals of intensive care · 2026
    Article
  3. Review
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

4 authors.

Weifeng ZhenDepartment of Intensive Care Unit, PLA 983rd Hospital, Tianjin, China.
Xiaoning ZhangDepartment of Intensive Care Unit, PLA 983rd Hospital, Tianjin, China.
Zhenhua ShiDepartment of Intensive Care Unit, PLA 983rd Hospital, Tianjin, China.
Yu ZhuDepartment of Intensive Care Unit, PLA 983rd Hospital, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although low tidal volume ventilation has been shown to reduce mortality in patients with acute respiratory distress syndrome (ARDS), overall mortality remains high (30%-40%). Ultra-protective ventilation (≤4 mL/kg predicted body weight) has the potential to further decrease ventilator-induced lung injury but may result in severe hypercapnia. Extracorporeal carbon dioxide removal (ECCO Objective: To evaluate the efficacy of ECCO Methods: A systematic search was conducted in PubMed, Embase, Web of Science, and the Cochrane Library for studies published up to June 2025 that met predefined inclusion criteria. Primary outcomes included changes in gas exchange and ventilator settings 24 h after initiating ECCO Results: Fourteen studies involving 593 ARDS patients were included. ECCO Conclusion: ECCO Systematic review registration: INPLASY platform (registration number: INPLASY202570067.

Indexed as

acute respiratory distress syndromeextracorporeal carbon dioxide removalmeta-analysissystematic reviewultra-protective ventilation

Identifiers

PMID41312468
PMCPMC12648385

What OpenQuestion holds

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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.