Evidence map›Paper›PMID 41438912›Full record

ArticleJournal of pediatrics. Clinical practice2026

The Effect of Body Position on Oxygenation, Ventilation, and Diaphragmatic Workload in Infants Born Premature on Noninvasive Neurally Adjusted Ventilatory Assist.

Nada Darwish, Emily Gibbons, Omar Abdulrazzaq, Wanni Lei, Shouhao Zhou, Ann Donnelly, Jennifer Erkinger, Courtney Lentz, Howard Stein, Mitchell Kresch

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pediatrics. Clinical practice, 2026. 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

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

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

10 authors.

Nada DarwishDivision of Neonatal-Perinatal Medicine, Penn State Health Children's Hospital (PSHCH), Hershey, PA.
Emily GibbonsDepartment of Pediatrics, Penn State Health Children's Hospital, Hershey, PA.
Omar AbdulrazzaqDepartment of Pediatrics, University of Toledo College of Medicine and Life Sciences, Toledo, OH.
Wanni LeiDepartment of Public Health Sciences, Penn State University College of Medicine, Hershey, PA.
Shouhao ZhouDepartment of Public Health Sciences, Penn State University College of Medicine, Hershey, PA.
Ann DonnellyDepartment of Respiratory Care, Penn State Health Children's Hospital, Hershey, PA.
Jennifer ErkingerDepartment of Respiratory Care, Penn State Health Children's Hospital, Hershey, PA.
Courtney LentzDepartment of Respiratory Care, Penn State Health Children's Hospital, Hershey, PA.
Howard SteinDepartment of Neonatology, Promedica Russell J. Ebeid Children's Hospital (ECH), Toledo, OH.
Mitchell KreschDivision of Neonatal-Perinatal Medicine, Penn State Health Children's Hospital (PSHCH), Hershey, PA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine the effect of supine vs prone body position on oxygenation, ventilation, and diaphragmatic workload in infants born ≤32 weeks of gestation on noninvasive neurally adjusted ventilatory assist (NAVA). Methods: This study was conducted in 2 level III-IV neonatal intensive care units. Infants were randomly assigned into 1 of 2 starting positions: supine or prone. Infants alternated between supine and prone positioning every 3 hours, for a total of 12 hours. Nursing care and feeding were done every 3 hours with position changes. Infants were allowed a period of 1 hour after nursing care before data collection resumed. Results: Thirty subjects (22-32 weeks of gestation at birth) were included in the study. Edi peaks were lower in prone positioning; 8.61 ± 5.57 vs 9.79 ± 6.14 μV ( Conclusion: Prone positioning is associated with lower diaphragmatic workload in infants born premature on noninvasive NAVA. Despite this, infants had comparable clinical parameters in both prone and supine positions, suggesting that nivNAVA is able to eliminate differences related to body position to provide consistent proportional and synchronized respiratory support.

Indexed as

NAVAneonateprematuritypronerespiratory failuresynchronized ventilation

Identifiers

PMID41438912
PMCPMC12719763

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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.