Evidence map›Paper›PMID 41522154›Full record

ArticleJournal of thoracic disease2025

EIT-guided chest physiotherapy for airway clearance during awake prone ventilation in ARDS: a randomized controlled trial.

Xiaoping Wang, Meng Li, Yanfei Liu, Wenhui Yu, Yushi Li, Lei Huang

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Xiaoping Wang *Nursing Department, Tianjin Third Central Hospital, Tianjin, China.
Meng Li *Central Hospital, Tianjin University, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin Artificial Cell Engineering Technology Research Center, Tianjin Institute of Hepatobiliary Disease, Tianjin, China.
Yanfei Liu *Central Hospital, Tianjin University, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin Artificial Cell Engineering Technology Research Center, Tianjin Institute of Hepatobiliary Disease, Tianjin, China.
Wenhui YuThe Third Central Clinical College of Tianjin Medical University, Tianjin, China.
Yushi LiThe Third Central Clinical College of Tianjin Medical University, Tianjin, China.
Lei HuangCentral Hospital, Tianjin University, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin Artificial Cell Engineering Technology Research Center, Tianjin Institute of Hepatobiliary Disease, Tianjin, China.ORCID https://orcid.org/0000-0002-3911-0915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute respiratory distress syndrome (ARDS) is associated with severe hypoxemia, and awake prone positioning (APP) with high-flow nasal cannula (HFNC) or noninvasive ventilation (NIV) is increasingly used to delay intubation. However, airway clearance and patient tolerance remain major challenges. This study aimed to assess whether an electrical impedance tomography (EIT)-guided chest physiotherapy (CPT) protocol could improve oxygenation, comfort, and prone tolerance compared with standard CPT in non-intubated ARDS patients. Methods: Ninety-two adults with primary ARDS, defined by the Berlin criteria and ratio of arterial oxygen tension to the fraction of inspired oxygen (PaO Results: Eighty-seven patients were included in the final analysis (44 EIT, 43 control). The EIT group showed a significantly greater improvement in PaO Conclusions: In patients with ARDS supported by HFNC or NIV, an EIT-guided CPT protocol improved oxygenation, enhanced comfort, and prolonged tolerance of APP. These findings support the clinical utility of EIT in optimizing noninvasive respiratory strategies, though multicenter studies are needed to confirm long-term benefits.

Indexed as

airway clearanceawake prone ventilationElectrical impedance tomography (EIT)intensive care unit (ICU)oxygenation

Identifiers

PMID41522154
PMCPMC12780402

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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.