Evidence map›Paper›PMID 41637331›Full record

SynthesisCritical care science2026

Effectiveness of noninvasive ventilation for preoxygenation in emergency intubation: a systematic review and meta-analysis.

Luciana Gioli-Pereira, Victor A Gomez Galeano, Rafael Hortencio Melo, Camila Campos Grisa Padovese, Edielle Sant'Anna Melo, Ary Serpa Neto

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Critical care science, 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

6 authors.

Luciana Gioli-PereiraHospital Israelita Albert Einstein - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-4682-8095
Victor A Gomez GaleanoHospital Auxilio Mutuo San Pablo - Bayamón, Puerto Rico.ORCID http://orcid.org/0009-0009-6394-5371
Rafael Hortencio MeloHospital Israelita Albert Einstein - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0001-6685-6002
Camila Campos Grisa PadoveseUniversidade Estadual de Londrina - Londrina (PR), Brazil.ORCID http://orcid.org/0009-0009-3284-4279
Edielle Sant'Anna MeloHospital Israelita Albert Einstein - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-7405-1789
Ary Serpa NetoHospital Israelita Albert Einstein - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-1520-9387

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of noninvasive ventilation versus bag-valve-mask ventilation preoxygenation on safety and efficacy outcomes.

methodsPubMed, Embase, and Cochrane databases were searched for randomized controlled trials that compared preoxygenation using noninvasive ventilation and bag-valve-mask ventilation. The reported outcomes were all-cause mortality; hypoxemia during intubation; and regurgitation. We perform frequentist and Bayesian analysis. Heterogeneity was examined with I2 statistics. Statistical analysis was done using RStudio and Review Manager.

resultsWe included 3 randomized controlled trials with 1,555 patients, of whom 771 (49.6%) received preoxygenation with noninvasive ventilation (intervention group). Hypoxemia during intubation was significantly lower in the noninvasive ventilation compared to the bag-valve-mask ventilation group in frequentist with a pooled log RR of -0.94 (log RR -0.94; 95%CI -1.61 - -0.28) and Bayesian pooled log risk ratio of -0.32 (log RR -0.32; 95% credible interval -0.91 - 0.40). Regurgitation was a safety outcome that did not present a difference between the groups in the frequentist or Bayesian models, with log RR -0.50 (log RR -0.50; 95% credible interval -2.09 - 1.01). There was no significant difference between groups in all-cause mortality and other secondary outcomes.

conclusionPreoxygenation with noninvasive ventilation significantly reduces the risk of hypoxemia during emergency intubation compared to bag-valve-mask ventilation. However, there were no significant differences in all-cause mortality or regurgitation rates.

Indexed as

Intubation, IntratrachealNoninvasive VentilationOxygen Inhalation TherapyHumansHypoxiaRandomized Controlled Trials as Topic

Identifiers

PMID41637331
PMCPMC12977216

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.