Evidence map›Paper›PMID 41836030›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2026

Enhancing Respiratory Support in COPD Patients with Nasal High Flow Using an Asymmetrical Cannula Interface: A Randomized Cross-Over Study.

Georg Nilius, Ulrike Domanski, Mohamed Khalaf, Maik Schroeder, Stanislav Tatkov

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2026. 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

5 authors.

Georg NiliusKlinikum Dortmund gGmbH, Pneumology, Dortmund, Germany.
Ulrike DomanskiKlinikum Dortmund gGmbH, Pneumology, Dortmund, Germany.
Mohamed KhalafUniversitaet Witten/Herdecke, Witten, Germany.
Maik SchroederKlinikum Dortmund gGmbH, Pneumology, Dortmund, Germany.
Stanislav TatkovFisher & Paykel Healthcare, Auckland, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Nasal high flow (NHF) is increasingly used in COPD patients with chronic respiratory failure. An asymmetrical cannula interface (AI) may enhance these benefits by combining increased airway pressure with reduced rebreathing from anatomical dead space. The aim of this study was to compare the effects of NHF using an AI versus a conventional symmetrical interface (SI) on tidal volume (Vt), respiratory rate (RR), minute ventilation (MV), gas exchange, and neuro-respiratory drive (NRD). Methods: Following a 15-minute baseline period, COPD patients recovering from acute exacerbation underwent two randomized 45-minute sessions of NHF therapy using either the AI or SI. All sessions were conducted during daytime in a semi-recumbent position. Ventilation was recorded using calibrated respiratory inductance plethysmography, and transcutaneous CO Results: In a group of 18 patients NHF significantly reduced RR and TcCO Conclusion: NHF reduced RR by increasing both expiratory and inspiratory times without altering the duty cycle. The lower MV during NHF with AI, accompanied by higher SpO

Indexed as

CannulaLungOxygen Inhalation TherapyPulmonary Disease, Chronic ObstructiveAgedCross-Over StudiesElectromyographyEquipment DesignFemaleHumansMaleMiddle AgedOxygen SaturationPulmonary Gas ExchangeRecovery of FunctionRespiratory RateCOPDgas exchangeminute ventilationnasal high flowwork of breathing

Identifiers

PMID41836030
PMCPMC12988662

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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.