Evidence map›Paper›PMID 17626911›Full record

ArticleAmerican journal of respiratory and critical care medicine2007

Airway strain during mechanical ventilation in an intact animal model.

Scott E Sinclair, Robert C Molthen, Steve T Haworth, Christopher A Dawson, Christopher M Waters

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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

19 citing papers in PubMed, 44 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Dynamic airway constriction in rats: heterogeneity and response to deep inspiration.American journal of physiology. Lung cellular and molecular physiology · 2019
    Article
  10. Article
  11. Mechanisms of airway responses to esophageal acidification in cats.Journal of applied physiology (Bethesda, Md. : 1985) · 2016
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Mechanical stretch decreases migration of alveolar epithelial cells through mechanisms involving Rac1 and Tiam1.American journal of physiology. Lung cellular and molecular physiology · 2008
    Article
  18. Article
  19. Airway strain during mechanical ventilation in an intact animal model.American journal of respiratory and critical care medicine · 2007
    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 at 2 institutions in 1 country.

Scott E SinclairDepartment of Physiology, University of Tennessee Health Science Center, 894 Union Avenue, Nash 426, Memphis, TN 38163, USA.
Robert C Molthen
Steve T Haworth
Christopher A Dawson
Christopher M Waters
Medical College of Wisconsin · USUniversity of Tennessee Health Science Center · US

Funding

PHYSIOLOGICAL ADAPTATION TO STRAIN IN AIRWAY EPITHELIUMR01HL064981 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI WATERS, CHRISTOPHER M · 1999 to 2008
$1.9M
Stretch and Hyperoxia in Ventilator-induced Lung InjuryR01HL081297 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI SINCLAIR, SCOTT E · 2006 to 2010
$1.8M
Ventilator-Induced Lung Injury:Mechanisms &ConsequencesK08HL004479 · NHLBI · UNIVERSITY OF WASHINGTON · PI SINCLAIR, SCOTT E · 2001 to 2005
$642k
NHLBI NIH HHS HL004479NHLBI NIH HHS HL064981NHLBI NIH HHS HL081297NHLBI NIH HHS R01 HL064981
6 · The paper itself

Abstract

rationaleMechanical ventilation with large tidal volumes causes ventilator-induced lung injury in animal models. Little direct evidence exists regarding the deformation of airways in vivo during mechanical ventilation, or in the presence of positive end-expiratory pressure (PEEP).

objectivesTo measure airway strain and to estimate airway wall tension during mechanical ventilation in an intact animal model.

methodsSprague-Dawley rats were anesthetized and mechanically ventilated with tidal volumes of 6, 12, and 25 cm(3)/kg with and without 10-cm H(2)O PEEP. Real-time tantalum bronchograms were obtained for each condition, using microfocal X-ray imaging. Images were used to calculate circumferential and longitudinal airway strains, and on the basis of a simplified mathematical model we estimated airway wall tensions. MEASUREMENTS AND MAIN

resultsCircumferential and longitudinal airway strains increased with increasing tidal volume. Levels of mechanical strain were heterogeneous throughout the bronchial tree. Circumferential strains were higher in smaller airways (less than 800 mum). Airway size did not influence longitudinal strain. When PEEP was applied, wall tensions increased more rapidly than did strain levels, suggesting that a "strain limit" had been reached. Airway collapse was not observed under any experimental condition.

conclusionsMechanical ventilation results in significant airway mechanical strain that is heterogeneously distributed in the uninjured lung. The magnitude of circumferential but not axial strain varies with airway diameter. Airways exhibit a "strain limit" above which an abrupt dramatic rise in wall tension is observed.

Indexed as

Respiration, ArtificialAirway ResistanceAnimalsBronchographyModels, AnimalModels, BiologicalRatsRats, Sprague-DawleyStress, MechanicalTidal Volume

Identifiers

PMID17626911
PMCPMC2020825
OpenAlexW2114380238

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.