Evidence map›Paper›PMID 18180905›Full record

ArticleIntensive care medicine2008

Aging increases the susceptibility to injurious mechanical ventilation.

Nicolás Nin, José A Lorente, Marta De Paula, Pilar Fernández-Segoviano, Oscar Peñuelas, Alberto Sánchez-Ferrer, Leticia Martínez-Caro, Andrés Esteban

Open access · bronzeAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2008. 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
2.8field-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, 47 citations in OpenAlex.

  1. Article
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  14. Predisposition for disrepair in the aged lung.The American journal of the medical sciences · 2012
    Article
  15. Article
  16. Review
  17. Toward an integrated research agenda for critical illness in aging.American journal of respiratory and critical care medicine · 2010
    Article
  18. Article
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Nicolás NinServicio de Cuidados Intensivos and CIBER de Enfermedades Respiratorias CB06/06/0044, Instituto de Salud Carlos III, 28905 Madrid, Spain.
José A Lorente
Marta De Paula
Pilar Fernández-Segoviano
Oscar Peñuelas
Alberto Sánchez-Ferrer
Leticia Martínez-Caro
Andrés Esteban
Instituto de Salud Carlos III · ESHospital Universitario de Getafe · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo test the hypothesis that aging increases the susceptibility to organ dysfunction and systemic inflammation induced by injurious mechanical ventilation. DESIGN AND

settingExperimental study in an animal model of ventilator-induced lung injury in the animal research laboratory in a university hospital.

methodsYoung (3-4 months old) and old (22-24 months old) anesthetized Wistar rats were ventilated for 60 min with a protective lung strategy (VT=9 ml/kg and PEEP=5 cm H2O, control) or with an injurious strategy (VT=35 ml/kg and PEEP=0 cm H2O, over-ventilated; n=6 for each group). MEASUREMENTS AND

resultsMean arterial pressure and airway pressures (PAW) were monitored. Arterial blood gases and serum AST, ALT, lactate, and IL-6 were measured. Vascular rings from the thoracic aorta were mounted in organ baths for isometric tension recording. We studied relaxations induced by acetylcholine (10 nM-10 microM) in norepinephrine-precontracted rings, and contractions induced by norepinephrine (1 nM-10 microM) in resting vessels. Lungs were examined by light microscopy. Injurious ventilation in young rats was associated with hypoxemia, lactic metabolic acidosis, increased serum AST, hypotension, impairment in norepinephrine and acetylcholine-induced vascular responses ex vivo and hyaline membrane formation. The high-VT induced hypotension, increase in mean PAW, AST, and IL-6, and the impairment in acetylcholine-induced responses were significantly more marked in aged than in young rats.

conclusionsElderly rats showed increased susceptibility to injurious mechanical ventilation-induced pulmonary injury, vascular dysfunction, and systemic inflammation.

Indexed as

Age FactorsAnimalsDisease SusceptibilityHypotensionLungMaleMultiple Organ FailurePositive-Pressure RespirationRatsRats, WistarRespiratory Distress SyndromeRisk FactorsSystemic Inflammatory Response Syndrome

Identifiers

PMID18180905
OpenAlexW2053739631

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.