Evidence map›Paper›PMID 21372101›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2011

Effects of recruitment/derecruitment dynamics on the efficacy of variable ventilation.

Baoshun Ma, Béla Suki, Jason H T Bates

Open access · greenAbstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Ventilator-induced lung injury and lung mechanics.Annals of translational medicine · 2018
    Review
  8. Article
  9. Article
  10. Article
  11. Variable Ventilation as a Diagnostic Tool for the Injured Lung.IEEE transactions on bio-medical engineering · 2015
    Article
  12. Article
  13. Should we breathe quiet or noisy?Critical care (London, England) · 2014
    Article
  14. Article
  15. 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

3 authors at 2 institutions in 1 country.

Baoshun MaVermont Lung Center, Department of Medicine, University of Vermont College of Medicine, Burlington, VT 05405, USA.
Béla Suki
Jason H T Bates
University of Vermont · USBoston University · US

Funding

WEIGHT LOSS & ASTHMAP20RR015557 · NCRR · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI RINCON, MERCEDES · 2000 to 2009
$21.4M
Regulatory roles of variable mechanical stimuli in cell functionR01HL098976 · NHLBI · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI SUKI, BELA · 2009 to 2013
$2.3M
MECHANICS OF ACUTE LUNG INJURYR01HL075593 · NHLBI · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI BATES, JASON HT · 2005 to 2009
$1.5M
NCRR NIH HHS RR-15557NHLBI NIH HHS HL-098976NHLBI NIH HHS R01 HL-75593
6 · The paper itself

Abstract

Variable (or noisy) ventilation (VV) has been demonstrated in animal models of acute lung injury to be superior to constant (or conventional) ventilation (CV), in terms of improved gas exchange and mitigation of lung injury, for reasons that are not entirely clear. We hypothesized that the efficacy of VV is related to the fact that recruitment and derecruitment of lung units are dynamic processes. To test this hypothesis, we modeled the lung computationally as a symmetrically bifurcating airway tree terminating in elastic units. Each airway was fully open or completely closed, at any point in time, according to its pressure history. The model is able to accurately mimic previous experimental measurements showing that the lungs of mice injured by acid aspiration are better recruited after 60 min of VV than CV. The model also shows that recruitment/derecruitment dynamics contribute to the relative efficacy of VV, provided lung units open more rapidly than they close once a critical opening or closing pressure threshold has been crossed. We conclude that the dynamics of recruitment and derecruitment in the lung may be important factors responsible for the benefits of VV compared with CV.

Indexed as

Respiratory MechanicsAnimalsLungLung InjuryMiceRespiration, ArtificialTherapy, Computer-AssistedTreatment Outcome

Identifiers

PMID21372101
PMCPMC3099544
OpenAlexW2003689364

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.