Evidence map›Paper›PMID 23872936›Full record

ArticleAnnals of biomedical engineering2013

Impact of ventilation frequency and parenchymal stiffness on flow and pressure distribution in a canine lung model.

Reza Amini, David W Kaczka

Abstract read
In one paragraph

Article in Annals of biomedical engineering, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Review
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  11. Reactance and elastance as measures of small airways response to bronchodilator in asthma.Journal of applied physiology (Bethesda, Md. : 1985) · 2019
    Article
  12. Strain, strain rate, and mechanical power: An optimization comparison for oscillatory ventilation.International journal for numerical methods in biomedical engineering · 2019
    Article
  13. Article
  14. Targeted Versus Continuous Delivery of Volatile Anesthetics During Cholinergic Bronchoconstriction.Journal of engineering and science in medical diagnostics and therapy · 2018
    Article
  15. Article
  16. Article
  17. Regional gas transport in the heterogeneous lung during oscillatory ventilation.Journal of applied physiology (Bethesda, Md. : 1985) · 2016
    Article
  18. Article
  19. Article
  20. Pendelluft in the bronchial tree.Journal of applied physiology (Bethesda, Md. : 1985) · 2014
    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

2 authors.

Reza AminiHarvard Medical School, Boston, MA, USA.
David W Kaczka

Funding

Sub Project 2UM1HL108724 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI LORING, STEPHEN H, TALMOR, DANIEL STUART · 2012 to 2014
$4.6M
Optimizing Mechanical Ventilation in Acute Lung InjuryK08HL089227 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI KACZKA, DAVID W. · 2008 to 2011
$531k
Optimizing Ventilation Distribution in Injured Lung Using Computational ModelingF32HL112547 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI AMINI, REZA · 2012 to 2013
$96k
NHLBI NIH HHS F32 HL112547NHLBI NIH HHS HL089227NHLBI NIH HHS HL108724NHLBI NIH HHS HL112547NHLBI NIH HHS K08 HL089227NHLBI NIH HHS UM1 HL108724
6 · The paper itself

Abstract

To determine the impact of ventilation frequency, lung volume, and parenchymal stiffness on ventilation distribution, we developed an anatomically-based computational model of the canine lung. Each lobe of the model consists of an asymmetric branching airway network subtended by terminal, viscoelastic acinar units. The model allows for empiric dependencies of airway segment dimensions and parenchymal stiffness on transpulmonary pressure. We simulated the effects of lung volume and parenchymal recoil on global lung impedance and ventilation distribution from 0.1 to 100 Hz, with mean transpulmonary pressures from 5 to 25 cm H2O. With increasing lung volume, the distribution of acinar flows narrowed and became more synchronous for frequencies below resonance. At higher frequencies, large variations in acinar flow were observed. Maximum acinar flow occurred at first antiresonance frequency, where lung impedance achieved a local maximum. The distribution of acinar pressures became very heterogeneous and amplified relative to tracheal pressure at the resonant frequency. These data demonstrate the important interaction between frequency and lung tissue stiffness on the distribution of acinar flows and pressures. These simulations provide useful information for the optimization of frequency, lung volume, and mean airway pressure during conventional ventilation or high frequency oscillation (HFOV). Moreover our model indicates that an optimal HFOV bandwidth exists between the resonant and antiresonant frequencies, for which interregional gas mixing is maximized.

Indexed as

Models, BiologicalAnimalsDogsLungLung Volume MeasurementsPressurePulmonary Ventilation

Identifiers

PMID23872936
PMCPMC4038105

What OpenQuestion holds

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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.