Evidence map›Paper›PMID 26228052›Full record

ArticleBMC pulmonary medicine2015

Cardiorespiratory effects of recruitment maneuvers and positive end expiratory pressure in an experimental context of acute lung injury and pulmonary hypertension.

Camille Doras, Morgan Le Guen, Ferenc Peták, Walid Habre

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03745443 (The Assessment of Efficacy and Safety of Step-wise up and Down PEEP Titration in Healthy Pediatric Patients Under General Anesthesia), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 30% 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.

NCT03745443 nacompletednot on this mapstarted 2017, after this paper: background citation

The Assessment of Efficacy and Safety of Step-wise up and Down PEEP Titration in Healthy Pediatric Patients Under General Anesthesia

TypeinterventionalSponsorMother and Child Health Institute of Serbia Dr Vukan CupicRan2017 to 2017Enrolled70ConditionsHealthyArmsincrease and decrease positive end-expiratory pressure
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  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

4 authors at 3 institutions in 2 countries.

Camille DorasAnesthesiological Investigation, University Medical Centre, University of Geneva, Geneva, Switzerland. camille.doras@unige.ch.
Morgan Le GuenDepartment of Anesthesiology, Hospital Foch, University Versailles Saint-Quentin en Yvelines, Suresnes, France. m.leguen@hopital-foch.org.
Ferenc PetákDepartment of Medical Physics and Informatics, University of Szeged, Szeged, Hungary. petak.ferenc@med.u-szeged.hu.
Walid HabreAnesthesiological Investigation, University Medical Centre, University of Geneva, Geneva, Switzerland. walid.habre@hcuge.ch.
University Hospital of Geneva · CHUniversity of Geneva · CHUniversity of Szeged · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecruitment maneuvers (RM) and positive end expiratory pressure (PEEP) are the cornerstone of the open lung strategy during ventilation, particularly during acute lung injury (ALI). However, these interventions may impact the pulmonary circulation and induce hemodynamic and respiratory effects, which in turn may be critical in case of pulmonary hypertension (PHT). We aimed to establish how ALI and PHT influence the cardiorespiratory effects of RM and PEEP.

methodsRabbits control or with monocrotaline-induced PHT were used. Forced oscillatory airway and tissue mechanics, effective lung volume (ELV), systemic and right ventricular hemodynamics and blood gas were assessed before and after RM, during baseline and following surfactant depletion by whole lung lavage.

resultsRM was more efficient in improving respiratory elastance and ELV in the surfactant-depleted lungs when PHT was concomitantly present. Moreover, the adverse changes in respiratory mechanics and ELV following ALI were lessened in the animals suffering from PHT.

conclusionsDuring ventilation with open lung strategy, the role of PHT in conferring protection from the adverse respiratory consequences of ALI was evidenced. This finding advocates the safety of RM and PEEP in improving elastance and advancing lung reopening in the simultaneous presence of PHT and ALI.

Indexed as

Acute Lung InjuryAnimalsDisease Models, AnimalFemaleHypertension, PulmonaryLungPositive-Pressure RespirationPulmonary Gas ExchangeRabbitsRespiratory Mechanics

Identifiers

PMID26228052
PMCPMC4521467
OpenAlexW2152859774

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.