Evidence map›Paper›PMID 28036088›Full record

ReviewInternational journal of molecular sciences2016

Current Concepts of ARDS: A Narrative Review.

Michele Umbrello, Paolo Formenti, Luca Bolgiaghi, Davide Chiumello

Registry-linked trialAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04472260 (Early Verticalization of the Patient With Acute Respiratory Distress Syndrome), which is not on this map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 pooled it
–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.

NCT04472260 narecruitingnot on this mapstarted 2021, after this paper: background citation

Early Verticalization of the Patient With Acute Respiratory Distress Syndrome: Assessment of Feasibility and Safety.

TypeinterventionalSponsorCentre Hospitalier Régional d'OrléansRan2021 to 2026Enrolled32ConditionsAcute Respiratory Distress Syndrome, Prone PositionArmsVerticalization and Prone position
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Mechanistic Insights into Pulmonary Surfactant Inactivation.Langmuir : the ACS journal of surfaces and colloids · 2026
    Article
  5. Article
  6. Observational
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  8. Review
  9. Review
  10. Article
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  14. Review
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  16. Review
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4 more citing papers are in PubMed but not listed here.

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.

Michele UmbrelloUnità Operativa Complessa di Anestesia e Rianimazione, Ospedale San Paolo-Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, 20124 Milano, Italy. michele.umbrello@fastwebnet.it.
Paolo FormentiUnità Operativa Complessa di Anestesia e Rianimazione, Ospedale San Paolo-Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, 20124 Milano, Italy. formenti.paolo80@gmail.com.
Luca BolgiaghiDipartimento di Scienze della Salute, Università degli Studi di Milano, 20124 Milano, Italy. luca.bolgiaghi@hotmail.it.
Davide ChiumelloUnità Operativa Complessa di Anestesia e Rianimazione, Ospedale San Paolo-Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, 20124 Milano, Italy. davide.chiumello@unimi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute respiratory distress syndrome (ARDS) is characterized by the acute onset of pulmonary edema of non-cardiogenic origin, along with bilateral pulmonary infiltrates and reduction in respiratory system compliance. The hallmark of the syndrome is refractory hypoxemia. Despite its first description dates back in the late 1970s, a new definition has recently been proposed. However, the definition remains based on clinical characteristic. In the present review, the diagnostic workup and the pathophysiology of the syndrome will be presented. Therapeutic approaches to ARDS, including lung protective ventilation, prone positioning, neuromuscular blockade, inhaled vasodilators, corticosteroids and recruitment manoeuvres will be reviewed. We will underline how a holistic framework of respiratory and hemodynamic support should be provided to patients with ARDS, aiming to ensure adequate gas exchange by promoting lung recruitment while minimizing the risk of ventilator-induced lung injury. To do so, lung recruitability should be considered, as well as the avoidance of lung overstress by monitoring transpulmonary pressure or airway driving pressure. In the most severe cases, neuromuscular blockade, prone positioning, and extra-corporeal life support (alone or in combination) should be taken into account.

Indexed as

HumansLungRespiration, ArtificialRespiratory Distress SyndromeRespiratory Function Testsacute respiratory distress syndromecritically ill patientslung-protective ventilationpositive end-expiratory pressure

Identifiers

PMID28036088
PMCPMC5297699

What OpenQuestion holds

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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.