Evidence map›Paper›PMID 28150228›Full record

ReviewIntensive care medicine experimental2017

Personalizing mechanical ventilation according to physiologic parameters to stabilize alveoli and minimize ventilator induced lung injury (VILI).

Gary F Nieman, Joshua Satalin, Penny Andrews, Hani Aiash, Nader M Habashi, Louis A Gatto

Open access · goldAbstract readReview
In one paragraph

Review in Intensive care medicine experimental, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.

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1 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

6 authors at 3 institutions in 1 country.

Gary F NiemanDepartment of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Joshua SatalinDepartment of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA. satalinj@upstate.edu.ORCID http://orcid.org/0000-0002-7582-2493
Penny AndrewsIntensive Care Online (ICON), Baltimore, MD, USA.
Hani AiashDepartment of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Nader M HabashiDepartment of Trauma Critical Care Medicine, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA.
Louis A GattoBiological Sciences Department, Biological Sciences Department, SUNY Cortland, Cortland, NY, USA.
SUNY Upstate Medical University · USSUNY Cortland · USUniversity of Maryland, Baltimore · US

Funding

Development of a gene therapy approach to treat acute lung injury using a preclinical, large animal modelR01HL131143 · NHLBI · UNIVERSITY OF ROCHESTER · PI DEAN, DAVID A · 2016 to 2019
$3.0M
NHLBI NIH HHS R01 HL131143
6 · The paper itself

Abstract

It has been shown that mechanical ventilation in patients with, or at high-risk for, the development of acute respiratory distress syndrome (ARDS) can be a double-edged sword. If the mechanical breath is improperly set, it can amplify the lung injury associated with ARDS, causing a secondary ventilator-induced lung injury (VILI). Conversely, the mechanical breath can be adjusted to minimize VILI, which can reduce ARDS mortality. The current standard of care ventilation strategy to minimize VILI attempts to reduce alveolar over-distension and recruitment-derecruitment (R/D) by lowering tidal volume (Vt) to 6 cc/kg combined with adjusting positive-end expiratory pressure (PEEP) based on a sliding scale directed by changes in oxygenation. Thus, Vt is often but not always set as a "one-size-fits-all" approach and although PEEP is often set arbitrarily at 5 cmH

Indexed as

ARDSOpen lung ventilationPEEPPersonalizing mechanical ventilationVILI

Identifiers

PMID28150228
PMCPMC5289131
OpenAlexW2584285806

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.