Evidence map›Paper›PMID 28283699›Full record

ArticleIntensive care medicine2017

Opening pressures and atelectrauma in acute respiratory distress syndrome.

Massimo Cressoni, Davide Chiumello, Ilaria Algieri, Matteo Brioni, Chiara Chiurazzi, Andrea Colombo, Angelo Colombo, Francesco Crimella, Mariateresa Guanziroli, Ivan Tomic and 5 more

Registry-linked trialOpen access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01670747 (Evaluation of the Lung Recruitment and End-expiratory Lung Collapse in Patients With Acute Respiratory Distress Syndrome), which is not on this map. Cited by 74 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 1 pooled it
14.5field-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.

NCT01670747 completednot on this map

Evaluation of the Lung Recruitment and End-expiratory Lung Collapse in Patients With Acute Respiratory Distress Syndrome

TypeobservationalSponsorPoliclinico HospitalRan2012 to 2015Enrolled30ConditionsARDS: Acute Respiratory Distress SyndromeArmsChest computed tomography
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 1 synthesis or guideline pooled it, 153 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 3 countries.

Massimo CressoniDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.
Davide ChiumelloDipartimento di Scienze della Salute, Università degli Studi di Milano, Milan, Italy.
Ilaria AlgieriDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.
Matteo BrioniStruttura Complessa Anestesia e Rianimazione ASST Santi Paolo e Carlo, Milan, Italy.
Chiara ChiurazziDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.
Andrea ColomboDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.
Angelo ColomboOspedale Maggiore Policlinico, Milan, Italy.
Francesco CrimellaDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.
Mariateresa GuanziroliDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.
Ivan TomicDepartment of Intensive Care Medicine, Rebro Hospital, University of Zagreb, Zagreb, Croatia.
Tommaso TonettiDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Giordano Luca VerganiStruttura Complessa Anestesia e Rianimazione ASST Santi Paolo e Carlo, Milan, Italy.
Eleonora CarlessoDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.
Vladimir GasparovicDepartment of Intensive Care Medicine, Rebro Hospital, University of Zagreb, Zagreb, Croatia.
Luciano GattinoniDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany. gattinoniluciano@gmail.com.
University of Milan · ITAzienda Socio Sanitaria Territoriale Santi Paolo e CarloUniversity Hospital Centre Zagreb · HRUniversity of Göttingen · DEOspedale Maggiore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOpen lung strategy during ARDS aims to decrease the ventilator-induced lung injury by minimizing the atelectrauma and stress/strain maldistribution. We aim to assess how much of the lung is opened and kept open within the limits of mechanical ventilation considered safe (i.e., plateau pressure 30 cmH

methodsProspective study from two university hospitals. Thirty-three ARDS patients (5 mild, 10 moderate, 9 severe without extracorporeal support, ECMO, and 9 severe with it) underwent two low-dose end-expiratory CT scans at PEEP 5 and 15 cmH

resultsThe lung tissue which is opened between 30 and 45 cmH

conclusionsData show that the prerequisites of the open lung strategy are not satisfied using PEEP up to 15 cmH

trial registrationClinicaltrials.gov identifier: NCT01670747 ( www.clinicaltrials.gov ).

Indexed as

AdultAgedAged, 80 and overFemaleHumansLungLung ComplianceLung Volume MeasurementsMaleMiddle AgedPositive-Pressure RespirationProspective StudiesRespiratory Distress SyndromeSeverity of Illness IndexTomography, X-Ray ComputedVentilator-Induced Lung InjuryARDSAtelectraumaLung recruitmentOpening pressureVolutrauma

Identifiers

PMID28283699
OpenAlexW2592103449

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.