Evidence map›Paper›PMID 28701178›Full record

ReviewCritical care (London, England)2017

The future of mechanical ventilation: lessons from the present and the past.

Luciano Gattinoni, John J Marini, Francesca Collino, Giorgia Maiolo, Francesca Rapetti, Tommaso Tonetti, Francesco Vasques, Michael Quintel

5 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 122 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 3 pooled it
14.9field-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.

NCT04046380 unknown statusnot on this mapstarted 2019, after this paper: background citation

A Modified Mathematical Model to Calculate Power Received by Mechanically Ventilated Patients With Different Etiologies

TypeobservationalSponsorChanghua Christian HospitalRan2019 to 2022Enrolled100ConditionsAcute Respiratory Distress Syndrome, Mechanical Ventilation, Respiratory Mechanics, Ventilator-induced Lung InjuryArmswork of breath measurement and calculation
NCT05410262 completednot on this mapstarted 2022, after this paper: background citation

Specific Mechanical Power Assessment in Patients With Acute Respiratory Distress Syndrome

Typeobservational_patient_registrySponsorHospital El CruceRan2022 to 2022Enrolled18ConditionsVentilation, MechanicalArmsEvaluation of CT images
NCT05690867 nacompletednot on this mapstarted 2022, after this paper: background citation

Comparison of Pressure and Volume Controlled Ventilation in Terms of Mechanical Power in Upper Abdominal Surgery

TypeinterventionalSponsorIstanbul UniversityRan2022 to 2022Enrolled60ConditionsVentilator LungArmsStarting with volume controlled ventilation and changing the ventilation mode every 20 minutes, Starting with pressure controlled ventilation and changing the ventilation mode every 20 minutes
NCT06625099 completednot on this mapstarted 2024, after this paper: background citation

Comparison of the Effects of Different Positive Expiratory Pressure Levels on Patient Oxygenation and Mechanical Power Values in Laparoscopic Surgeries

TypeobservationalSponsorKocaeli City HospitalRan2024 to 2025Enrolled101ConditionsMechanical Ventilation, Mechanical Power, Optimum PEEP, Laparoscopic Abdominal SurgeryArmsMechanical Ventilation (MV) with Low PEEP, Mechanical Ventilation (MV) with Optimum PEEP
NCT06878313 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Role of Elastic Power in Acute Respiratory Distress Syndrome

Typeobservational_patient_registrySponsorHospital El CruceRan2025 to 2026Enrolled20ConditionsARDS (Moderate or Severe), Adult Patients
3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 3 syntheses or guidelines pooled it, 271 citations in OpenAlex.

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62 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

8 authors at 2 institutions in 2 countries.

Luciano GattinoniDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany. gattinoniluciano@gmail.com.
John J MariniUniversity of Minnesota, Minneapolis/Saint Paul, MN, USA.
Francesca CollinoDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Giorgia MaioloDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Francesca RapettiDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Tommaso TonettiDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Francesco VasquesDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Michael QuintelDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
University of Göttingen · DEUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The adverse effects of mechanical ventilation in acute respiratory distress syndrome (ARDS) arise from two main causes: unphysiological increases of transpulmonary pressure and unphysiological increases/decreases of pleural pressure during positive or negative pressure ventilation. The transpulmonary pressure-related side effects primarily account for ventilator-induced lung injury (VILI) while the pleural pressure-related side effects primarily account for hemodynamic alterations. The changes of transpulmonary pressure and pleural pressure resulting from a given applied driving pressure depend on the relative elastances of the lung and chest wall. The term 'volutrauma' should refer to excessive strain, while 'barotrauma' should refer to excessive stress. Strains exceeding 1.5, corresponding to a stress above ~20 cmH

Indexed as

ForecastingBarotraumaExtracorporeal Membrane OxygenationHumansRespiration, ArtificialRespiratory Distress SyndromeRespiratory MechanicsTidal VolumeVentilator-Induced Lung InjuryAcute respiratory distress syndromeExtracorporeal membrane oxygenationMechanical powerMechanical ventilationVentilator-induced lung injury

Identifiers

PMID28701178
PMCPMC5508674
OpenAlexW2734673269

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.