Evidence map›Paper›PMID 28828361›Full record

ReviewAnnals of translational medicine2017

Driving pressure and mechanical power: new targets for VILI prevention.

Tommaso Tonetti, Francesco Vasques, Francesca Rapetti, Giorgia Maiolo, Francesca Collino, Federica Romitti, Luigi Camporota, Massimo Cressoni, Paolo Cadringher, Michael Quintel and 1 more

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

Review in Annals of translational medicine, 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 121 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 1 pooled it
16.6field-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.

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
NCT05814081 completednot on this mapstarted 2021, after this paper: background citation

How To Prevent Ventilator-Related Lung Damage in Intraoperative Mechanical Ventilation? Pcv or Vcv ?

Typeobservational_patient_registrySponsorBaşakşehir Çam & Sakura City HospitalRan2021 to 2021Enrolled80ConditionsVentilator-Induced Lung Injury, Ventilator Lung, Mechanical Ventilation Complication, Postoperative ComplicationsArmsPosition/Ventilation
NCT06063798 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Comparison of Flow-Controlled Ventilation With EVONE Tritube and High Frequency Jet Ventilation in Patients Undergoing Laryngotracheal Surgery

TypeinterventionalSponsorUniversity Hospital, GenevaRan2023 to 2025Enrolled50ConditionsVentilation, Lung Function, Anesthesia, GeneralArmsGeneral anesthesia for laryngotracheal surgery, Mechanical ventilation by FCV, Mechanical ventilation by HFJV
NCT07464288 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effect of Different Depths of Neuromuscular Blockade, Assessed by Train of Four (TOF) Monitoring, On Driving Pressure and the Development of Postoperative Critical Respiratory Events in Abdominal Surgeries

TypeinterventionalSponsorAnkara City Hospital BilkentRan2026 to 2026Enrolled128ConditionsDriving Pressure, Neuromuscular Blockade Monitoring, Postoperative Respiratory ComplicationsArmsRocuronium
NCT07639489 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Association of Intraoperative Mechanical Power With Postoperative Pulmonary Complications and Prolonged Mechanical Ventilation in Coronary Artery Bypass Graft Surgery

TypeobservationalSponsorFusun GozenRan2026 to 2026Enrolled110ConditionsPostoperative Pulmonary Complications, Coronary Artery Bypass Graft Surgery (CABG), Prolonged Mechanical VentilationArmsIntraoperative Mechanical Ventilation Monitoring
3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 1 synthesis or guideline pooled it, 253 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Mechanical ventilation energy analysis: Recruitment focuses injurious power in the ventilated lung.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  19. Review
  20. Article

61 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

11 authors at 4 institutions in 3 countries.

Tommaso TonettiDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.
Francesco VasquesDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.
Francesca RapettiDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.
Giorgia MaioloDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.
Francesca CollinoDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.
Federica RomittiDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.
Luigi CamporotaDepartment of Adult Critical Care, Guy's and St Thomas' NHS Foundation Trust, King's Health Partners, London, UK.
Massimo CressoniDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Paolo CadringherDepartment of Pathophysiology and Transplants, University of Milan, Milan, Italy.
Michael QuintelDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.
Luciano GattinoniDepartment of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.
University of Göttingen · DEGuy's and St Thomas' NHS Foundation Trust · GBUniversity of Milan · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several factors have been recognized as possible triggers of ventilator-induced lung injury (VILI). The first is pressure (thus the 'barotrauma'), then the volume (hence the 'volutrauma'), finally the cyclic opening-closing of the lung units ('atelectrauma'). Less attention has been paid to the respiratory rate and the flow, although both theoretical considerations and experimental evidence attribute them a significant role in the generation of VILI. The initial injury to the lung parenchyma is necessarily mechanical and it could manifest as an unphysiological distortion of the extracellular matrix and/or as micro-fractures in the hyaluronan, likely the most fragile polymer embedded in the matrix. The order of magnitude of the energy required to break a molecular bond between the hyaluronan and the associated protein is 1.12×10

Indexed as

atelectraumabarotraumadriving pressureergotraumamechanical powerMechanical ventilationventilator-induced lung injury (VILI)volutrauma

Identifiers

PMID28828361
PMCPMC5537108
OpenAlexW2738116808

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.