Evidence map›Paper›PMID 31318162›Full record

ArticleInternational journal for numerical methods in biomedical engineering2019

Strain, strain rate, and mechanical power: An optimization comparison for oscillatory ventilation.

Jacob Herrmann, Merryn H Tawhai, David W Kaczka

Abstract read
In one paragraph

Article in International journal for numerical methods in biomedical engineering, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

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

9 citing papers in PubMed.

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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

3 authors.

Jacob HerrmannDepartment of Biomedical Engineering, University of Iowa, Iowa City, Iowa, New Zealand.ORCID 0000-0001-5046-5592
Merryn H TawhaiAuckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand.ORCID 0000-0002-3211-6337
David W KaczkaDepartment of Biomedical Engineering, University of Iowa, Iowa City, Iowa, New Zealand.ORCID 0000-0003-4378-5242

Funding

Device for Multi-Frequency Oscillatory Ventilation in Adult Patients with the Acute Respiratory Distress SyndromeR41HL140640 · NHLBI · OSCILLAVENT, INC. · PI KACZKA, DAVID W. · 2018 to 2018
$225k
NHLBI NIH HHS R41 HL140640
6 · The paper itself

Abstract

The purpose of this study was to assess the potential for optimization of mechanical ventilator waveforms using multiple frequencies of oscillatory flow delivered simultaneously to minimize the risk of ventilator-induced lung injury (VILI) associated with regional strain, strain rate, and mechanical power. Optimization was performed using simulations of distributed oscillatory flow and gas transport in a computational model of anatomically derived branching airway segments and viscoelastic terminal acini under healthy and injured conditions. Objective functions defined by regional strain or strain rate were minimized by single-frequency ventilation waveforms using the highest or lowest frequencies available, respectively. However, a mechanical power objective function was minimized by a combination of multiple frequencies delivered simultaneously. This simulation study thus demonstrates the potential for multifrequency oscillatory ventilation to reduce regional mechanical power in comparison to single-frequency ventilation, and thereby reduce the risk of VILI.

Indexed as

Computer SimulationHumansLungRespiration, ArtificialRespiratory MechanicsTidal VolumeVentilator-Induced Lung Injuryacute respiratory distress syndromecomputational modelinglung-protective ventilationmultifrequency oscillatory ventilationrespiratory mechanicsventilator-induced lung injury

Identifiers

PMID31318162
PMCPMC6785367

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Registered trials

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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.