Evidence map›Paper›PMID 31691042›Full record

ArticleIntensive care medicine experimental2019

Increased effort during partial ventilatory support is not associated with lung damage in experimental acute lung injury.

Dietrich Henzler, Alf Schmidt, Zhaolin Xu, Nada Ismaiel, Haibo Zhang, Arthur S Slutsky, Paolo Pelosi

Registry-linked trialAbstract read
In one paragraph

Article in Intensive care medicine experimental, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06195475 (Impact of Tidal Volume Magnitude in Pressure Support Mode on Mortality in Adults Under Invasive Mechanical Ventilation. Multi-center Retrospective Cohort Study.), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT06195475 completednot on this mapstarted 2023, after this paper: background citation

Impact of Tidal Volume Magnitude in Pressure Support Mode on Mortality in Adults Under Invasive Mechanical Ventilation. Multi-center Retrospective Cohort Study.

Typeobservational_patient_registrySponsorSanatorio Anchorena San MartinRan2023 to 2024Enrolled2,607ConditionsRespiration, ArtificialArmshigh vs low tidal volume
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Observational
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

7 authors.

Dietrich HenzlerDepartment of Anesthesiology, Dalhousie University, Halifax, Nova Scotia, Canada. mail@d-henzler.de.ORCID http://orcid.org/0000-0001-5511-6885
Alf SchmidtDepartment of Anesthesiology, Dalhousie University, Halifax, Nova Scotia, Canada.
Zhaolin XuDepartment of Pathology, Dalhousie University , Halifax, NS, Canada.
Nada IsmaielDepartment of Physiology and Biophysics, University of Toronto, Toronto, ON, Canada.
Haibo ZhangInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Arthur S SlutskyInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Paolo PelosiDepartment of Surgical Sciences and Integrated Diagnostics, San Martino Policlinico Hospital - IRCCS for Oncology, University of Genoa, Genoa, Italy.

Funding

Faculty of Medicine, Dalhousie University Research ScholarLung Association Nova Scotia (CA) Legacy Research Fund
6 · The paper itself

Abstract

backgroundAn on-going debate exists as to whether partial ventilatory support is lung protective in an acute phase of ARDS. So far, the effects of different respiratory efforts on the development of ventilator-associated lung injury (VALI) have been poorly understood. To test the hypothesis whether respiratory effort itself promotes VALI, acute lung injury (ALI) was induced in 48 Sprague Dawley rats by hydrochloric acid aspiration model. Hemodynamics, gas-exchange, and respiratory mechanics were measured after 4 h of ventilation in pressure control (PC), assist-control (AC), or pressure support with 100% (PS100), 60% (PS60), or 20% (PS20) of the driving pressure during PC. VALI was assessed by histological analysis and biological markers.

resultsALI was characterized by a decrease in PaO

conclusionsIn experimental ALI in rodents, the respiratory effort was increased by reducing the pressure support during partial ventilatory support. In the presence of a constant peak inspiratory transpulmonary pressure, an increased respiratory effort was not associated with worsening ventilator-associated lung injury measured by histologic score and biologic markers.

Indexed as

Acute lung injuryAcute respiratory distress syndromeALIARDSAssisted spontaneous breathingMechanical ventilationVALIVentilator-associated lung injury

Identifiers

PMID31691042
PMCPMC6831786

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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.