Evidence map›Paper›PMID 32008149›Full record

ArticleJournal of clinical monitoring and computing2021

A physiology-based mathematical model for the selection of appropriate ventilator controls for lung and diaphragm protection.

Binghao Zhang, Damian Ratano, Laurent J Brochard, Dimitrios Georgopoulos, James Duffin, Michael Long, Tom Schepens, Irene Telias, Arthur S Slutsky, Ewan C Goligher and 1 more

Abstract read
In one paragraph

Article in Journal of clinical monitoring and computing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Lung- and Diaphragm-Protective Ventilation.American journal of respiratory and critical care medicine · 2020
    Article
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.

Binghao ZhangDepartment of Mechanical and Industrial Engineering, University of Toronto, 5 King's College Rd, Toronto, ON, M5S 3G8, Canada. binghao.zhang@mail.utoronto.ca.ORCID http://orcid.org/0000-0001-5790-7875
Damian RatanoInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Laurent J BrochardInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Dimitrios GeorgopoulosDepartment of Intensive Care Medicine, University Hospital of Heraklion, University of Crete, Heraklion, Greece.
James DuffinDepartment of Physiology, University of Toronto, Toronto, Canada.
Michael LongDivision of Respirology, Department of Medicine, University Health Network, Toronto, Canada.
Tom SchepensDepartment of Critical Care Medicine, Antwerp University Hospital, University of Antwerp, Edegem, Belgium.
Irene TeliasInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Arthur S SlutskyInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Ewan C GoligherInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Timothy C Y ChanDepartment of Mechanical and Industrial Engineering, University of Toronto, 5 King's College Rd, Toronto, ON, M5S 3G8, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mechanical ventilation is used to sustain respiratory function in patients with acute respiratory failure. To aid clinicians in consistently selecting lung- and diaphragm-protective ventilation settings, a physiology-based decision support system is needed. To form the foundation of such a system, a comprehensive physiological model which captures the dynamics of ventilation has been developed. The Lung and Diaphragm Protective Ventilation (LDPV) model centers around respiratory drive and incorporates respiratory system mechanics, ventilator mechanics, and blood acid-base balance. The model uses patient-specific parameters as inputs and outputs predictions of a patient's transpulmonary and esophageal driving pressures (outputs most clinically relevant to lung and diaphragm safety), as well as their blood pH, under various ventilator and sedation conditions. Model simulations and global optimization techniques were used to evaluate and characterize the model. The LDPV model is demonstrated to describe a CO

Indexed as

DiaphragmVentilators, MechanicalHumansLungModels, TheoreticalRespiration, ArtificialDecision supportMathematical modellingMechanical ventilationRespiration

Identifiers

PMID32008149
PMCPMC7224026

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.