Evidence map›Paper›PMID 32016537›Full record

ReviewIntensive care medicine2020

Respiratory drive in the acute respiratory distress syndrome: pathophysiology, monitoring, and therapeutic interventions.

Elena Spinelli, Tommaso Mauri, Jeremy R Beitler, Antonio Pesenti, Daniel Brodie

4 registry-linked trialsAbstract readReview
In one paragraph

Review in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 142 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 3 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.

NCT05559970 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect of Inhalational Sedation on Mechanical Power in Mechanically Ventilated Patients: a Pilot Open-label Randomized Controlled Study

TypeinterventionalSponsorMahidol UniversityRan2022 to 2024Enrolled40ConditionsMechanical Ventilation, Sedation, Mechanical Power, Lung InjuryArmsInhalational sedation, Convention sedation
NCT06203405 narecruitingnot on this mapstarted 2023, after this paper: background citation

The Efficacy of P0.1-guided Sedation Protocol in Critically Ill Patients Receiving Invasive Mechanical Ventilation: A Randomized Controlled Trial

TypeinterventionalSponsorSiriraj HospitalRan2023 to 2026Enrolled214ConditionsRespiratory Failure, Critical Illness, Respiratory Distress Syndrome, Adult, Lung InjuryArmsTitrating sedation targeting both optimal P0.1 and appropriate arousal level, Fentanyl, Midazolam, Propofol, Dexmedetomidine
NCT06344234 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Noninvasive Assessment of Inspiratory Effort and Tidal Distension During Noninvasive Ventilation. The INSPIRE Study.

Typeobservational_patient_registrySponsorUniversity of BariRan2023 to 2026Enrolled60ConditionsRespiratory Disease, Artificial RespirationArmsEnd-inspiratory Maneuvers
NCT06662201 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Association Between P0.1 and Extubation Failure in Adult Patients With Acute Hypoxemic Respiratory Failure. A Multicenter Prospective Cohort Study

Typeobservational_patient_registrySponsorArgentinian Intensive Care SocietyRan2024 to 2025Enrolled256ConditionsVentilator Weaning
3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  10. Beyond High-flow Nasal Cannula vs Non-invasive Ventilation: The Need for Dynamic Physiological Monitoring in Pediatric Acute Hypoxemic Respiratory Failure.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  11. Right ventricular-protective ventilation in acute respiratory distress syndrome: phenotypes, monitoring and ventilatory management.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
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82 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Elena SpinelliDipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università Degli Studi Di Milano, Via F. Sforza 35, 20122, Milan, Italy.
Tommaso MauriDipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università Degli Studi Di Milano, Via F. Sforza 35, 20122, Milan, Italy. tommaso.mauri@unimi.it.ORCID 0000-0002-2709-8162
Jeremy R BeitlerCenter for Acute Respiratory Failure, Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY, USA.
Antonio PesentiDipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università Degli Studi Di Milano, Via F. Sforza 35, 20122, Milan, Italy.
Daniel BrodieCenter for Acute Respiratory Failure, Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neural respiratory drive, i.e., the activity of respiratory centres controlling breathing, is an overlooked physiologic variable which affects the pathophysiology and the clinical outcome of acute respiratory distress syndrome (ARDS). Spontaneous breathing may offer multiple physiologic benefits in these patients, including decreased need for sedation, preserved diaphragm activity and improved cardiovascular function. However, excessive effort to breathe due to high respiratory drive may lead to patient self-inflicted lung injury (P-SILI), even in the absence of mechanical ventilation. In the present review, we focus on the physiological and clinical implications of control of respiratory drive in ARDS patients. We summarize the main determinants of neural respiratory drive and the mechanisms involved in its potentiation, in health and ARDS. We also describe potential and pitfalls of the available bedside methods for drive assessment and explore classical and more "futuristic" interventions to control drive in ARDS patients.

Indexed as

Respiratory Distress SyndromeDiaphragmHumansLungRespirationRespiration, Artificial

Identifiers

PMID32016537
PMCPMC7224136

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.