Evidence map›Paper›PMID 32673161›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2020

Inhibition of central activation of the diaphragm: a mechanism of weaning failure.

Franco Laghi, Hameeda Shaikh, Stephen W Littleton, Daniel Morales, Amal Jubran, Martin J Tobin

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07427121 (Rehabilitation-based Approaches to Prevent Mechanical Ventilation-induced Breathing Dysfunction), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 17% 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.

NCT07427121 narecruitingnot on this mapstarted 2026, after this paper: background citation

Rehabilitation-based Approaches to Prevent Mechanical Ventilation-induced Breathing Dysfunction

TypeinterventionalSponsorUniversity of FloridaRan2026 to 2027Enrolled16ConditionsInspiratory Strength Training (IST), Transcutaneous Spinal Stimulation, Sham Spinal StimulationArmsSpinal cord stimulation, Inspiratory Strength Training, Sham Stimulation
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

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

6 authors at 1 institution in 1 country.

Franco LaghiDivision of Pulmonary and Critical Care Medicine, Hines Veterans Affairs Hospital, Hines, Illinois.
Hameeda ShaikhDivision of Pulmonary and Critical Care Medicine, Hines Veterans Affairs Hospital, Hines, Illinois.
Stephen W LittletonDivision of Pulmonary and Critical Care Medicine, Hines Veterans Affairs Hospital, Hines, Illinois.
Daniel MoralesDivision of Pulmonary and Critical Care Medicine, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois.
Amal JubranDivision of Pulmonary and Critical Care Medicine, Hines Veterans Affairs Hospital, Hines, Illinois.ORCID 0000-0002-8762-3125
Martin J TobinDivision of Pulmonary and Critical Care Medicine, Hines Veterans Affairs Hospital, Hines, Illinois.
Loyola University Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During a T-tube trial following disconnection of mechanical ventilation, patients failing the trial do not develop contractile diaphragmatic fatigue despite increases in inspiratory pressure output. Studies in volunteers, patients, and animals raise the possibility of spinal and supraspinal reflex mechanisms that inhibit central-neural output under loaded conditions. We hypothesized that diaphragmatic recruitment is submaximal at the end of a failed weaning trial despite concurrent respiratory distress. Tidal transdiaphragmatic pressure (ΔP

Indexed as

DiaphragmVentilator WeaningExhalationHumansRespiration, ArtificialRespiratory Musclesdiaphragmmechanical ventilationmuscle fatigueneuromuscular couplingweaning from mechanical ventilation

Identifiers

PMID32673161
PMCPMC7473953
OpenAlexW3043251588

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.