Evidence map›Paper›PMID 32730173›Full record

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

Effects of elevated positive end-expiratory pressure on diaphragmatic blood flow and vascular resistance during mechanical ventilation.

Andrew G Horn, Dryden R Baumfalk, Kiana M Schulze, Olivia N Kunkel, Trenton D Colburn, Ramona E Weber, Christian S Bruells, Timothy I Musch, David C Poole, Bradley J Behnke

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 NCT06123039 (Use of Heart-lung Interaction Parameters to Predict Haemodynamic Tolerance to the Open Lung Approach With Individualised PEEP During Invasive Mechanical Ventilation in the Operating Room), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 11% 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.

NCT06123039 completednot on this mapstarted 2023, after this paper: background citation

Use of Heart-lung Interaction Parameters to Predict Haemodynamic Tolerance to the Open Lung Approach With Individualised PEEP During Invasive Mechanical Ventilation in the Operating Room

TypeobservationalSponsorHospital Universitario La FeRan2023 to 2025Enrolled72ConditionsAnesthesia, Perioperative/Postoperative Complications, Hypovolemia, Haemodynamic InstabilityArmsTidal Volume Challenge, Recruitment maneuver obtaining individualised PEEP
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Article
  3. Species-specific effects of positive end-expiratory pressure on diaphragm and chest wall geometry in mice, rats, and humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
    Article
  4. Article
  5. Ultrasound innovations in diaphragm assessment: an integrative review of expanding clinical applications.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Effects of aging on diaphragm hyperemia and blood flow distribution in male and female Fischer 344 rats.American journal of physiology. Regulatory, integrative and comparative physiology · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Reply to Horn et al.Journal of applied physiology (Bethesda, Md. : 1985) · 2022
    Article
  14. Article
  15. 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

10 authors at 2 institutions in 2 countries.

Andrew G HornDepartment of Kinesiology, Kansas State University, Manhattan, Kansas.
Dryden R BaumfalkDepartment of Kinesiology, Kansas State University, Manhattan, Kansas.
Kiana M SchulzeDepartment of Kinesiology, Kansas State University, Manhattan, Kansas.
Olivia N KunkelDepartment of Kinesiology, Kansas State University, Manhattan, Kansas.
Trenton D ColburnDepartment of Kinesiology, Kansas State University, Manhattan, Kansas.
Ramona E WeberDepartment of Kinesiology, Kansas State University, Manhattan, Kansas.
Christian S BruellsDepartment of Anesthesiology, Faculty of Medicine, RWTH Aachen University, Aachen, Germany.
Timothy I MuschDepartment of Kinesiology, Kansas State University, Manhattan, Kansas.
David C PooleDepartment of Kinesiology, Kansas State University, Manhattan, Kansas.
Bradley J BehnkeDepartment of Kinesiology, Kansas State University, Manhattan, Kansas.
Kansas State University · USRWTH Aachen University · DE

Funding

Novel strategies to prevent respiratory muscle vascular dysfunction with mechanical ventilationR15HL137156 · NHLBI · KANSAS STATE UNIVERSITY · PI BEHNKE, BRAD J, POOLE, DAVID C · 2018 to 2018
$455k
Sexual Dimorphism in the Physiological Function of KATP ChannelsF31HL145981 · NHLBI · KANSAS STATE UNIVERSITY · PI COLBURN, TRENTON D. · 2019 to 2020
$66k
NHLBI NIH HHS F31 HL145981NHLBI NIH HHS R15 HL137156NIH HHS 1R15HL137156-01A1NIH HHS F31HL145981
6 · The paper itself

Abstract

Although mechanical ventilation (MV) is a life-saving intervention, prolonged MV can lead to deleterious effects on diaphragm function, including vascular incompetence and weaning failure. During MV, positive end-expiratory pressure (PEEP) is used to maintain small airway patency and mitigate alveolar damage. We tested the hypothesis that increased intrathoracic pressure with high levels of PEEP would increase diaphragm vascular resistance and decrease perfusion. Female Sprague-Dawley rats (~6 mo) were randomly divided into two groups receiving low PEEP (1 cmH

Indexed as

DiaphragmRespiration, ArtificialAnimalsFemaleHumansPositive-Pressure RespirationRatsRats, Sprague-DawleyVascular Resistancemedial costal diaphragmvascular functionventilatory muscle failure

Identifiers

PMID32730173
PMCPMC7517429
OpenAlexW3047387997

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.