Evidence map›Paper›PMID 32761387›Full record

ArticleAnnals of intensive care2020

Progression of regional lung strain and heterogeneity in lung injury: assessing the evolution under spontaneous breathing and mechanical ventilation.

Daniel E Hurtado, Benjamín Erranz, Felipe Lillo, Mauricio Sarabia-Vallejos, Pablo Iturrieta, Felipe Morales, Katherine Blaha, Tania Medina, Franco Diaz, Pablo Cruces

Open access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.2field-weighted citation impact, top 4% 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.

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

35 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Modeling ventilation heterogeneity in lung fibrosis.Medical & biological engineering & computing · 2026
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  15. Reply to Pérez.American journal of respiratory and critical care medicine · 2023
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  16. Polymer Lung Surfactants Attenuate Direct Lung Injury in Mice.ACS biomaterials science & engineering · 2023
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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 4 institutions in 1 country.

Daniel E HurtadoDepartment of Structural and Geotechnical Engineering, School of Engineering Pontificia, Universidad Católica de Chile, Santiago, Chile.
Benjamín ErranzCentro de Medicina Regenerativa, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
Felipe LilloCentro de Investigación de Medicina Veterinaria, Facultad de Ciencias de la Vida, Universidad Andres Bello, Santiago, Chile.
Mauricio Sarabia-VallejosDepartment of Structural and Geotechnical Engineering, School of Engineering Pontificia, Universidad Católica de Chile, Santiago, Chile.
Pablo IturrietaDepartment of Structural and Geotechnical Engineering, School of Engineering Pontificia, Universidad Católica de Chile, Santiago, Chile.
Felipe MoralesCentro de Investigación de Medicina Veterinaria, Facultad de Ciencias de la Vida, Universidad Andres Bello, Santiago, Chile.
Katherine BlahaPediatric Critical Care Unit, Clínica Alemana de Santiago, Santiago, Chile.
Tania MedinaPediatric Intensive Care Unit, Hospital El Carmen de Maipú, Santiago, Chile.
Franco DiazCentro de Medicina Regenerativa, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
Pablo CrucesCentro de Investigación de Medicina Veterinaria, Facultad de Ciencias de la Vida, Universidad Andres Bello, Santiago, Chile. pcrucesr@gmail.com.ORCID http://orcid.org/0000-0001-9337-1254
Pontificia Universidad Católica de Chile · CLUniversidad Andrés Bello · CLUniversidad del Desarrollo · CLClínica Alemana · CL

Funding

Fondecyt regular 1160631Fondecyt regular 1180832Fondo de Fomento al Desarrollo Científico y Tecnológico Fondef IDeA ID17I10301Millenium Science Initiative grant Nucleus for Cardiovascular Magnetic Resonance
6 · The paper itself

Abstract

backgroundProtective mechanical ventilation (MV) aims at limiting global lung deformation and has been associated with better clinical outcomes in acute respiratory distress syndrome (ARDS) patients. In ARDS lungs without MV support, the mechanisms and evolution of lung tissue deformation remain understudied. In this work, we quantify the progression and heterogeneity of regional strain in injured lungs under spontaneous breathing and under MV.

methodsLung injury was induced by lung lavage in murine subjects, followed by 3 h of spontaneous breathing (SB-group) or 3 h of low V

resultsAfter 3 h of ventilation, regional strain levels were significantly higher in 43.7% of the ROIs in the SB-group. Significant increase in regional strain was found in 1.2% of the ROIs in the MV-group. Progression of regional strain was found in 100% of the ROIs in the SB-group, whereas the MV-group displayed strain progression in 1.2% of the ROIs. Progression in regional strain heterogeneity was found in 23.4% of the ROIs in the SB-group, while the MV-group resulted in 4.7% of the ROIs showing significant changes. Deformation progression is concurrent with an increase of non-aerated compartment in SB-group (from 13.3% ± 1.6% to 37.5% ± 3.1%), being higher in ventral regions of the lung.

conclusionsSpontaneous breathing in lung injury promotes regional strain and strain heterogeneity progression. In contrast, low V

Indexed as

Acute lung injuryImage-based biomechanical analysisLung heterogeneityLung strainMechanical ventilationSpontaneous breathing

Identifiers

PMID32761387
PMCPMC7407426
OpenAlexW3047128500

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.