Evidence map›Paper›PMID 33071807›Full record

ArticleFrontiers in physiology2020

Hidden Microatelectases Increase Vulnerability to Ventilation-Induced Lung Injury.

Karolin Albert, Jeanne-Marie Krischer, Alexander Pfaffenroth, Sabrina Wilde, Elena Lopez-Rodriguez, Armin Braun, Bradford J Smith, Lars Knudsen

Abstract read
In one paragraph

Article in Frontiers in physiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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  12. Unshrinking the baby lung to calm the VILI vortex.Critical care (London, England) · 2022
    Review
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  14. 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

8 authors.

Karolin AlbertInstitute of Functional and Applied Anatomy, Hannover Medical School, Hanover, Germany.
Jeanne-Marie KrischerInstitute of Functional and Applied Anatomy, Hannover Medical School, Hanover, Germany.
Alexander PfaffenrothInstitute of Functional and Applied Anatomy, Hannover Medical School, Hanover, Germany.
Sabrina WildeFraunhofer Institute for Toxicology and Experimental Medicine, Hanover, Germany.
Elena Lopez-RodriguezInstitute of Functional and Applied Anatomy, Hannover Medical School, Hanover, Germany.
Armin BraunFraunhofer Institute for Toxicology and Experimental Medicine, Hanover, Germany.
Bradford J SmithDepartment of Bioengineering, College of Engineering, Design and Computing, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, United States.
Lars KnudsenInstitute of Functional and Applied Anatomy, Hannover Medical School, Hanover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mechanical ventilation of lungs suffering from microatelectases may trigger the development of acute lung injury (ALI). Direct lung injury by bleomycin results in surfactant dysfunction and microatelectases at day 1 while tissue elastance and oxygenation remain normal. Computational simulations of alveolar micromechanics 1-day post-bleomycin predict persisting microatelectases throughout the respiratory cycle and increased alveolar strain during low positive end-expiratory pressure (PEEP) ventilation. As such, we hypothesize that mechanical ventilation in presence of microatelectases, which occur at low but not at higher PEEP, aggravates and unmasks ALI in the bleomycin injury model. Rats were randomized and challenged with bleomycin (B) or not (H = healthy). One day after bleomycin instillation the animals were ventilated for 3 h with PEEP 1 (PEEP1) or 5 cmH

Indexed as

alveolar interdependenceblood-gas barriermicroatelectasessurfactantventilation-induced lung injury

Identifiers

PMID33071807
PMCPMC7530907

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Registered trials

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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.