Evidence map›Paper›PMID 33239039›Full record

ArticleCritical care (London, England)2020

Individualized flow-controlled ventilation compared to best clinical practice pressure-controlled ventilation: a prospective randomized porcine study.

Patrick Spraider, Judith Martini, Julia Abram, Gabriel Putzer, Bernhard Glodny, Tobias Hell, Tom Barnes, Dietmar Enk

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 36 citations in OpenAlex.

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  15. Dynamic compliance in flow-controlled ventilation.Intensive care medicine experimental · 2021
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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

8 authors at 4 institutions in 3 countries.

Patrick SpraiderDepartment of Anaesthesia and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Judith MartiniDepartment of Anaesthesia and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria. judith.martini@i-med.ac.at.ORCID 0000-0002-3656-4591
Julia AbramDepartment of Anaesthesia and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Gabriel PutzerDepartment of Anaesthesia and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Bernhard GlodnyDepartment of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Tobias HellDepartment of Mathematics, Faculty of Mathematics, Computer Science and Physics, University of Innsbruck, Innsbruck, Austria.
Tom BarnesUniversity of Greenwich, London, UK.
Dietmar EnkFaculty of Medicine, University of Münster, Münster, Germany.
Innsbruck Medical University · ATUniversität Innsbruck · ATUniversity of Greenwich · GBUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlow-controlled ventilation is a novel ventilation method which allows to individualize ventilation according to dynamic lung mechanic limits based on direct tracheal pressure measurement at a stable constant gas flow during inspiration and expiration. The aim of this porcine study was to compare individualized flow-controlled ventilation (FCV) and current guideline-conform pressure-controlled ventilation (PCV) in long-term ventilation.

methodsAnesthetized pigs were ventilated with either FCV or PCV over a period of 10 h with a fixed FiO

resultsIn FCV (n = 6), respiratory minute volume was significantly reduced (6.0 vs 12.7, MD - 6.8 (- 8.2 to - 5.4) l/min; p < 0.001) as compared to PCV (n = 6). Oxygenation was improved in the FCV group (paO

conclusionOur long-term ventilation study demonstrates the applicability of a compliance-guided individualization of FCV settings, which resulted in significantly improved gas exchange and lung tissue aeration without signs of overinflation as compared to best clinical practice PCV.

Indexed as

AnimalsCarbon DioxideDisease Models, AnimalOxygenPositive-Pressure RespirationProspective StudiesPulmonary Gas ExchangeRespiration, ArtificialSwineTomography, X-Ray ComputedCarbon DioxideOxygenPulmonary atelectasisRespiration, artificialRespiratory mechanicsStress mechanicalTomography, X-ray computedVentilator-induced lung injury

Identifiers

PMID33239039
PMCPMC7686826
OpenAlexW3107585575

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.