Evidence map›Paper›PMID 35566435›Full record

ArticleJournal of clinical medicine2022

Myocardial Function during Ventilation with Lower versus Higher Positive End-Expiratory Pressure in Patients without ARDS.

Anna Geke Algera, Charalampos Pierrakos, Michela Botta, Claudio Zimatore, Luigi Pisani, Pieter-Roel Tuinman, Lieuwe D J Bos, Wim K Lagrand, Marcello Gama de Abreu, Paolo Pelosi and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

14 authors at 6 institutions in 8 countries.

Anna Geke AlgeraDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Charalampos PierrakosDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Michela BottaDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0003-2675-4604
Claudio ZimatoreDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0002-4875-4018
Luigi PisaniDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Pieter-Roel TuinmanDepartment of Intensive Care & Research VUmc Intensive Care (REVIVE), Amsterdam University Medical Centers Location Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands.
Lieuwe D J BosDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Wim K LagrandDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0003-2784-1961
Marcello Gama de AbreuDepartment of Anesthesiology and Intensive Care, University Hospital Carl Gustav Carus, 01307 Dresden, Germany.
Paolo PelosiDepartment of Surgical Sciences and Integrated Diagnostics, IRCCS San Martino Policlinico Hospital, University of Genoa, 16132 Genoa, Italy.
Ary Serpa NetoAustralian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.
Marcus J SchultzDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0003-3969-7792
Thomas G V CherpanathDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Frederique PaulusDepartment of Intensive Care, Amsterdam University Medical Centers Location University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLMahidol University · THThe University of Melbourne · AUUniversité Libre de Bruxelles · BEUniversity Hospital Carl Gustav Carus · DEUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to investigate whether lower PEEP (positive end-expiratory pressure) had beneficial effects on myocardial function among intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) compared to higher PEEP. In this pre-planned substudy of a randomized controlled trial (RELAx), comparing lower to higher PEEP, 44 patients underwent transthoracic echocardiography. The exclusion criteria were known poor left ventricular function and severe shock requiring high dosages of norepinephrine. To create contrast, we also excluded patients who received PEEP between 2 cmH2O and 7 cmH2O in the two randomization arms of the study. The primary outcome was the right ventricular myocardial performance index (MPI), a measure of systolic and diastolic function. The secondary outcomes included systolic and diastolic function parameters. A total of 20 patients were ventilated with lower PEEP (mean ± SD, 0 ± 1 cmH2O), and 24 patients, with higher PEEP (8 ± 1 cmH2O) (mean difference, -8 cmH2O; 95% CI: -8.1 to -7.9 cmH2O;

Indexed as

ARDSICUmechanical ventilationMPImyocardial functionPEEP

Identifiers

PMID35566435
PMCPMC9104897
OpenAlexW4224266376

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.