Evidence map›Paper›PMID 35680312›Full record

ArticleChest2022

Expiratory Muscle Relaxation-Induced Ventilator Triggering: A Novel Patient-Ventilator Dyssynchrony.

Annemijn H Jonkman, Minke C Holleboom, Heder J de Vries, Marijn Vriends, Pieter R Tuinman, Leo M A Heunks

Abstract readCase Reports
In one paragraph

Article in Chest, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. The oesophageal balloon for respiratory monitoring in ventilated patients: updated clinical review and practical aspects.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  4. 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

6 authors.

Annemijn H JonkmanDepartment of Intensive Care Medicine, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands; Department of Intensive Care Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Minke C HolleboomDepartment of Intensive Care Medicine, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands.
Heder J de VriesDepartment of Intensive Care Medicine, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands.
Marijn VriendsDepartment of Intensive Care Medicine, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands.
Pieter R TuinmanDepartment of Intensive Care Medicine, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands.
Leo M A HeunksDepartment of Intensive Care Medicine, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands; Department of Intensive Care Medicine, Erasmus Medical Center, Rotterdam, The Netherlands. Electronic address: l.heunks@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In critically ill patients receiving mechanical ventilation, expiratory muscles are recruited with high respiratory loading and/or low inspiratory muscle capacity. In this case report, we describe a previously unrecognized patient-ventilator dyssynchrony characterized by ventilator triggering by expiratory muscle relaxation, an observation that we termed expiratory muscle relaxation-induced ventilator triggering (ERIT). ERIT can be recognized with in-depth respiratory muscle monitoring as (1) an increase in gastric pressure (Pga) during expiration, resulting from expiratory muscle recruitment; (2) a drop in Pga (and hence, esophageal pressure) at the time of ventilator triggering; and (3) diaphragm electrical activity onset occurring after ventilator triggering. Future studies should focus on the incidence of ERIT and the impact in the patient receiving mechanical ventilation.

Indexed as

Neuromuscular DiseasesExhalationHumansMuscle RelaxationRespiration, ArtificialRespiratory MusclesVentilators, Mechanicalexpiratory musclesmechanical ventilationpatient-ventilator dyssynchrony

Identifiers

PMID35680312
PMCPMC9248081

What OpenQuestion holds

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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.