Evidence map›Paper›PMID 35791021›Full record

ArticleCritical care (London, England)2022

Paradoxical response to chest wall loading predicts a favorable mechanical response to reduction in tidal volume or PEEP.

John Selickman, Pierre Tawfik, Philip S Crooke, David J Dries, Jonathan Shelver, Luciano Gattinoni, John J Marini

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. The "mechanical paradox" unveiled: a physiological study.Critical care (London, England) · 2025
    Trial
  2. Article
  3. Review
  4. Detecting end-tidal hyperinflation.Intensive care medicine · 2024
    Article
  5. Review
  6. Optimized ventilation power to avoid VILI.Journal of intensive care · 2023
    Review
  7. Review
  8. Article
  9. 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

7 authors at 5 institutions in 2 countries.

John SelickmanDepartment of Pulmonary and Critical Care Medicine, University of Minnesota School of Medicine, 640 Jackson Street, Mail Stop 11203B, MinneapolisSt. Paul, MN, 55101, USA. selic002@umn.edu.
Pierre TawfikDepartment of Pulmonary and Critical Care Medicine, University of Minnesota School of Medicine, 640 Jackson Street, Mail Stop 11203B, MinneapolisSt. Paul, MN, 55101, USA.
Philip S CrookeDepartment of Mathematics, Vanderbilt University, Nashville, TN, USA.
David J DriesDepartment of Surgery, Regions Hospital, St Paul, MN, USA.
Jonathan ShelverDepartment of Pulmonary and Critical Care Medicine, Methodist Hospital, St. Louis Park, MN, USA.
Luciano GattinoniDepartment of Anesthesiology, Medical University of Göttingen, University Medical Center Göttingen, Göttingen, Germany.
John J MariniDepartment of Pulmonary and Critical Care Medicine, University of Minnesota School of Medicine, 640 Jackson Street, Mail Stop 11203B, MinneapolisSt. Paul, MN, 55101, USA.
Regions Hospital · USUniversity of Minnesota · USPark Nicollet Methodist Hospital · USUniversitätsmedizin Göttingen · DEVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChest wall loading has been shown to paradoxically improve respiratory system compliance (C

methodsProspective, multi-center physiologic study of seventeen patients with moderate to severe ARDS who demonstrated paradoxical responses to chest wall loading. All patients received mechanical ventilation in volume control mode and were passively ventilated. Airway pressures were measured before and after decreasing/increasing V

resultsDecreasing either V

conclusionPatients with a paradoxical response to chest wall loading demonstrate uniform improvement in both DP and C

Indexed as

Respiratory Distress SyndromeThoracic WallHumansPositive-Pressure RespirationProspective StudiesTidal Volume

Identifiers

PMID35791021
PMCPMC9255488
OpenAlexW4284668603

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.