Evidence map›Paper›PMID 35814233›Full record

ReviewFrontiers in pharmacology2022

Reverse Triggering: An Introduction to Diagnosis, Management, and Pharmacologic Implications.

Brian Murray, Andrea Sikora, Jason R Mock, Thomas Devlin, Kelli Keats, Rebecca Powell, Thomas Bice

Abstract readReview
In one paragraph

Review in Frontiers in pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Driving pressure in mechanical ventilation: A review.World journal of critical care medicine · 2024
    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.

Brian MurrayUniversity of North Carolina Hospitals, Chapel Hill, NC, United States.
Andrea SikoraCollege of Pharmacy, University of Georgia, Athens, GA, United States.
Jason R MockUniversity of North Carolina Hospitals, Chapel Hill, NC, United States.
Thomas DevlinUniversity of North Carolina Hospitals, Chapel Hill, NC, United States.
Kelli KeatsAugusta University Medical Center, Augusta, GA, United States.
Rebecca PowellCollege of Pharmacy, University of Georgia, Athens, GA, United States.
Thomas BiceNovant Health, Winston-Salem, NC, United States.

Funding

Defining the Role of Regulatory T Cells in Resolution of Acute Lung InjuryR01HL152077 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MOCK, JASON ROBERT · 2021 to 2025
$2.9M
NHLBI NIH HHS R01 HL152077
6 · The paper itself

Abstract

Reverse triggering is an underdiagnosed form of patient-ventilator asynchrony in which a passive ventilator-delivered breath triggers a neural response resulting in involuntary patient effort and diaphragmatic contraction. Reverse triggering may significantly impact patient outcomes, and the unique physiology underscores critical potential implications for drug-device-patient interactions. The purpose of this review is to summarize what is known of reverse triggering and its pharmacotherapeutic consequences, with a particular focus on describing reported cases, physiology, historical context, epidemiology, and management. The PubMed database was searched for publications that reported patients presenting with reverse triggering. The current body of evidence suggests that deep sedation may predispose patients to episodes of reverse triggering; as such, providers may consider decreasing sedation or modifying ventilator settings in patients exhibiting ventilator asynchrony as an initial measure. Increased clinician awareness and research focus are necessary to understand appropriate management of reverse triggering and its association with patient outcomes.

Indexed as

acute respiratory distress syndromecritical caremechanical ventilationrespiratory failurereverse triggeringsedation

Identifiers

PMID35814233
PMCPMC9256988

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.