Evidence map›Paper›PMID 35818077›Full record

ArticleCritical care (London, England)2022

Effects of PEEP on regional ventilation-perfusion mismatch in the acute respiratory distress syndrome.

Bertrand Pavlovsky, Antonio Pesenti, Elena Spinelli, Gaetano Scaramuzzo, Ines Marongiu, Paola Tagliabue, Savino Spadaro, Giacomo Grasselli, Alain Mercat, Tommaso Mauri

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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 44 citations in OpenAlex.

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  18. Functional Phenotyping: A New Role for Electrical Impedance Tomography.American journal of respiratory and critical care medicine · 2024
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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

10 authors at 3 institutions in 2 countries.

Bertrand PavlovskyDepartment of Anesthesia, Critical Care and Emergency, IRCCS (Institute for Treatment and Research) Ca' Granda Maggiore Policlinico Hospital Foundation, Via Sforza 35, 20122, Milan, Italy.
Antonio PesentiDepartment of Anesthesia, Critical Care and Emergency, IRCCS (Institute for Treatment and Research) Ca' Granda Maggiore Policlinico Hospital Foundation, Via Sforza 35, 20122, Milan, Italy.
Elena SpinelliDepartment of Anesthesia, Critical Care and Emergency, IRCCS (Institute for Treatment and Research) Ca' Granda Maggiore Policlinico Hospital Foundation, Via Sforza 35, 20122, Milan, Italy.
Gaetano ScaramuzzoIntensive Care Unit, Department of Morphology, Surgery and Experimental Medicine, Sant'Anna University Hospital, Ferrara, Italy.
Ines MarongiuDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Paola TagliabueDepartment of Anesthesia, Critical Care and Emergency, IRCCS (Institute for Treatment and Research) Ca' Granda Maggiore Policlinico Hospital Foundation, Via Sforza 35, 20122, Milan, Italy.
Savino SpadaroIntensive Care Unit, Department of Morphology, Surgery and Experimental Medicine, Sant'Anna University Hospital, Ferrara, Italy.
Giacomo GrasselliDepartment of Anesthesia, Critical Care and Emergency, IRCCS (Institute for Treatment and Research) Ca' Granda Maggiore Policlinico Hospital Foundation, Via Sforza 35, 20122, Milan, Italy.
Alain MercatVent'Lab, Medical Intensive Care Unit Department, Angers University Hospital, Angers, France.
Tommaso MauriDepartment of Anesthesia, Critical Care and Emergency, IRCCS (Institute for Treatment and Research) Ca' Granda Maggiore Policlinico Hospital Foundation, Via Sforza 35, 20122, Milan, Italy. tommaso.mauri@unimi.it.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversité d'Angers · FRUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn the acute respiratory distress syndrome (ARDS), decreasing Ventilation-Perfusion [Formula: see text] mismatch might enhance lung protection. We investigated the regional effects of higher Positive End Expiratory Pressure (PEEP) on [Formula: see text] mismatch and their correlation with recruitability. We aimed to verify whether PEEP improves regional [Formula: see text] mismatch, and to study the underlying mechanisms.

methodsIn fifteen patients with moderate and severe ARDS, two PEEP levels (5 and 15 cmH

resultsIn the non-dependent region, at higher PEEP, ventilation reaching the normal [Formula: see text] compartment (p = 0.018) increased, while it decreased in the high [Formula: see text] one (p = 0.023). In the middle region, at PEEP 15 cmH

conclusionsIn patients with ARDS, higher PEEP optimizes the distribution of both ventilation (in the non-dependent areas) and perfusion (in the middle and dependent lung). Bedside measure of recruitability is associated with improved [Formula: see text] mismatch.

Indexed as

Respiratory Distress SyndromeHumansLungPerfusionPositive-Pressure RespirationRespiratory Physiological PhenomenaAcute lung injuryCOVID-19Electrical impedance tomographyMultiple inert gas elimination techniqueRecruitment-on-inflation ratio

Identifiers

PMID35818077
PMCPMC9272883
OpenAlexW4285030360

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.