Evidence map›Paper›PMID 35982836›Full record

ArticleCritical care explorations2022

Mechanical Power Differs Between Pressure-Controlled Ventilation and Different Volume-Controlled Ventilation Modes.

Petra J Rietveld, Jacob W M Snoep, Marjolein Lamping, Franciska van der Velde, Evert de Jonge, David W van Westerloo, Abraham Schoe

Abstract read
In one paragraph

Article in Critical care explorations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Review
  6. Article
  7. The Impact of Mechanical Energy Assessment on Mechanical Ventilation: A Comprehensive Review and Practical Application.Medical science monitor : international medical journal of experimental and clinical research · 2023
    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.

Petra J RietveldAll authors: Department of Intensive Care, Leiden University Medical Centre, Leiden, The Netherlands.
Jacob W M SnoepAll authors: Department of Intensive Care, Leiden University Medical Centre, Leiden, The Netherlands.
Marjolein LampingAll authors: Department of Intensive Care, Leiden University Medical Centre, Leiden, The Netherlands.
Franciska van der VeldeAll authors: Department of Intensive Care, Leiden University Medical Centre, Leiden, The Netherlands.
Evert de JongeAll authors: Department of Intensive Care, Leiden University Medical Centre, Leiden, The Netherlands.
David W van WesterlooAll authors: Department of Intensive Care, Leiden University Medical Centre, Leiden, The Netherlands.
Abraham SchoeAll authors: Department of Intensive Care, Leiden University Medical Centre, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMechanical power (MP) is a way of estimating the energy delivered by the ventilator to the patient. For both volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) methods have been described to calculate the MP. The pressure-volume (PV) loop, from which the MP is calculated, is different for VCV compared with PCV. We aimed to compare the MP of VCV with zero pause time (VCV-0), VCV with 10% pause time (VCV-10), and PCV within patients in different patient categories based on severity of lung injury.

designIn a proof-of-concept study, we enrolled 46 mechanically ventilated patients without spontaneous breathing efforts. Baseline measurements were done in pressure-controlled mode. Subsequently, measurements were done in VCV-0 and VCV-10. Tidal volume and all other settings were kept the same.

settingICU, single university medical center. PATIENTS: Fifty-eight cases in 46 patients on controlled ventilation modes.

interventionsComparison between the MP of PCV, VCV-0, and VCV-10. MEASUREMENT AND MAIN

resultsThe mean MP of VCV-0, VCV-10, and PCV was 19.30, 21.80, and 20.87 J/min, respectively (

conclusionsIn patients ventilated in a controlled mode, VCV without pause time had the lowest MP followed by PCV. VCV with 10% pause time had the highest MP.

Indexed as

mechanical powermechanical ventilationpressure-controlled ventilationstress and strain of the lungventilator-induced lung injuryvolume-controlled ventilation

Identifiers

PMID35982836
PMCPMC9380695

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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.