Evidence map›Paper›PMID 36567221›Full record

ArticleJournal of cardiothoracic and vascular anesthesia2023

Very Low Driving-Pressure Ventilation in Patients With COVID-19 Acute Respiratory Distress Syndrome on Extracorporeal Membrane Oxygenation: A Physiologic Study.

Mazen Odish, Travis Pollema, Angela Meier, Mark Hepokoski, Cassia Yi, Roger Spragg, Hemal H Patel, Laura E Crotty Alexander, Xiaoying Shelly Sun, Sonia Jain and 3 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of cardiothoracic and vascular anesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07673250 (Personalized Ventilator Settings for Patients on ECMO), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 52% 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.

NCT07673250 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Personalized Ventilator Settings for Patients on ECMO (PEEPECMO)

TypeinterventionalSponsorUniversity of California, San DiegoRan2026 to 2031Enrolled62ConditionsAcute Respiratory Distress Syndrome (ARDS), Extracorporeal Membrane Oxygenation, Respiratory Failure Patients Treated With ECMO, Respiratory Failure, ICUArmsPersonalized Positive End-Expiratory Pressure (PEEP)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 2 institutions in 1 country.

Mazen OdishUC San Diego Department of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, La Jolla, CA. Electronic address: modish@health.ucsd.edu.
Travis PollemaUC San Diego Department of Surgery, Division of Cardiovascular and Thoracic Surgery, La Jolla, CA.
Angela MeierUC San Diego Department of Anesthesiology, Division of Critical Care, La Jolla, CA.
Mark HepokoskiUC San Diego Department of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, La Jolla, CA; VA San Diego Healthcare System, Pulmonary Critical Care Section, San Diego, CA.
Cassia YiUC San Diego Health Department of Nursing, La Jolla, CA.
Roger SpraggUC San Diego Department of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, La Jolla, CA.
Hemal H PatelUC San Diego Department of Anesthesiology, Division of Critical Care, La Jolla, CA; VA San Diego Healthcare System, Pulmonary Critical Care Section, San Diego, CA.
Laura E Crotty AlexanderUC San Diego Department of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, La Jolla, CA; VA San Diego Healthcare System, Pulmonary Critical Care Section, San Diego, CA.
Xiaoying Shelly SunUC San Diego, Herbert Wertheim School of Public Health and Human Longevity Science, La Jolla, CA.
Sonia JainUC San Diego, Herbert Wertheim School of Public Health and Human Longevity Science, La Jolla, CA.
Tatum S SimonsonUC San Diego Department of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, La Jolla, CA.
Atul MalhotraUC San Diego Department of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, La Jolla, CA.
Robert L OwensUC San Diego Department of Medicine, Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, La Jolla, CA.
University of California San Diego · USUC San Diego Health System · US

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
T follicular helper (Tfh) CD4+ T cell, germinal center, and antibody response dysfunction in human recurrent tonsillitisU19AI142742 · NIAID · LA JOLLA INSTITUTE FOR IMMUNOLOGY · PI Alessandro Sette · 2019 to 2026
$32.8M
UC San Diego Clinical and Translational Research InstituteKL2TR001444 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEPP, COLIN A. · 2015 to 2024
$15.4M
Neural Plasticity During Acclimatization to HypoxiaR01HL081823 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI POWELL, FRANK L. · 2005 to 2019
$4.5M
Is Obstructive Sleep Apnea Important in the Development of Alzheimer's DiseaseR01AG063925 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2020 to 2024
$3.7M
Single Motor Unit Genioglossus Recordings to Understand Sleep Apnea PathogenesisR01HL085188 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2008 to 2018
$3.5M
Sleep Apnea in Survivors of Childhood Cancer Treated with Thoracic Radiation (APNEA)R01CA215405 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI KRULL, KEVIN R, MANDRELL, BELINDA N · 2017 to 2021
$3.5M
Underlying mechanisms of obesity-induced obstructive sleep apneaR01HL148436 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Atul Malhotra · 2020 to 2026
$3.4M
Sleep Apnea Endophenotypes: One Size Does Not Fit AllR01HL154926 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2021 to 2025
$3.3M
VentNet: A Real-Time Multimodal Data Integration Model for Prediction of Respiratory Failure in Patients with COVID-19R01HL157985 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL, NEMATI, SHAMIM · 2022 to 2025
$2.9M
Imaging Blood Flow, Ventilation, and Density InteractionsR01HL119201 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HOPKINS, SUSAN R · 2016 to 2019
$2.5M
Respiratory and genomic contributions to adaptive/maladaptive hypoxia responsesR01HL145470 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SIMONSON, TATUM S · 2019 to 2023
$2.4M
BLRD VA I01 BX004767BLRD VA IK2 BX004338NCATS NIH HHS KL2 TR001444NCATS NIH HHS UL1 TR001442NCI NIH HHS R01 CA215405NCIRD CDC HHS U01 IP000965NHLBI NIH HHS K24 HL132105NHLBI NIH HHS R01 HL081823NHLBI NIH HHS R01 HL085188NHLBI NIH HHS R01 HL119201NHLBI NIH HHS R01 HL133847NHLBI NIH HHS R01 HL137052NHLBI NIH HHS R01 HL142114NHLBI NIH HHS R01 HL145470NHLBI NIH HHS R01 HL148436NHLBI NIH HHS R01 HL154926NHLBI NIH HHS R01 HL157985NHLBI NIH HHS R21 HL154026NHLBI NIH HHS T32 HL134632NHLBI NIH HHS UG1 HL139117NIAID NIH HHS K99 AI145762NIAID NIH HHS U19 AI142742NIA NIH HHS R01 AG063925NIGMS NIH HHS T32 GM121318
6 · The paper itself

Abstract

objectivesTo determine in patients with acute respiratory distress syndrome (ARDS) on venovenous extracorporeal membrane oxygenation (VV ECMO) whether reducing driving pressure (ΔP) would decrease plasma biomarkers of inflammation and lung injury (interleukin-6 [IL-6], IL-8, and the soluble receptor for advanced glycation end-products sRAGE).

designA single-center prospective physiologic study.

settingAt a single university medical center.

participantsAdult patients with severe COVID-19 ARDS on VV ECMO.

interventionsParticipants on VV ECMO had the following biomarkers measured: (1) pre-ECMO with low-tidal-volume ventilation (LTVV), (2) post-ECMO with LTVV, (3) during low-driving-pressure ventilation (LDPV), (4) after 2 hours of very low driving-pressure ventilation (V-LDPV, main intervention ΔP = 1 cmH MAIN MEASUREMENTS AND

resultsTwenty-six participants were enrolled; 21 underwent V-LDPV. There was no significant change in IL-6, IL-8, and sRAGE from LDPV to V-LDPV and from V-LDPV to LDPV. Only participants (9 of 21) with nonspontaneous breaths had significant change (p < 0.001) in their tidal volumes (V

conclusionsBiomarkers did not significantly change with decreased ΔPs or V

Indexed as

COVID-19Extracorporeal Membrane OxygenationRespiratory Distress SyndromeAdultBiomarkersHumansInterleukin-6Interleukin-8Prospective StudiesReceptor for Advanced Glycation End ProductsRespiration, ArtificialBiomarkersInterleukin-6Interleukin-8Receptor for Advanced Glycation End Productsacute respiratory distress syndromebiomarkersCOVID-19extracorporeal membrane oxygenationlow driving pressure ventilationventilator-induced lung injury

Identifiers

PMID36567221
PMCPMC9701579
OpenAlexW4310255434

What OpenQuestion holds

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Registered trials

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.