ArticleIntensive care medicine experimental2023
Effects of changes in trunk inclination on ventilatory efficiency in ARDS patients: quasi-experimental study.
Article in Intensive care medicine experimental, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
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Who cites it
10 citing papers in PubMed.
- Physiological effects and safety of bed verticalization in patients with acute respiratory distress syndrome.Critical care (London, England) · 2024Trial
- Assessment of mortality risk by respiratory rate-specific quartiles in mechanically ventilated patients with acute respiratory distress syndrome in Mexico.Internal and emergency medicine · 2026Observational
- Physiological dissociation between ventilatory ratio and ventilatory efficiency in patients with ARDS.Intensive care medicine experimental · 2026Article
- PaCOFrontiers in medicine · 2026Review
- Respiratory effects of trunk inclination in obese and non-obese patients mechanically ventilated for ARDS.Critical care (London, England) · 2025Article
- Influence of the end inspiratory pause on ventilatory efficiency and respiratory mechanics in patients undergoing robotic surgery under a tailored open lung approach: a prospective-paired study.Anaesthesiology intensive therapy · 2025Article
- Effect of trunk upward verticalization on pulmonary vascular resistance in ARDS.Critical care (London, England) · 2025Article
- Physiological and clinical effects of trunk inclination adjustment in patients with respiratory failure: a scoping review and narrative synthesis.Critical care (London, England) · 2024Article
- Comment on: Effects of changes in trunk inclination on ventilatory efficiency in ARDS patients: quasi‑experimental study.Intensive care medicine experimental · 2023Article
- Body position to optimize mechanics in ARDS: to which degree does the angle matter?Intensive care medicine experimental · 2023Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrunk inclination from semirecumbent head-upright to supine-flat positioning reduces driving pressure and increases respiratory system compliance in patients with acute respiratory distress syndrome (ARDS). These effects are associated with an improved ventilatory ratio and reduction in the partial pressure of carbon dioxide (PaCO
resultsTwenty-two ARDS patients on pressure-controlled ventilation underwent three 60-min steps in which trunk inclination was changed from 45° (baseline) to 10° (intervention) and back to 45° (control) in the last step. Tunk inclination from a semirecumbent (45°) to a supine-flat (10°) position resulted in a higher tidal volume [371 (± 76) vs. 433 (± 84) mL (P < 0.001)] and respiratory system compliance [34 (± 10) to 41 (± 12) mL/cmH
conclusionsA change in trunk inclination from a semirecumbent (45 degrees) to a supine-flat position (10 degrees) improved Bohr's dead space ratio and reduced PaCO
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