Evidence map›Paper›PMID 39380082›Full record

ArticleCritical care (London, England)2024

Atelectrauma can be avoided if expiration is sufficiently brief: evidence from inverse modeling and oscillometry during airway pressure release ventilation.

Jason H T Bates, David W Kaczka, Michaela Kollisch-Singule, Gary F Nieman, Donald P Gaver

Erratum issuedAbstract read
In one paragraph

Article in Critical care (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Mechanical ventilation energy analysis: Recruitment focuses injurious power in the ventilated lung.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jason H T BatesDepartment of Medicine, University of Vermont, University of Vermont Larner College of Medicine, 149 Beaumont Avenue, Burlington, VT, 05405, USA. jason.h.bates@uvm.edu.
David W KaczkaDepartments of Anesthesia, Biomedical Engineering, and Radiology, University of Iowa, Iowa City, IA, 52242, USA.
Michaela Kollisch-SinguleDepartment of Surgery, SUNY Upstate Medical Center, Syracuse, NY, 13210, USA.
Gary F NiemanDepartment of Surgery, SUNY Upstate Medical Center, Syracuse, NY, 13210, USA.
Donald P GaverDepartment of Biomedical Engineering, Tulane University, New Orleans, LA, USA.

Funding

Preserving Epithelial Barrier Integrity in Ventilator-Induced Lung InjuryR01HL142702 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Jason HT Bates, DONALD P. GAVER · 2018 to 2026
$4.6M
NHLBI NIH HHS HL142702NHLBI NIH HHS R01 HL142702U.S. Department of Defense W81XWH-20-1-0696
6 · The paper itself

Abstract

backgroundAirway pressure release ventilation (APRV) has been shown to be protective against atelectrauma if expirations are brief. We hypothesize that this is protective because epithelial surfaces are not given enough time to come together and adhere during expiration, thereby avoiding their highly damaging forced separation during inspiration.

methodsWe investigated this hypothesis in a porcine model of ARDS induced by Tween lavage. Animals were ventilated with APRV in 4 groups based on whether inspiratory pressure was 28 or 40 cmH

results

conclusionsThese findings support the hypothesis that sufficiently short expiratory durations protect against atelectrauma because they do not give derecruitment enough time to manifest. This suggests a means for the personalized adjustment of mechanical ventilation.

Indexed as

OscillometryAnimalsContinuous Positive Airway PressureDisease Models, AnimalExhalationPulmonary AtelectasisRespiration, ArtificialRespiratory Distress SyndromeRespiratory MechanicsSwineMathematical modelOver-distensionPorcine lavage modelRespiratory system impedanceVentilator-induced lung injury

Identifiers

PMID39380082
PMCPMC11462759

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.