Evidence map›Paper›PMID 39661304›Full record

ArticleIntensive care medicine experimental2024

Predictors of VILI risk: driving pressure, 4DPRR and mechanical power ratio-an experimental study.

Mauro Galizia, Valentina Ghidoni, Giulia Catozzi, Stefano Giovanazzi, Domenico Nocera, Beatrice Donati, Tommaso Pozzi, Rosanna D'Albo, Mattia Busana, Federica Romitti and 6 more

Abstract read
In one paragraph

Article in Intensive care medicine experimental, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. 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

16 authors.

Mauro GaliziaDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Valentina GhidoniDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Giulia CatozziDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Stefano GiovanazziDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Domenico NoceraDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Beatrice DonatiDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Tommaso PozziDepartment of Health Sciences, University of Milan, Via Festa del Perdono 7, 20122, Milan, Italia.
Rosanna D'AlboDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Via Massarenti 9, 40138, Bologna, Italia.
Mattia BusanaDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Federica RomittiDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Peter HerrmannDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Onnen MoererDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Konrad MeissnerDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Michael QuintelDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany.
Luigi CamporotaDepartment of Adult Critical Care, Guy's and St. Thomas' NHS Foundation Trust, Health Centre for Human and Applied Physiological Sciences, London, UK.
Luciano GattinoniDepartment of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Straβe 40, 37075, Göttingen, Germany. gattinoniluciano@gmail.com.ORCID http://orcid.org/0000-0001-5380-2494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentilator-induced lung injury (VILI) is one of the side effects of mechanical ventilation during ARDS; a prerequisite for averting it is the quantification of its risk factors associated with a given ventilatory setting. Many clinical variables have been proposed as predictors of VILI, of which driving pressure is the most widely used. In this study, we compared the performance of driving pressure, four times the driving pressure added to respiratory rate (4DPRR) and mechanical power ratio.

resultsIn a study population of 121 previously healthy pigs exposed to harmful ventilation, we compared the association of driving pressure, 4DPRR and mechanical power ratio to lung weight, lung wet-to-dry and total histological score. All the three variables were associated with these outcomes. Driving pressure, 4DPRR and mechanical power ratio increase linearly with the lung weight (adjusted R

conclusionsDriving pressure, 4DPRR and mechanical power ratio, were all associated with lung injury in healthy animals undergoing mechanical ventilation.

Indexed as

ARDSDriving pressureMechanical powerMechanical ventilationVentilator-induced lung injury

Identifiers

PMID39661304
PMCPMC11635077

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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.