Evidence map›Paper›PMID 40095610›Full record

ReviewJournal of clinical medicine2025

Patient-Self Inflicted Lung Injury (P-SILI): An Insight into the Pathophysiology of Lung Injury and Management.

Himanshu Deshwal, Ahmed Elkhapery, Rudra Ramanathan, Deepak Nair, Isha Singh, Ankur Sinha, Rishik Vashisht, Vikramjit Mukherjee

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Observational
  7. 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

8 authors.

Himanshu DeshwalDivision of Pulmonary, Sleep and Critical Care Medicine, Department of Medicine, School of Medicine, West Virginia University, Morgantown, WV 26506, USA.ORCID 0000-0003-2086-1281
Ahmed ElkhaperyDepartment of Medicine, Rochester General Hospital, Rochester, NY 14621, USA.ORCID 0000-0003-0705-1137
Rudra RamanathanDivision of Pulmonary, Sleep and Critical Care Medicine, School of Medicine, New York University Grossman, New York, NY 10016, USA.
Deepak NairDepartment of Medicine, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA.
Isha SinghDepartment of Medicine, School of Medicine, West Virginia University, Morgantown, WV 26506, USA.ORCID 0000-0002-2593-6054
Ankur SinhaSection of Interventional Pulmonology, Division of Pulmonary, Allergy and Critical Care Medicine, School of Medicine, Stanford University, Stanford, CA 94305, USA.
Rishik VashishtDivision of Pulmonary and Critical Care Medicine, Macon and Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, VA 23508, USA.
Vikramjit MukherjeeDivision of Pulmonary, Sleep and Critical Care Medicine, School of Medicine/Bellevue Hospital, New York University Grossman, New York, NY 10016, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute respiratory distress syndrome (ARDS) is a heterogeneous group of disease entities that are associated with acute hypoxic respiratory failure and significant morbidity and mortality. With a better understanding and phenotyping of lung injury, novel pathophysiologic mechanisms demonstrate the impact of a patient's excessive spontaneous breathing effort on perpetuating lung injury. Patient self-inflicted lung injury (P-SILI) is a recently identified phenomenon that delves into the impact of spontaneous breathing on respiratory mechanics in patients with lung injury. While the studies are hypothesis-generating and have been demonstrated in animal and human studies, further clinical trials are needed to identify its impact on ARDS management. The purpose of this review article is to highlight the physiologic mechanisms of P-SILI, novel tools and methods to detect P-SILI, and to review the current literature on non-invasive and invasive respiratory management in patients with ARDS.

Indexed as

acute hypoxic respiratory failure (AHRF)acute respiratory distress syndrome (ARDS)lung protective mechanical ventilationpatient self-inflicted lung injury (P-SILI)

Identifiers

PMID40095610
PMCPMC11900086

What OpenQuestion holds

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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.