Evidence map›Paper›PMID 40629457›Full record

Observational studyCritical care (London, England)2025

Driving pressure vs. oxygenation-based PEEP titration strategies in ARDS patients: a physiological study.

Silvia Coppola, Giulia Catozzi, Tommaso Pozzi, Alessandro Monte, Geraldina Besana, Laura Depedri, Davide Chiumello

Abstract readObservational Study
In one paragraph

Observational study in Critical care (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  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

7 authors.

Silvia CoppolaDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital, Via Di Rudini 9, Milan, Italy.
Giulia CatozziDepartment of Health Sciences, University of Milan, Milan, Italy.
Tommaso PozziDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital, Via Di Rudini 9, Milan, Italy.
Alessandro MonteDepartment of Health Sciences, University of Milan, Milan, Italy.
Geraldina BesanaDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital, Via Di Rudini 9, Milan, Italy.
Laura DepedriDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital, Via Di Rudini 9, Milan, Italy.
Davide ChiumelloDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital, Via Di Rudini 9, Milan, Italy. davide.chiumello@unimi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the effects of three different PEEP titration strategies in ARDS patients, one based on driving pressure and two based on oxygenation (one PEEP level according to the high PEEP/FiO

methodsProspective observational study including 35 sedated, paralysed and mechanically ventilated patients with ARDS according to the Berlin definition within 48 h from admission to a medical-surgical ICU. Each patient underwent PEEP titration according to a clinical (based on driving pressure), empirical (based on high PEEP/FiO

resultsIn the whole population, when comparing empirical versus clinical PEEP (15 [10-18] vs. 10 [8-10] cmH

conclusionsClinical PEEP titration provided better respiratory mechanics in terms of lower end-inspiratory airway pressure, lung stress and elastance and lower PaCO

Indexed as

OxygenPositive-Pressure RespirationRespiratory Distress SyndromeAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesPulmonary Gas ExchangeRespiratory MechanicsOxygenARDSGas exchangePEEP titrationRespiratory mechanics

Identifiers

PMID40629457
PMCPMC12239453

What OpenQuestion holds

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Registered trials

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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.