Evidence map›Paper›PMID 40809231›Full record

ArticleJournal of thoracic disease2025

Effect of respiratory filter resistance on respiratory mechanics and human-machine synchrony during invasive jet atomization: a prospective self-controlled study.

Zhenjie Jiang, Zhili Zou, Jiesen Zhang, Yuting Huang, Dongyu Ma, Qingwen Sun, Zhimin Lin, Zhigang Deng, Daoyong Huang, Yuanda Xu

Abstract read
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Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Zhenjie Jiang *Department of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zhili Zou *The First School of Clinical Medicine, Guangzhou Medical University, Guangzhou, China.
Jiesen Zhang *Department of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yuting HuangNational Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Dongyu MaDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Qingwen SunDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zhimin LinDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zhigang DengDepartment of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Daoyong Huang *Department of Critical Care Medicine, Liwan Central Hospital of Guangzhou, Guangzhou, China.
Yuanda Xu *Department of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To reduce the contamination of the breathing circuit, respiratory filters are used in patients receiving mechanical ventilation. However, their use increases the resistance and dead space volume of the breathing circuit, which potentially leads to asynchrony events, especially when patients are receiving jet nebulization. However, the impact of respiratory filter resistance on respiratory mechanics and human-machine synchronization during invasive ventilation with jet nebulization is not clear. Therefore, this study aims to investigate the question above and optimize the strategy of clinical filter using which may advance implementing lung-protective ventilation. Methods: The study carried out a self-controlled study and enrolled 12 patients receiving mechanical ventilation and monitored changes in respiratory mechanics and human-machine synchronization indicators under varying numbers of respiratory filters during jet nebulization. Results: The study found that jet nebulization, the use of respiratory filters and increasing filter resistance exacerbated abnormal triggering and asynchrony index [abnormal triggering: G1 Conclusions: Increasing respiratory filter resistance during jet nebulization may exacerbate human-machine asynchronicity. Therefore, the use of filters during nebulization in invasive ventilation patients should be carefully considered, and filters should be replaced promptly after nebulization.

Indexed as

human-machine asynchronyinvasive jet atomizationRespiratory filterrespiratory mechanics

Identifiers

PMID40809231
PMCPMC12340259

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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.