Evidence map›Paper›PMID 42518124›Full record

ArticleCanadian respiratory journal2026

Acute Respiratory Distress Syndrome: Mechanical Ventilation vs. High-Frequency Percussive Ventilation.

Daniel Sagan, Carol Parise, Imran Mohammed, Amandeep Mann, Mehreen Mohammed, Abdullah Alismail

Abstract readComparative Study
In one paragraph

Article in Canadian respiratory journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Daniel SaganDepartment of Cardiopulmonary Sciences, School of Allied Health Professions, Loma Linda University Health, Loma Linda, California, USA, lluh.org.ORCID https://orcid.org/0009-0004-6809-8988
Carol PariseSutter Center for Health Systems Research, Sutter Health, Sacramento, California, USA, sutterhealth.org.ORCID https://orcid.org/0000-0002-3098-6160
Imran MohammedCardiopulmonary Department, Sutter Health, Sutter Roseville Medical Center, Roseville, California, USA, sutterhealth.org.
Amandeep MannSutter Center for Health Systems Research, Sutter Health, Sacramento, California, USA, sutterhealth.org.
Mehreen MohammedPulmonary Medicine Associates, Sacramento, California, USA.
Abdullah AlismailDepartment of Cardiopulmonary Sciences, School of Allied Health Professions, Loma Linda University Health, Loma Linda, California, USA, lluh.org.ORCID https://orcid.org/0000-0002-7844-8943

Funding

Sutter Medical Center Sacramento Foundation 947110-1107088
6 · The paper itself

Abstract

backgroundStudies that investigate the use of high-frequency percussive ventilation (HFPV) are scarce and outdated. HFPV is being used in some facilities primarily as a salvage modality on patients with acute respiratory distress syndrome (ARDS) when a conventional mechanical ventilator has failed to improve outcomes. There still are arguments whether HFPV is an effective ventilation strategy for adult patients with ARDS.

objectivesThe purpose of this study was to analyze and compare pulmonary gas exchange, as measured by arterial blood gas (ABG) values, between patients with ARDS who were transitioned from conventional mechanical ventilation to HFPV and those who remained on conventional mechanical ventilation.

methodsThis was a retrospective study between 2016 and 2022. Data was extracted and analyzed from electronic medical records (EMRs) of ARDS patients. ABG results were analyzed from 12 to 2 h before, and 30 min, 2, 12, and 24 h after the initiation of conventional and HFPV. Continuous mandatory ventilation (CMV) settings were compared over 12 and 2 h before the initiation of HFPV and 2, 12, and 24 h after. MEASUREMENTS AND MAIN

resultsA total of N = 351 cases were evaluated for this study (n1 = 194 in the CMV group and n2 = 157 in the HFPV group). Patients in the HFPV group had a lower mean baseline pH (7.25 vs. 7.34, p = <0.001) and higher PaCO

conclusionsResults show that HFPV can effectively be used for adult ARDS as a salvage modality when a patient's ABG has become refractory to conventional mechanical ventilation.

Indexed as

High-Frequency VentilationRespiration, ArtificialRespiratory Distress SyndromeAgedBlood Gas AnalysisFemaleHumansMaleMiddle AgedPulmonary Gas ExchangeRetrospective StudiesARDShigh-frequency percussive ventilationmechanical ventilation

Identifiers

PMID42518124
PMCPMC13411296

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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.