Evidence map›Paper›PMID 33604579›Full record

ArticleCritical care explorations2021

Breath-Synchronized Nebulized Surfactant in a Porcine Model of Acute Respiratory Distress Syndrome.

Robert M DiBlasi, Masaki Kajimoto, Jonathan A Poli, Gail Deutsch, Juergen Pfeiffer, Joseph Zimmerman, David N Crotwell, Patrik Malone, James B Fink, Coral Ringer and 3 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
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

11 citing papers in PubMed, 14 citations in OpenAlex.

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  6. Journal of aerosol medicine and pulmonary drug delivery · 2025
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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

13 authors at 1 institution in 1 country.

Robert M DiBlasiDepartment of Respiratory Care Therapy, Seattle Children's Hospital and Regional Medical Center, Seattle, WA.
Masaki KajimotoCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA.
Jonathan A PoliCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA.
Gail DeutschDepartment of Pathology, Seattle Children's Hospital and Regional Medical Center, Seattle, WA.
Juergen PfeifferScientific Research Partners, Moss Beach, CA.
Joseph ZimmermanDepartment of Respiratory Care Therapy, Seattle Children's Hospital and Regional Medical Center, Seattle, WA.
David N CrotwellDepartment of Respiratory Care Therapy, Seattle Children's Hospital and Regional Medical Center, Seattle, WA.
Patrik MaloneDepartment of Respiratory Care Therapy, Seattle Children's Hospital and Regional Medical Center, Seattle, WA.
James B FinkAerogen Pharma Corporation, San Mateo, CA.
Coral RingerDepartment of Respiratory Care Therapy, Seattle Children's Hospital and Regional Medical Center, Seattle, WA.
Rajesh UthamanthilCenter for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA.
Dolena LedeeCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA.
Michael A PortmanCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA.
Seattle Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEffective treatment options for surfactant therapy in acute respiratory distress syndrome and coronavirus disease 2019 have not been established. To conduct preclinical studies in vitro and in vivo to evaluate efficiency, particle size, dosing, safety, and efficacy of inhaled surfactant using a breath-synchronized, nebulized delivery system in an established acute respiratory distress syndrome model.

designPreclinical study.

settingResearch laboratory. SUBJECTS: Anesthetized pigs.

interventionIn vitro analysis included particle size distribution and inhaled dose during simulated ventilation using a novel breath-synchronized nebulizer. Physiologic effects of inhaled aerosolized surfactant (treatment) were compared with aerosolized normal saline (control) in an adult porcine model (weight of 34.3 ± 0.6 kg) of severe acute respiratory distress syndrome (Pao MEASUREMENTS AND MAIN

resultsMass median aerosol diameter was 2.8 µm. In vitro dose delivered distal to the endotracheal tube during mechanical ventilation was 85% ± 5%. Nebulizers were functional up to 20 doses of 108 mg of surfactant. Surfactant-treated animals (

conclusionsBreath-synchronized, nebulized bovine surfactant appears to be a safe and feasible treatment option for use in coronavirus disease 2019 and other severe forms of acute respiratory distress syndrome.

Indexed as

acute respiratory distress syndromeanimalmechanical ventilationnebulizerpulmonary surfactant

Identifiers

PMID33604579
PMCPMC7886457
OpenAlexW3129358485

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 Socratic graph.