Evidence map›Paper›PMID 36362921›Full record

ReviewLife (Basel, Switzerland)2022

Acute Respiratory Distress Syndrome and the Use of Inhaled Pulmonary Vasodilators in the COVID-19 Era: A Narrative Review.

Adeel Nasrullah, Shiza Virk, Aaisha Shah, Max Jacobs, Amina Hamza, Abu Baker Sheikh, Anam Javed, Muhammad Ali Butt, Swathi Sangli

Open access · goldAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Regulation of nitric oxide generation and consumption.International journal of biological sciences · 2025
    Review
  4. Article
  5. Review
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

9 authors at 2 institutions in 1 country.

Adeel NasrullahDivision of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, PA 15212, USA.
Shiza VirkDepartment of Internal Medicine, Allegheny Health Network, Pittsburgh, PA 15512, USA.
Aaisha ShahDepartment of Internal Medicine, Allegheny Health Network, Pittsburgh, PA 15512, USA.
Max JacobsDepartment of Internal Medicine, Allegheny Health Network, Pittsburgh, PA 15512, USA.
Amina HamzaDepartment of Internal Medicine, Allegheny Health Network, Pittsburgh, PA 15512, USA.
Abu Baker SheikhDepartment of Internal Medicine, University of New Mexico, Albuquerque, NM 87106, USA.ORCID 0000-0003-0503-6961
Anam JavedDepartment of Internal Medicine, Allegheny Health Network, Pittsburgh, PA 15512, USA.
Muhammad Ali ButtDepartment of Internal Medicine, Allegheny Health Network, Pittsburgh, PA 15512, USA.
Swathi SangliDivision of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, PA 15212, USA.
Allegheny Health Network · USUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Coronavirus disease (COVID-19) pandemic of 2019 has resulted in significant morbidity and mortality, especially from severe acute respiratory distress syndrome (ARDS). As of September 2022, more than 6.5 million patients have died globally, and up to 5% required intensive care unit treatment. COVID-19-associated ARDS (CARDS) differs from the typical ARDS due to distinct pathology involving the pulmonary vasculature endothelium, resulting in diffuse thrombi in the pulmonary circulation and impaired gas exchange. The National Institute of Health and the Society of Critical Care Medicine recommend lung-protective ventilation, prone ventilation, and neuromuscular blockade as needed. Further, a trial of pulmonary vasodilators is suggested for those who develop refractory hypoxemia. A review of the prior literature on inhaled pulmonary vasodilators in ARDS suggests only a transient improvement in oxygenation, with no mortality benefit. This narrative review aims to highlight the fundamental principles in ARDS management, delineate the fundamental differences between CARDS and ARDS, and describe the comprehensive use of inhaled pulmonary vasodilators. In addition, with the differing pathophysiology of CARDS from the typical ARDS, we sought to evaluate the current evidence regarding the use of inhaled pulmonary vasodilators in CARDS.

Indexed as

acute respiratory distress syndromeARDSCARDSCOVID-19COVID acute respiratory distress syndrome

Identifiers

PMID36362921
PMCPMC9695622
OpenAlexW4307996340

What Socratic holds

Textmetadata
LicenceCC BY
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.