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Record W2916996797 · doi:10.1097/aln.0000000000002605

Lung- and Diaphragm-protective Ventilation in Acute Respiratory Distress Syndrome

2019· review· en· W2916996797 on OpenAlexaff
Tom Schepens, Ewan C. Goligher

Bibliographic record

VenueAnesthesiology · 2019
Typereview
Languageen
FieldMedicine
TopicRespiratory Support and Mechanisms
Canadian institutionsUniversity of TorontoUniversity Health NetworkToronto General Hospital
Fundersnot available
KeywordsMedicineDiaphragm (acoustics)LungVentilation (architecture)Acute respiratory distressRespiratory distressRespiratory systemAnesthesiaMechanical ventilationIntensive care medicineInternal medicine

Abstract

fetched live from OpenAlex

M echanical ventilation can injure both the lung and the diaphragm, leading to substantial morbidity and mortality in ventilated patients.Whereas the importance of lung-protective ventilation is well established, the concept of diaphragm-protective ventilation is an important but unproven new paradigm in the field.A novel approach to mechanical ventilation in the intensive care unit integrating both diaphragm-and lung-protective measures has the potential to accelerate liberation from mechanical ventilation, prevent long-term disability, and increase survival after acute respiratory failure.In this review, we describe the evidence supporting this new paradigm and outline the basic approach to a lung-and diaphragm-protective ventilation strategy.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.004
Threshold uncertainty score0.014

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.002
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0040.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.050
GPT teacher head0.345
Teacher spread0.295 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations40
Published2019
Admission routes1
Has abstractyes

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