Patient self-inflicted lung injury an important phenomenon

P-SILI arises when excessive inspiratory effort translates into injurious lung and diaphragm stress. Preventive strategies should not abolish but shape effort, integrating ventilatory settings, sedation, and drive-modulating interventions across the continuum from the acute phase to weaning and rehabilitation.

Authors

Antonio Artigas (ORCID: https://orcid.org/0000-0002-8029-1017)
Glasiele Alcala (ORCID: https://orcid.org/0000-0002-0727-1132)
Eleonora Balzani (ORCID: https://orcid.org/0000-0001-7837-4457)
Giacomo Bellani

Institutions

University of Milan (IT)
University of Trento (IT)
Massachusetts General Hospital (US)
Ospedale Santa Chiara (IT)

Publication Details

Journal: Current Opinion in Critical Care
Published: 2025-11-28
DOI: https://doi.org/10.1097/mcc.0000000000001348
Primary Topic: Respiratory Support and Mechanisms
Type: article
Field-Weighted Citation Impact: 0.00

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article

Patient self-inflicted lung injury an important phenomenon

Antonio Artigas, Glasiele Alcala, Eleonora Balzani, Giacomo Bellani

Nov 28, 2025

Current Opinion in Critical Care

Respiratory Support and Mechanisms

article

Patient self-inflicted lung injury an important phenomenon

Antonio Artigas, Glasiele Alcala, Eleonora Balzani, Giacomo Bellani

November 28, 2025article en

Abstract

P-SILI arises when excessive inspiratory effort translates into injurious lung and diaphragm stress. Preventive strategies should not abolish but shape effort, integrating ventilatory settings, sedation, and drive-modulating interventions across the continuum from the acute phase to weaning and rehabilitation.

Current Opinion in Critical CareVol. 32(1)

University of Milan (IT), University of Trento (IT), Massachusetts General Hospital (US), Ospedale Santa Chiara (IT)

Openalex Percentile: Top 43%

Respiratory Support and Mechanisms

DOI Open Access PDF OpenAlex

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Patient self-inflicted lung injury an important phenomenon — Antonio Artigas, Glasiele Alcala, et al. · Current Opinion in Critical Care (2025) | TGRS Research Map | TGRS