Mariangela Pellegrini
Specialist physician at Department of Surgical Sciences; Anaesthesiology and Intensive Care
- E-mail:
- mariangela.pellegrini@uu.se
- Visiting address:
- Akademiska sjukhuset, ingång 70, 1tr
751 85 Uppsala - Postal address:
- Akademiska sjukhuset, ingång 70, 1tr
751 85 UPPSALA
Short presentation
Mariangela Pellegrini is a Consultant in Intensive Care at Uppsala University Hospital and Associate Professor at Uppsala University.
Her research focuses on respiratory mechanics and mechanical ventilation in critically ill patients, combining clinical and translational approaches with advanced lung imaging and quantitative physiology.
Keywords
- respiratory mechanics
- acute respiratory distress syndrome
- mechanical ventilation
- synchrotron radiation computed tomography
- translational research
- clinical research
- intensive care
- lung
- physiology
- lung imaging
- computed tomography
- acute respiratory failure
Biography
Mariangela Pellegrini is a Consultant in Intensive Care at Uppsala University Hospital and an Associate Professor (Docent) at the Department of Surgical Sciences, Uppsala University.
She obtained her PhD in 2019 with a thesis on the modulation of expiration during mechanical ventilation. Following a postdoctoral period in Toronto, she has developed a translational research profile at the interface of physiology, imaging, and critical care medicine.
Her work integrates experimental and clinical approaches to better understand respiratory function in acute illness. She has particular expertise in lung imaging, respiratory mechanics, and quantitative analysis of physiological signals, and has contributed to methodological development in these areas.
She supervises doctoral students and is actively building an independent research line aimed at improving personalized ventilation strategies in acute respiratory failure.
Research
Her research focuses on respiratory mechanics and ventilatory management in critically ill patients, particularly in acute respiratory distress syndrome (ARDS). She investigates mechanisms of ventilator-induced and patient self-inflicted lung injury, as well as strategies to optimize lung-protective ventilation.
Her work combines advanced imaging techniques, including CT-based and functional approaches, with detailed analysis of respiratory signals to characterize lung heterogeneity, ventilation–perfusion relationships, and recruitability.
A central goal of her research is to develop individualized, physiology-based ventilation strategies that can be translated into clinical practice to improve patient outcomes.

Publications
Recent publications
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Part of Intensive Care Medicine, p. 406-407, 2026
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Part of Journal of applied physiology, p. 764-777, 2026
- DOI for Global versus regional effects of PEEP on recruitment and strain: insights from preclinical and clinical studies
- Download full text (pdf) of Global versus regional effects of PEEP on recruitment and strain: insights from preclinical and clinical studies
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Part of Intensive Care Medicine Experimental, 2026
- DOI for Characterizing heterogeneity and subphenotyping acute respiratory distress syndrome with computed tomography
- Download full text (pdf) of Characterizing heterogeneity and subphenotyping acute respiratory distress syndrome with computed tomography
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Part of Intensive Care Medicine Experimental, 2025
- DOI for Personalized mechanical ventilation guided by lung ultrasound in patients with ARDS: a pilot phase of a randomized clinical trial
- Download full text (pdf) of Personalized mechanical ventilation guided by lung ultrasound in patients with ARDS: a pilot phase of a randomized clinical trial
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Pathophysiology and clinical applications of PEEP in acute brain injury
Part of Intensive Care Medicine, p. 2104-2116, 2025
All publications
Articles in journal
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Part of Intensive Care Medicine, p. 406-407, 2026
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Part of Journal of applied physiology, p. 764-777, 2026
- DOI for Global versus regional effects of PEEP on recruitment and strain: insights from preclinical and clinical studies
- Download full text (pdf) of Global versus regional effects of PEEP on recruitment and strain: insights from preclinical and clinical studies
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Part of Intensive Care Medicine Experimental, 2025
- DOI for Personalized mechanical ventilation guided by lung ultrasound in patients with ARDS: a pilot phase of a randomized clinical trial
- Download full text (pdf) of Personalized mechanical ventilation guided by lung ultrasound in patients with ARDS: a pilot phase of a randomized clinical trial
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Pathophysiology and clinical applications of PEEP in acute brain injury
Part of Intensive Care Medicine, p. 2104-2116, 2025
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Part of Intensive Care Medicine Experimental, 2025
- DOI for The focal index: a quantitative approach to morphological sub-phenotyping of COVID-19 patients with acute respiratory distress syndrome: a pilot study
- Download full text (pdf) of The focal index: a quantitative approach to morphological sub-phenotyping of COVID-19 patients with acute respiratory distress syndrome: a pilot study
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Part of ANAESTHESIA CRITICAL CARE & PAIN MEDICINE, 2025
- DOI for Evaluating early mobilisation in critically ill COVID-19 patients: Secondary analysis from the ESICM UNITE-COVID-II multicentre observational study
- Download full text (pdf) of Evaluating early mobilisation in critically ill COVID-19 patients: Secondary analysis from the ESICM UNITE-COVID-II multicentre observational study
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Part of Intensive Care Medicine Experimental, 2025
- DOI for Intracranial response to positive end-expiratory pressure is influenced by lung recruitability and gas distribution during mechanical ventilation in acute brain injury patients: a proof-of-concept physiological study
- Download full text (pdf) of Intracranial response to positive end-expiratory pressure is influenced by lung recruitability and gas distribution during mechanical ventilation in acute brain injury patients: a proof-of-concept physiological study
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Individualized PEEP can improve both pulmonary hemodynamics and lung function in acute lung injury
Part of Critical Care, 2025
- DOI for Individualized PEEP can improve both pulmonary hemodynamics and lung function in acute lung injury
- Download full text (pdf) of Individualized PEEP can improve both pulmonary hemodynamics and lung function in acute lung injury
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Novel lung imaging techniques: new experimental insights in acute respiratory failure
Part of Intensive Care Medicine Experimental, 2025
- DOI for Novel lung imaging techniques: new experimental insights in acute respiratory failure
- Download full text (pdf) of Novel lung imaging techniques: new experimental insights in acute respiratory failure
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Lung impedance changes during awake prone positioning in COVID-19: A non-randomized cross-over study
Part of PLOS ONE, 2024
- DOI for Lung impedance changes during awake prone positioning in COVID-19: A non-randomized cross-over study
- Download full text (pdf) of Lung impedance changes during awake prone positioning in COVID-19: A non-randomized cross-over study
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Part of Journal of clinical monitoring and computing, p. 1269-1280, 2024
- DOI for Imitating the respiratory activity of the brain stem by using artificial neural networks: exploratory study on an animal model of lactic acidosis and proof of concept
- Download full text (pdf) of Imitating the respiratory activity of the brain stem by using artificial neural networks: exploratory study on an animal model of lactic acidosis and proof of concept
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Part of Annals of Intensive Care, 2024
- DOI for Impact of airway closure and lung collapse on inhaled nitric oxide effect in acute lung injury: an experimental study
- Download full text (pdf) of Impact of airway closure and lung collapse on inhaled nitric oxide effect in acute lung injury: an experimental study
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How to protect the diaphragm and the lung with diaphragm neurostimulation
Part of Current Opinion in Critical Care, p. 70-77, 2024
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Finding the optimal tidal volume in acute respiratory distress syndrome
Part of Intensive Care Medicine, p. 1154-1156, 2024
- DOI for Finding the optimal tidal volume in acute respiratory distress syndrome
- Download full text (pdf) of Finding the optimal tidal volume in acute respiratory distress syndrome
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Part of Intensive care medicine experimental, 2024
- DOI for Clinical implementation of advanced respiratory monitoring with esophageal pressure and electrical impedance tomography: results from an international survey and focus group discussion.
- Download full text (pdf) of Clinical implementation of advanced respiratory monitoring with esophageal pressure and electrical impedance tomography: results from an international survey and focus group discussion.
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Part of Intensive Care Medicine Experimental, 2024
- DOI for Positive end-expiratory pressure limits inspiratory effort through modulation of the effort-to-drive ratio: an experimental crossover study
- Download full text (pdf) of Positive end-expiratory pressure limits inspiratory effort through modulation of the effort-to-drive ratio: an experimental crossover study
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Part of Intensive Care Medicine Experimental, 2024
- DOI for Regional distribution of mechanical strain and macrophage-associated lung inflammation after ventilator-induced lung injury: an experimental study
- Download full text (pdf) of Regional distribution of mechanical strain and macrophage-associated lung inflammation after ventilator-induced lung injury: an experimental study
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Part of Frontiers in Physiology, 2024
- DOI for Body mass index is associated with pulmonary gas and blood distribution mismatch in COVID-19 acute respiratory failure: A physiological study
- Download full text (pdf) of Body mass index is associated with pulmonary gas and blood distribution mismatch in COVID-19 acute respiratory failure: A physiological study
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Part of Intensive Care Medicine, p. 727-759, 2023
- DOI for ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies
- Download full text (pdf) of ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies
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Part of Annals of Intensive Care, 2023
- DOI for Early mobilisation in critically ill COVID-19 patients: a subanalysis of the ESICM-initiated UNITE-COVID observational study
- Download full text (pdf) of Early mobilisation in critically ill COVID-19 patients: a subanalysis of the ESICM-initiated UNITE-COVID observational study
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Part of Critical Care, 2022
- DOI for Limitations of the ARDS criteria during high-flow oxygen or non-invasive ventilation: evidence from critically ill COVID-19 patients
- Download full text (pdf) of Limitations of the ARDS criteria during high-flow oxygen or non-invasive ventilation: evidence from critically ill COVID-19 patients
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Part of Journal of critical care, 2022
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Chest dual-energy CT to assess the effects of steroids on lung function in severe COVID-19 patients
Part of Critical Care, 2022
- DOI for Chest dual-energy CT to assess the effects of steroids on lung function in severe COVID-19 patients
- Download full text (pdf) of Chest dual-energy CT to assess the effects of steroids on lung function in severe COVID-19 patients
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Part of Intensive Care Medicine, p. 690-705, 2022
- DOI for Clinical and organizational factors associated with mortality during the peak of first COVID-19 wave: the global UNITE-COVID study
- Download full text (pdf) of Clinical and organizational factors associated with mortality during the peak of first COVID-19 wave: the global UNITE-COVID study
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Part of Frontiers in Physiology, 2021
- DOI for Inspiratory Efforts, Positive End-Expiratory Pressure, and External Resistances Influence Intraparenchymal Gas Redistribution in Mechanically Ventilated Injured Lungs
- Download full text (pdf) of Inspiratory Efforts, Positive End-Expiratory Pressure, and External Resistances Influence Intraparenchymal Gas Redistribution in Mechanically Ventilated Injured Lungs
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Part of Critical Care, 2021
- DOI for A quantitative analysis of extension and distribution of lung injury in COVID-19: a prospective study based on chest computed tomography
- Download full text (pdf) of A quantitative analysis of extension and distribution of lung injury in COVID-19: a prospective study based on chest computed tomography
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Expiratory Resistances Prevent Expiratory Diaphragm Contraction, Flow Limitation, and Lung Collapse
Part of American Journal of Respiratory and Critical Care Medicine, p. 1218-1229, 2020
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Part of Best Practice & Research, p. 561-567, 2020
- DOI for The use of positive end expiratory pressure in patients affected by COVID-19: Time to reconsider the relation between morphology and physiology
- Download full text (pdf) of The use of positive end expiratory pressure in patients affected by COVID-19: Time to reconsider the relation between morphology and physiology
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Part of Frontiers in Physiology, 2019
- DOI for The Effects of Positive End-Expiratory Pressure on Transpulmonary Pressure and Recruitment-Derecruitment During Neurally Adjusted Ventilator Assist: A Continuous Computed Tomography Study in an Animal Model of Acute Respiratory Distress Syndrome
- Download full text (pdf) of The Effects of Positive End-Expiratory Pressure on Transpulmonary Pressure and Recruitment-Derecruitment During Neurally Adjusted Ventilator Assist: A Continuous Computed Tomography Study in an Animal Model of Acute Respiratory Distress Syndrome
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Part of Frontiers in Physiology, 2019
- DOI for Regional Behavior of Airspaces During Positive Pressure Reduction Assessed by Synchrotron Radiation Computed Tomography
- Download full text (pdf) of Regional Behavior of Airspaces During Positive Pressure Reduction Assessed by Synchrotron Radiation Computed Tomography
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Part of Journal of Clinical Medicine, 2019
- DOI for The Effect of Positive End-Expiratory Pressure on Lung Micromechanics Assessed by Synchrotron Radiation Computed Tomography in an Animal Model of ARDS
- Download full text (pdf) of The Effect of Positive End-Expiratory Pressure on Lung Micromechanics Assessed by Synchrotron Radiation Computed Tomography in an Animal Model of ARDS
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Expiratory Resistances Prevent Expiratory Diaphragm Contraction, Flow Limitation, and Lung Collapse
Part of Intensive Care Medicine Experimental, 2019
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Individual Airway Closure Characterized In Vivo by Phase-Contrast CT Imaging in Injured Rabbit Lung
Part of Critical Care Medicine, 2019
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2018
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Part of American Journal of Respiratory and Critical Care Medicine, 2018
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Onset and Magnitude of Pendelluft During Spontaneous Breathing Depend on Lung Volume
Part of American Journal of Respiratory and Critical Care Medicine, 2018
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Part of Acta Anaesthesiologica Scandinavica, p. 94-104, 2018
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Part of Critical Care Medicine, p. 687-694, 2017
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The Diaphragm Acts as a Brake During Expiration to Prevent Lung Collapse
Part of American Journal of Respiratory and Critical Care Medicine, p. 1608-1616, 2017
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Part of Medical and Biological Engineering and Computing, p. 1819-1828, 2017
- DOI for Robustness of two different methods of monitoring respiratory system compliance during mechanical ventilation.
- Download full text (pdf) of Robustness of two different methods of monitoring respiratory system compliance during mechanical ventilation.
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Part of Journal of clinical monitoring and computing, p. 551-559, 2017
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Expiratory Diaphragm Activity Reduces Atelectasis Formation
Part of American Journal of Respiratory and Critical Care Medicine, 2016
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Effects of superimposed tissue weight on regional compliance of injured lungs
Part of Respiratory Physiology & Neurobiology, p. 16-24, 2016
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Part of American Journal of Respiratory and Critical Care Medicine, 2016
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Part of American Journal of Respiratory and Critical Care Medicine, 2015
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Part of American Journal of Respiratory and Critical Care Medicine, 2015
Articles, review/survey
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Part of Intensive Care Medicine Experimental, 2026
- DOI for Characterizing heterogeneity and subphenotyping acute respiratory distress syndrome with computed tomography
- Download full text (pdf) of Characterizing heterogeneity and subphenotyping acute respiratory distress syndrome with computed tomography
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Part of Critical Care, 2024
- DOI for Electrical impedance tomography monitoring in adult ICU patients: state-of-the-art, recommendations for standardized acquisition, processing, and clinical use, and future directions
- Download full text (pdf) of Electrical impedance tomography monitoring in adult ICU patients: state-of-the-art, recommendations for standardized acquisition, processing, and clinical use, and future directions
Chapters in book
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Principles and Management of ARDS
Part of Best 2022 Clinical Cases in Intensive Care Medicine, p. 181-194, Springer, 2023
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Part of Best 2022 Clinical Cases in Intensive Care Medicine, p. 249-262, Springer, 2023