Evidence map›Paper›PMID 21360291›Full record

SynthesisWiener medizinische Wochenschrift (1946)2011

The role of milrinone in children with cardiovascular compromise: review of the literature.

Sascha Meyer, Ludwig Gortner, Kate Brown, Hashim Abdul-Khaliq

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Wiener medizinische Wochenschrift (1946), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Observational
  5. Article
  6. Review
  7. 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

4 authors at 2 institutions in 2 countries.

Sascha MeyerDepartment of Neonatal and Paediatric Intensive Care Medicine, University Hospital of Saarland, Homburg, Germany. sascha.meyer@uniklinik-saarland.de
Ludwig Gortner
Kate Brown
Hashim Abdul-Khaliq
Saarland University · DEUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular instability is a common complication in children after cardiac surgery and in various forms of shock.

methodsSystematic literature review.

resultsFour randomized controlled trials (RCTs) were included in this systematic literature review. In children after corrective surgery for congenital heart disease milrinone significantly reduced the risk of development of LCOS compared with placebo. In another study in children with high pulmonary vascular resistance and impaired oxygenation after Fontan operation, inhalation of NO with milrinone led to the most significant reduction of pulmonary vascular resistance and improvement of oxygenation. When only milrinone was given these changes were less pronounced. In non-hyperdynamic septic shock, CI, SVI, and DO₂ significantly increased while SVRI significantly decreased after milrinone when compared to placebo.

conclusionsThere are a limited number of RCTs in children that suggest a beneficial effect of milrinone in the optimization of cardiovascular function after cardiac surgery and in septic shock.

Indexed as

Administration, InhalationAdolescentCardiac Output, LowCardiotonic AgentsChildChild, PreschoolDose-Response Relationship, DrugDrug Administration ScheduleFontan ProcedureHeart Defects, CongenitalHemodynamicsHumansInfantInfant, NewbornInfusions, IntravenousMilrinoneCardiotonic AgentsMilrinoneNitric OxideOxygen

Identifiers

PMID21360291
OpenAlexW2155012121

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.