Evidence map›Paper›PMID 22219334›Full record

Trial reportThe Journal of physiology2012

Colloid volume loading does not mitigate decreases in central blood volume during simulated haemorrhage while heat stressed.

C G Crandall, T E Wilson, J Marving, M Bundgaard-Nielsen, T Seifert, T L Klausen, F Andersen, N H Secher, B Hesse

Open access · greenAbstract readClinical TrialControlled Clinical Trial
In one paragraph

Trial report in The Journal of physiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Tissue oxygen saturation during hyperthermic progressive central hypovolemia.American journal of physiology. Regulatory, integrative and comparative physiology · 2014
    Trial
  3. Normothermic central hypovolemia tolerance reflects hyperthermic tolerance.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2014
    Trial
  4. Trial
  5. Trial
  6. Review
  7. Impact of environmental stressors on tolerance to hemorrhage in humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2019
    Article
  8. Review
  9. Article
  10. Mechanisms of orthostatic intolerance during heat stress.Autonomic neuroscience : basic & clinical · 2016
    Review
  11. Review
  12. Article
  13. Active and passive heat stress similarly compromise tolerance to a simulated hemorrhagic challenge.American journal of physiology. Regulatory, integrative and comparative physiology · 2014
    Article
  14. Blood flow distribution during heat stress: cerebral and systemic blood flow.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2013
    Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

C G CrandallInstitute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas, 7232 Greenville Ave, Dallas, TX 75231, USA. craigcrandall@texashealth.org
T E Wilson
J Marving
M Bundgaard-Nielsen
T Seifert
T L Klausen
F Andersen
N H Secher
B Hesse
Rigshospitalet · DKUniversity of Copenhagen · DKOhio University · USThe University of Texas Southwestern Medical Center · US

Funding

HYPERTHERMIA EFFECTS ON HUMAN BAROFLEX FUNCTIONR01HL061388 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI CRANDALL, CRAIG G · 1999 to 2011
$2.4M
Neural and non-neural modulators of skin blood flow and sweating in humansR01HL084072 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI CRANDALL, CRAIG G · 2006 to 2009
$1.3M
NHLBI NIH HHS HL 61388NHLBI NIH HHS HL84072NHLBI NIH HHS R01 HL061388NHLBI NIH HHS R01 HL084072
6 · The paper itself

Abstract

Heat stress results in profound reductions in the capacity to withstand a simulated haemorrhagic challenge; however, this capacity is normalized if the individual is volume loaded prior to the challenge. The present study tested the hypothesis that volume loading during passive heat stress attenuates the reduction in regional blood volumes during a simulated haemorrhagic challenge imposed via lower-body negative pressure (LBNP). Seven subjects underwent 30 mmHg LBNP while normothermic, during passive heat stress (increased internal temperature ∼1◦C), and while continuing to be heated after intravenous colloid volume loading (11 ml kg⁻¹). Relative changes in torso and regional blood volumes were determined by gamma camera imaging with technetium-99m labelled erythrocytes. Heat stress reduced blood volume in all regions (ranging from 7 to 16%), while subsequent volume loading returned those values to normothermic levels. While normothermic,LBNP reduced blood volume in all regions (torso: 22 ± 8%; heart: 18 ± 6%; spleen: 15 ± 8%). During LBNP while heat stressed, the reductions in blood volume in each region were markedly greater when compared to LBNP while normothermic (torso: 73 ± 2%; heart: 72 ± 3%; spleen: 72 ± 5%, all P<0.001 relative to normothermia). Volume loading during heat stress did not alter the extent of the reduction in these blood volumes to LBNP relative to heat stress alone (torso: 73 ± 1%; heart: 72 ± 2%; spleen: 74 ± 3%, all P>0.05 relative to heat stress alone). These data suggest that blood volume loading during passive heat stress (via 11 ml kg⁻¹ of a colloid solution) normalizes regional blood volumes in the torso, but does not mitigate the reduction in central blood volume during a simulated haemorrhagic challenge combined with heat stress.

Indexed as

AdultBlood VolumeBody TemperatureColloidsHeat Stress DisordersHemorrhageHumansHydroxyethyl Starch DerivativesInfusions, IntravenousMaleYoung AdultColloidsHES 130-0.4Hydroxyethyl Starch Derivatives

Identifiers

PMID22219334
PMCPMC3381831
OpenAlexW1787476028

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.