Evidence map›Paper›PMID 24876357›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2014

Reductions in central venous pressure by lower body negative pressure or blood loss elicit similar hemodynamic responses.

Blair D Johnson, Noud van Helmond, Timothy B Curry, Camille M van Buskirk, Victor A Convertino, Michael J Joyner

Abstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

47 citing papers in PubMed, 96 citations in OpenAlex.

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  7. Human and animal models for studying hemorrhagic shock.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
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  20. Lower-limb venous distension reflex and orthostatic tolerance in young healthy humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
    Article
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

6 authors at 3 institutions in 2 countries.

Blair D JohnsonDepartment of Anesthesiology, Mayo Clinic, Rochester, Minnesota;
Noud van HelmondDepartment of Anesthesiology, Mayo Clinic, Rochester, Minnesota; Department of Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands;
Timothy B CurryDepartment of Anesthesiology, Mayo Clinic, Rochester, Minnesota;
Camille M van BuskirkDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota; and.
Victor A ConvertinoU.S. Army Institute of Surgical Research, Fort Sam Houston, Texas.
Michael J JoynerDepartment of Anesthesiology, Mayo Clinic, Rochester, Minnesota; Joyner.Michael@mayo.edu.
Mayo Clinic · USRadboud University Medical Center · NLUnited States Army Institute of Surgical Research · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR000135
6 · The paper itself

Abstract

The purpose of this study was to compare hemodynamic and blood analyte responses to reduced central venous pressure (CVP) and pulse pressure (PP) elicited during graded lower body negative pressure (LBNP) to those observed during graded blood loss (BL) in conscious humans. We hypothesized that the stimulus-response relationships of CVP and PP to hemodynamic responses during LBNP would mimic those observed during BL. We assessed CVP, PP, heart rate, mean arterial pressure (MAP), and other hemodynamic markers in 12 men during LBNP and BL. Blood samples were obtained for analysis of catecholamines, hematocrit, hemoglobin, arginine vasopressin, and blood gases. LBNP consisted of 5-min stages at 0, 15, 30, and 45 mmHg of suction. BL consisted of 5 min at baseline and following three stages of 333 ml of hemorrhage (1,000 ml total). Individual r(2) values and linear regression slopes were calculated to determine whether the stimulus (CVP and PP)-hemodynamic response trajectories were similar between protocols. The CVP-MAP trajectory was the only CVP-response slope that was statistically different during LBNP compared with BL (0.93 ± 0.27 vs. 0.13 ± 0.26; P = 0.037). The PP-heart rate trajectory was the only PP-response slope that was statistically different during LBNP compared with BL (-1.85 ± 0.45 vs. -0.46 ± 0.27; P = 0.024). Norepinephrine, hematocrit, and hemoglobin were all lower at termination in the BL protocol compared with LBNP (P < 0.05). Consistent with our hypothesis, LBNP mimics the hemodynamic stimulus-response trajectories observed during BL across a significant range of CVP in humans.

Indexed as

AdultArginine VasopressinArterial PressureBlood Gas AnalysisCatecholaminesCentral Venous PressureHeart RateHematocritHemodynamicsHemoglobinsHemorrhageHumansLower Body Negative PressureMaleNorepinephrineArginine VasopressinCatecholaminesHemoglobinsNorepinephrineblood pressurecentral hypovolemiaheart ratehemorrhagestroke volume

Identifiers

PMID24876357
PMCPMC4459917
OpenAlexW2029398784

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.