Evidence map›Paper›PMID 25278226›Full record

Trial reportBMC pulmonary medicine2014

Intravenous insulin therapy during lung resection does not affect lung function or surfactant proteins.

Zdenek Ručka, Irena Koutná, Lenka Tesařová, Michaela Potěšilová, Stanislav Stejskal, Pavel Simara, Petr Vaňhara, Jan DoleŽel, Vaclav Zvoníček, Oldřich Coufal and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

11 authors at 3 institutions in 1 country.

Zdenek Ručka
Irena KoutnáMasaryk University, Faculty of Informatics, Centre for Biomedical Image Analysis, Botanická 68a, 60200 Brno, Czech Republic. qkoutna@fi.muni.cz.
Lenka Tesařová
Michaela Potěšilová
Stanislav Stejskal
Pavel Simara
Petr Vaňhara
Jan DoleŽel
Vaclav Zvoníček
Oldřich Coufal
Ivan Capov
Masaryk University · CZSt. Anne's University Hospital Brno · CZMasaryk Memorial Cancer Institute · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe surgical resection of lung disrupts glucose homeostasis and causes hyperglycemia, as in any other major surgery or critical illness. We performed a prospective study where we carefully lowered hyperglycemia by insulin administration during the surgery, and for the first time we monitored immediate insulin effects on lung physiology and gene transcription.

methodsThe levels of blood gases (pH, pCO2, pO2, HCO3-, HCO3- std, base excess, FiO2, and pO2/FiO2) were measured at the beginning of surgery, at the end of surgery, and two hours after. Samples of healthy lung tissue surrounding the tumour were obtained during the surgery, anonymized and sent for subsequent blinded qPCR analysis (mRNA levels of surfactant proteins A1, A2, B, C and D were measured). This study was done on a cohort of 64 patients who underwent lung resection. Patients were randomly divided, and half of them received insulin treatment during the surgery.

resultsWe demonstrated for the first time that insulin administered intravenously during lung resection does not affect levels of blood gases. Furthermore, it does not induce immediate changes in the expression of surfactant proteins.

conclusionAccording to our observations, short insulin treatment applied intravenously during resection does not affect the quality of breathing.

Indexed as

Acid-Base ImbalanceAdministration, IntravenousAdultAgedAged, 80 and overBicarbonatesBlood Gas AnalysisBlood GlucoseCarbon DioxideFemaleGene ExpressionHumansHydrogen-Ion ConcentrationHyperglycemiaHypoglycemic AgentsInsulinBicarbonatesBlood GlucoseCarbon DioxideHypoglycemic AgentsInsulinOxygenPulmonary Surfactant-Associated ProteinsRNA, Messenger

Identifiers

PMID25278226
PMCPMC4271408
OpenAlexW2163334828

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.