Evidence map›Paper›PMID 25425768›Full record

ReviewJournal of anaesthesiology, clinical pharmacology2014

Sodium nitroprusside in 2014: A clinical concepts review.

Daniel G Hottinger, David S Beebe, Thomas Kozhimannil, Richard C Prielipp, Kumar G Belani

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of anaesthesiology, clinical pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
16.3field-weighted citation impact, top 1% 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

55 citing papers in PubMed, 203 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Redirecting Intermediary Metabolism to Counteract Cyanide Poisoning.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Review
  6. Article
  7. Review
  8. Inorganic chemistry · 2024
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Repurposing nitric oxide donating drugs in cancer therapy through immune modulation.Journal of experimental & clinical cancer research : CR · 2023
    Article
  18. Utility of NO and HNitric oxide : biology and chemistry · 2022
    Review
  19. Magnesium and dexmedetomidine combination reduces sodium nitroprusside requirement in laparoscopic pheochromocytoma.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
    Article
  20. 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

5 authors at 1 institution in 1 country.

Daniel G HottingerDepartment of Anesthesiology, University of Minnesota, Minneapolis, MN 55455, USA.
David S BeebeDepartment of Anesthesiology, University of Minnesota, Minneapolis, MN 55455, USA.
Thomas KozhimannilDepartment of Anesthesiology, University of Minnesota, Minneapolis, MN 55455, USA.
Richard C PrielippDepartment of Anesthesiology, University of Minnesota, Minneapolis, MN 55455, USA.
Kumar G BelaniDepartment of Anesthesiology, University of Minnesota, Minneapolis, MN 55455, USA.
University of Minnesota · US

Funding

Countermeasures Against Chemical Threats: Countermeasures Against CyanideU01NS058087 · NINDS · UNIVERSITY OF MINNESOTA · PI PATTERSON, STEVEN E · 2006 to 2014
$5.6M
NINDS NIH HHS U01 NS058087
6 · The paper itself

Abstract

Sodium nitroprusside has been used in clinical practice as an arterial and venous vasodilator for 40 years. This prodrug reacts with physiologic sulfhydryl groups to release nitric oxide, causing rapid vasodilation, and acutely lowering blood pressure. It is used clinically in cardiac surgery, hypertensive crises, heart failure, vascular surgery, pediatric surgery, and other acute hemodynamic applications. In some practices, newer agents have replaced nitroprusside, either because they are more effective or because they have a more favorable side-effect profile. However, valid and adequately-powered efficacy studies are sparse and do not identify a superior agent for all indications. The cyanide anion release concurrent with nitroprusside administration is associated with potential cyanide accumulation and severe toxicity. Agents to ameliorate the untoward effects of cyanide are limited by various problems in their practicality and effectiveness. A new orally bioavailable antidote is sodium sulfanegen, which shows promise in reversing this toxicity. The unique effectiveness of nitroprusside as a titratable agent capable of rapid blood pressure control will likely maintain its utilization in clinical practice for the foreseeable future. Additional research will refine and perhaps expand indications for nitroprusside, while parallel investigation continues to develop effective antidotes for cyanide poisoning.

Indexed as

Antihypertensivescyanidepharmacologysodium nitroprussidetoxicity

Identifiers

PMID25425768
PMCPMC4234779
OpenAlexW2047354298

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.