Evidence map›Paper›PMID 26440242›Full record

ReviewAnnals of cardiac anaesthesia

Mechanisms of oxidative stress and myocardial protection during open-heart surgery.

Nikolaos G Baikoussis, Nikolaos A Papakonstantinou, Chrysoula Verra, Georgios Kakouris, Maria Chounti, Panagiotis Hountis, Panagiotis Dedeilias, Michalis Argiriou

Registry-linked trialAbstract readReview
In one paragraph

Review in Annals of cardiac anaesthesia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03781440 (Regional Anesthesia for Cardiothoracic Enhanced Recovery for Patients Undergoing Cardiac Surgery Via Sternotomy), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03781440 naunknown statusnot on this map

Regional Anesthesia for Cardiothoracic Enhanced Recovery for Patients Undergoing Cardiac Surgery Via Sternotomy

TypeinterventionalSponsorStanford UniversityRan2020 to 2023Enrolled60ConditionsOpioid Use, Anesthesia, Local, Cardiac Disease, Pain, AcuteArmsBilateral ESP catheter with lidocaine, Bilateral ESP catheter with saline
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Review
  4. 2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery.Interdisciplinary cardiovascular and thoracic surgery · 2025
    Article
  5. 2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  6. Review
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

8 authors.

Nikolaos G BaikoussisDepartment of Cardiovascular and Thoracic Surgery, "Evangelismos'' General Hospital of Athens, Athens, Greece.
Nikolaos A Papakonstantinou
Chrysoula Verra
Georgios Kakouris
Maria Chounti
Panagiotis Hountis
Panagiotis Dedeilias
Michalis Argiriou

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cold heart protection via cardioplegia administration, limits the amount of oxygen demand. Systemic normothermia with warm cardioplegia was introduced due to the abundance of detrimental effects of hypothermia. A temperature of 32-33°C in combination with tepid blood cardioplegia of the same temperature appears to be protective enough for both; heart and brain. Reduction of nitric oxide (NO) concentration is in part responsible for myocardial injury after the cardioplegic cardiac arrest. Restoration of NO balance with exogenous NO supplementation has been shown useful to prevent inflammation and apoptosis. In this article, we discuss the "deleterious" effects of the oxidative stress of the extracorporeal circulation and the up-to-date theories of "ideal'' myocardial protection.

Indexed as

Cardiopulmonary BypassFree Radical ScavengersHeart Arrest, InducedHumansHypothermia, InducedNitric OxideOxidative StressFree Radical ScavengersNitric Oxide

Identifiers

PMID26440242
PMCPMC4881677

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Registered trials

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.