Evidence map›Paper›PMID 27873263›Full record

ReviewIntensive care medicine experimental2016

Effects of volume resuscitation on the microcirculation in animal models of lipopolysaccharide sepsis: a systematic review.

Nchafatso G Obonyo, Jonathon P Fanning, Angela S Y Ng, Leticia P Pimenta, Kiran Shekar, David G Platts, Kathryn Maitland, John F Fraser

Open access · goldAbstract readReview
In one paragraph

Review in Intensive care medicine experimental, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. An ovine septic shock model of live bacterial infusion.Intensive care medicine experimental · 2024
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
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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 at 3 institutions in 3 countries.

Nchafatso G ObonyoCritical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Jonathon P FanningCritical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Angela S Y NgCritical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Leticia P PimentaCritical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Kiran ShekarCritical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
David G PlattsCritical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Kathryn MaitlandKenya Medical Research Institute-Wellcome Trust Research Programme, Kilifi, Kenya.
John F FraserCritical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia. fraserjohn001@gmail.com.
Prince Charles Hospital · AUKenya Medical Research Institute · KEUniversity of Queensland · AU

Funding

Medical Research Council G0601027Wellcome Trust 100693
6 · The paper itself

Abstract

backgroundRecent research has identified an increased rate of mortality associated with fluid bolus therapy for severe sepsis and septic shock, but the mechanisms are still not well understood. Fluid resuscitation therapy administered for sepsis and septic shock targets restoration of the macro-circulation, but the pathogenesis of sepsis is complex and includes microcirculatory dysfunction.

objectiveThe objective of the study is to systematically review data comparing the effects of different types of fluid resuscitation on the microcirculation in clinically relevant animal models of lipopolysaccharide-induced sepsis.

methodsA structured search of PubMed/MEDLINE and EMBASE for relevant publications from 1 January 1990 to 31 December 2015 was performed, in accordance with PRISMA guidelines.

resultsThe number of published papers on sepsis and the microcirculation has increased steadily over the last 25 years. We identified 11 experimental animal studies comparing the effects of different fluid resuscitation regimens on the microcirculation. Heterogeneity precluded any meta-analysis.

conclusionsFew animal model studies have been published comparing the microcirculatory effects of different types of fluid resuscitation for sepsis and septic shock. Biologically relevant animal model studies remain necessary to enhance understanding regarding the mechanisms by which fluid resuscitation affects the microcirculation and to facilitate the transfer of basic science discoveries to clinical applications.

Indexed as

Fluid resuscitationIntravital fluorescence microscopyLaser Doppler flowmetryLaser speckle imagingLipopolysaccharideMicrocirculationOxygen extractionSepsisSeptic shockSidestream dark-field videomicroscopy

Identifiers

PMID27873263
PMCPMC5118377
OpenAlexW2550812668

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.