Evidence map›Paper›PMID 28851933›Full record

ArticleScientific reports2017

Intravenous Fluid Challenge Decreases Intracellular Volume: A Bioimpedance Spectroscopy-Based Crossover Study in Healthy Volunteers.

Matthäus Ernstbrunner, Barbara Kabon, Oliver Zotti, Markus Zeitlinger, Carolin Berner, Georg Hinterholzer, Marcus Säemann, Florian Frommlet, Edith Fleischmann, Manfred Hecking

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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  5. Empagliflozin in posttransplantation diabetes mellitus: A prospective, interventional pilot study on glucose metabolism, fluid volume, and patient safety.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Article
  6. 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

10 authors at 2 institutions in 1 country.

Matthäus ErnstbrunnerDepartment of Anaesthesiology and Critical Care Medicine, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria.
Barbara KabonDepartment of Anaesthesiology and Critical Care Medicine, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria.
Oliver ZottiDepartment of Anaesthesiology and Critical Care Medicine, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria.
Markus ZeitlingerDepartment of Clinical Pharmacology, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria.
Carolin BernerKaiser-Franz-Josef Spital -Sozialmedizinisches Zentrum Süd- Medical Department I, Kundratstraße 3, A-1100, Vienna, Austria.
Georg HinterholzerKaiser-Franz-Josef Spital -Sozialmedizinisches Zentrum Süd- Medical Department I, Kundratstraße 3, A-1100, Vienna, Austria.
Marcus SäemannDepartment of Internal Medicine III, Clinical Division of Nephrology & Dialysis, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria.
Florian FrommletCenter for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria.
Edith FleischmannDepartment of Anaesthesiology and Critical Care Medicine, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria.
Manfred HeckingDepartment of Internal Medicine III, Clinical Division of Nephrology & Dialysis, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria. manfred.hecking@meduniwien.ac.at.
Medical University of Vienna · ATKaiser-Franz-Josef-Spital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effects of intravenous fluid therapy on fluid compartments and hemodynamics of the human body remain enigmatic. We therefore tested the efficacy of bioimpedance spectroscopy in a crossover study, where 15 males received 0.5 ml/kg/min ELO-MEL-isoton (osmolarity = 302 mosmol/l) during 60 minutes, or nothing at all. In group "Fluid", fluid load increased from -0.2 ± 1.0 l extracellular volume at baseline to its maximum of 1.0 ± 0.9 l in minute 70, and remained continuously elevated throughout minute 300. In group "Zero", fluid load decreased from 0.5 ± 1.1 l at baseline to its minimum of -1.1 ± 1.1 l in minute 300. In group "Fluid", intracellular volume decreased from 26.8 ± 3.9 l at baseline to its minimum of 26.0 ± 3.9 l in minute 70, and remained continuously decreased throughout minute 300. In group "Zero", intracellular volume increased from 26.5 ± 3.8 l at baseline to its maximum of 27.1 ± 3.9 l in minute 120, and decreased thereafter. In group "Fluid" compared to "Zero", systolic blood pressure was significantly higher, from minute 50-90. In conclusion, intravenous fluid therapy caused a clinically meaningful, sustained increase in fluid load, and a decrease in intracellular volume. These data raise interest in studying fluid administration by the gastrointestinal route, perhaps even when managing critical illness.

Indexed as

Fluid TherapyInfusions, IntravenousAdultBlood PressureCross-Over StudiesHealthy VolunteersHemodynamicsHumansIntracellular SpaceIsotonic SolutionsMaleSpectrum AnalysisYoung AdultIsotonic Solutions

Identifiers

PMID28851933
PMCPMC5575097
OpenAlexW2749377073

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.