Evidence map›Paper›PMID 29033043›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2018

In vivo lung perfusion rehabilitates sepsis-induced lung injury.

J Hunter Mehaffey, Eric J Charles, Sarah Schubert, Morgan Salmon, Ashish K Sharma, Dustin Money, Mark H Stoler, Victor E Laubach, Curtis G Tribble, Mark E Roeser and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

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  10. Journal of thoracic disease · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

J Hunter MehaffeyDepartment of Surgery, University of Virginia, Charlottesville, Va.
Eric J CharlesDepartment of Surgery, University of Virginia, Charlottesville, Va.
Sarah SchubertDepartment of Surgery, University of Virginia, Charlottesville, Va.
Morgan SalmonDepartment of Surgery, University of Virginia, Charlottesville, Va.
Ashish K SharmaDepartment of Surgery, University of Virginia, Charlottesville, Va.
Dustin MoneyDepartment of Surgery, University of Virginia, Charlottesville, Va.
Mark H StolerDepartment of Pathology, University of Virginia, Charlottesville, Va.
Victor E LaubachDepartment of Surgery, University of Virginia, Charlottesville, Va.
Curtis G TribbleDepartment of Surgery, University of Virginia, Charlottesville, Va.
Mark E RoeserDepartment of Surgery, University of Virginia, Charlottesville, Va.
Irving L KronDepartment of Surgery, University of Virginia, Charlottesville, Va. Electronic address: ilk@virginia.edu.
University of Virginia · US

Funding

Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Network for Cardiothoracic Surgical Investigations in Cardiovascular MedicineUM1HL088925 · NHLBI · UNIVERSITY OF VIRGINIA · PI BADHWAR, VINAY, KRON, IRVING L. · 2013 to 2025
$6.8M
Ex vivo perfusion in a lung box for rehabilitation of donor lungsR01HL119218 · NHLBI · UNIVERSITY OF VIRGINIA · PI KRON, IRVING L., LAUBACH, VICTOR E · 2013 to 2017
$3.3M
NHLBI NIH HHS R01 HL119218NHLBI NIH HHS T32 HL007849NHLBI NIH HHS UM1 HL088925
6 · The paper itself

Abstract

backgroundSepsis is the leading cause of lung injury in adults and can lead to acute respiratory distress syndrome (ARDS). Using a novel technique of isolated in vivo lung perfusion (IVLP), we hypothesized that normothermic IVLP will improve oxygenation and compliance in a porcine model of sepsis-induced lung injury.

methodsMature adult swine (n = 8) were administered lipopolysaccharide (LPS; 50 μg/kg over 2 hours) via the external jugular vein, followed by sternotomy and central extracorporeal membrane oxygenation (ECMO) cannulation (right atrium to ascending aorta). The left pulmonary artery (inflow) and left superior and inferior pulmonary veins (outflow) were dissected out and cannulated to deliver isolated perfusion to the left lung. After 4 hours of normothermic IVLP with Steen solution, the left lung then underwent 4 hours of reperfusion after IVLP decannulation. Airway pressures and lung-specific pulmonary vein blood gases from the right lung (LPS control) and left lung (LPS + IVLP) of the same animal were compared.

resultsAll animals demonstrated a significant reduction in the ratio of partial pressure of oxygen in arterial blood (PaO

conclusionsIVLP successfully rehabilitated LPS-injured lungs compared to ECMO support alone in this preclinical porcine model.

Indexed as

LungAnimalsBlood Gas AnalysisDisease Models, AnimalExtracorporeal Membrane OxygenationLung ComplianceLung InjuryOxygen ConsumptionPerfusionPulmonary Gas ExchangeRespiratory Distress SyndromeSepsisSwineacute lung injuryin vivo lung perfusionlung rehabilitation

Identifiers

PMID29033043
PMCPMC5744259
OpenAlexW2755056460

What OpenQuestion holds

Textmetadata
LicenceTDM
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.