Evidence map›Paper›PMID 29569112›Full record

Trial reportJournal of clinical monitoring and computing2018

Phenylephrine increases cardiac output by raising cardiac preload in patients with anesthesia induced hypotension.

A F Kalmar, S Allaert, P Pletinckx, J-W Maes, J Heerman, J J Vos, M M R F Struys, T W L Scheeren

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IV
In one paragraph

Trial report in Journal of clinical monitoring and computing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03872570 (Comparison of the Hemodynamic Effects of Phenylephrine and Norepinephrine in Patients Undergoing Deep Inferior Epigastric Perforator), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
7.1field-weighted citation impact, top 2% 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.

NCT03872570 phase4unknown statusnot on this mapstarted 2019, after this paper: background citation

Comparison of the Hemodynamic Effects of Phenylephrine and Norepinephrine in Patients Undergoing Deep Inferior Epigastric Perforator (DIEP) Flap Surgery.

TypeinterventionalSponsorAlgemeen Ziekenhuis Maria MiddelaresRan2019 to 2020Enrolled40ConditionsArterial HypotensionArmsPhenylephrine, Norepinephrine
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
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  3. Comparison of propofol aloneWorld journal of methodology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

A F KalmarDepartment of Anesthesia and Critical Care Medicine, Maria Middelares Hospital, Buitenring Sint-Denijs 30, 9000, Ghent, Belgium. Alainkalmar@gmail.com.ORCID http://orcid.org/0000-0003-2036-9019
S AllaertDepartment of Anesthesia and Critical Care Medicine, Maria Middelares Hospital, Buitenring Sint-Denijs 30, 9000, Ghent, Belgium.
P PletinckxDepartment of Surgery, Maria Middelares Hospital, Ghent, Belgium.
J-W MaesDepartment of Anesthesia and Critical Care Medicine, Maria Middelares Hospital, Buitenring Sint-Denijs 30, 9000, Ghent, Belgium.
J HeermanDepartment of Anesthesia and Critical Care Medicine, Maria Middelares Hospital, Buitenring Sint-Denijs 30, 9000, Ghent, Belgium.
J J VosDepartment of Anesthesiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
M M R F StruysDepartment of Anesthesiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
T W L ScheerenDepartment of Anesthesiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
AZ Maria Middelares · BEUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Induction of general anesthesia frequently induces arterial hypotension, which is often treated with a vasopressor, such as phenylephrine. As a pure α-agonist, phenylephrine is conventionally considered to solely induce arterial vasoconstriction and thus increase cardiac afterload but not cardiac preload. In specific circumstances, however, phenylephrine may also contribute to an increase in venous return and thus cardiac output (CO). The aim of this study is to describe the initial time course of the effects of phenylephrine on various hemodynamic variables and to evaluate the ability of advanced hemodynamic monitoring to quantify these changes through different hemodynamic variables. In 24 patients, after induction of anesthesia, during the period before surgical stimulus, phenylephrine 2 µg kg

Indexed as

AgedAnesthesia, GeneralCardiac OutputFemaleHemodynamic MonitoringHumansHypotensionMaleMiddle AgedPhenylephrineProspective StudiesTime FactorsVasoconstrictor AgentsPhenylephrineVasoconstrictor AgentsCardiac outputFluid responsivenessHemodynamic monitoringPhenylephrinePulse pressure variation

Identifiers

PMID29569112
PMCPMC6209056
OpenAlexW2794183727

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.