Evidence map›Paper›PMID 29843760›Full record

ArticleCritical care (London, England)2018

Feasibility of optical coherence tomography angiography to assess changes in retinal microcirculation in ovine haemorrhagic shock.

Maged Alnawaiseh, Christian Ertmer, Laura Seidel, Philip Helge Arnemann, Larissa Lahme, Tim-Gerald Kampmeier, Sebastian Willy Rehberg, Peter Heiduschka, Nicole Eter, Michael Hessler

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04593212 (Improving the Assessment of Microcirculatory Dysfunction in Septic Shock Patients Using Optical Coherence Tomography Angiography at the Bedside), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT04593212 unknown statusnot on this mapstarted 2023, after this paper: background citation

Improving the Assessment of Microcirculatory Dysfunction in Septic Shock Patients Using Optical Coherence Tomography Angiography at the Bedside

TypeobservationalSponsorHospital da Luz, PortugalRan2023 to 2024Enrolled165ConditionsSeptic ShockArmsOptical Coherence Tomography Angiography
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Assessment of ocular blood flow in continuous-flow ventricular assist device by laser speckle flowgraphy.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2021
    Article
  10. Ocular perfusion in patients with reduced left ventricular ejection fraction measured by optical coherence tomography angiography.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Article
  11. [Optical coherence tomography angiography and cardiovascular diseases. An overview of the current knowledge].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Optical coherence tomography angiography-derived flow density: a review of the influencing factors.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020
    Review
  17. Quantitative analysis of retinal and choroidal microvascular parameters using optical coherence tomography angiography in children with nephrotic syndrome: a pilot study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020
    Article
  18. Impact of integrated multiple image averaging on OCT angiography image quality and quantitative parameters.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2019
    Article
  19. [Optical coherence tomography angiography in intensive care medicine : A new field of application?]Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2019
    Review
  20. [Optical coherence tomography angiography for evaluation of the microcirculation in systemic diseases].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2019
    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 3 institutions in 1 country.

Maged AlnawaisehDepartment of Ophthalmology, University of Muenster Medical Centre, Domagkstraße 15, 48149, Muenster, Germany.
Christian ErtmerDepartment of Anaesthesiology, Intensive Care, and Pain Therapy, University of Muenster Medical Centre, Albert-Schweitzer-Campus 1, Building A1, 48149, Muenster, Germany.
Laura SeidelDepartment of Anaesthesiology, Intensive Care, and Pain Therapy, University of Muenster Medical Centre, Albert-Schweitzer-Campus 1, Building A1, 48149, Muenster, Germany.
Philip Helge ArnemannDepartment of Anaesthesiology, Intensive Care, and Pain Therapy, University of Muenster Medical Centre, Albert-Schweitzer-Campus 1, Building A1, 48149, Muenster, Germany.
Larissa LahmeDepartment of Ophthalmology, University of Muenster Medical Centre, Domagkstraße 15, 48149, Muenster, Germany.
Tim-Gerald KampmeierDepartment of Anaesthesiology, Intensive Care, and Pain Therapy, University of Muenster Medical Centre, Albert-Schweitzer-Campus 1, Building A1, 48149, Muenster, Germany.
Sebastian Willy RehbergDepartment of Anaesthesiology, University of Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
Peter HeiduschkaDepartment of Ophthalmology, University of Muenster Medical Centre, Domagkstraße 15, 48149, Muenster, Germany.
Nicole EterDepartment of Ophthalmology, University of Muenster Medical Centre, Domagkstraße 15, 48149, Muenster, Germany.
Michael HesslerDepartment of Anaesthesiology, Intensive Care, and Pain Therapy, University of Muenster Medical Centre, Albert-Schweitzer-Campus 1, Building A1, 48149, Muenster, Germany. michael.hessler@uni-muenster.de.ORCID 0000-0002-8680-9569
University of Münster · DEUniversitätsmedizin Greifswald · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to investigate the feasibility of optical coherence tomography angiography (OCT-A) for quantitative analysis of flow density to assess changes in retinal perfusion in an experimental model of haemorrhagic shock.

methodsHaemorrhagic shock was induced in five healthy, anaesthetized sheep by stepwise blood withdrawal of 3 × 10 ml∙kg

resultsMean arterial pressure and cardiac index (CI) decreased and lactate concentration increased after induction of shock, and haemodynamics recovered after resuscitation. The flow density in the superficial retinal OCT angiogram decreased significantly after shock induction (baseline 44.7% (40.3; 50.5) vs haemorrhagic shock 34.5% (32.8; 40.4); P = 0.027) and recovered after fluid resuscitation (46.9% (41.7; 50.7) vs haemorrhagic shock; P = 0.027). The proportion of perfused vessels of the conjunctival microcirculation showed similar changes. The flow density measured using OCT-A correlated with the conjunctival microcirculation (perfused vessel density: Spearman's rank correlation coefficient ρ = 0.750, P = 0.001) and haemodynamic parameters (CI: ρ = 0.693, P < 0.001).

conclusionsRetinal flow density, measured using OCT-A, significantly decreased in shock and recovered after fluid therapy in an experimental model of haemorrhagic shock. OCT-A is feasible to assess changes in retinal perfusion in haemorrhagic shock and fluid resuscitation.

Indexed as

PerfusionRetinaSheepShock, HemorrhagicTomography, Optical CoherenceAngiographyAnimalsArterial PressureFluid TherapyMicrocirculationFluid therapyHaemorrhagic shockMicrocirculationOptical coherence tomography angiographySheep

Identifiers

PMID29843760
PMCPMC5975442
OpenAlexW2806930945

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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.