Evidence map›Paper›PMID 29960740›Full record

ArticleJournal of pediatric surgery2018

The artificial placenta: Continued lung development during extracorporeal support in a preterm lamb model.

Joseph T Church, Megan A Coughlin, Elena M Perkins, Hayley R Hoffman, John D Barks, Raja Rabah, J Kelley Bentley, Marc B Hershenson, Robert H Bartlett, George B Mychaliska

Abstract read
In one paragraph

Article in Journal of pediatric surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Artificial womb technology - A more physiologic solution to treating extreme prematurity.European journal of obstetrics & gynecology and reproductive biology: X · 2025
    Review
  6. Article
  7. Reperfused human umbilical cords as anFrontiers in bioengineering and biotechnology · 2025
    Article
  8. Frontiers in pediatrics · 2025
    Article
  9. Article
  10. Review
  11. The artificial placenta and EXTEND technologies: one of these things is not like the other.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Joseph T ChurchExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, B560 MSRB II/SPC 5686, 1150 W. Medical Center Dr., Ann Arbor, MI, USA. Electronic address: jchurc@med.umich.edu.
Megan A CoughlinExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, B560 MSRB II/SPC 5686, 1150 W. Medical Center Dr., Ann Arbor, MI, USA.
Elena M PerkinsExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, B560 MSRB II/SPC 5686, 1150 W. Medical Center Dr., Ann Arbor, MI, USA.
Hayley R HoffmanExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, B560 MSRB II/SPC 5686, 1150 W. Medical Center Dr., Ann Arbor, MI, USA.
John D BarksDepartments of Pediatrics and Communicable Diseases, Michigan Medicine, 1540 E. Medical Center Dr., Ann Arbor, MI, USA.
Raja RabahDepartment of Pathology, Michigan Medicine, 1500 E. Medical Center Dr., Ann Arbor, MI, USA.
J Kelley BentleyDepartments of Pediatrics and Communicable Diseases, Michigan Medicine, 1540 E. Medical Center Dr., Ann Arbor, MI, USA; Department of Molecular and Integrative Physiology, University of Michigan Medical School, 1301 Catherine St., Ann Arbor, MI.
Marc B HershensonDepartments of Pediatrics and Communicable Diseases, Michigan Medicine, 1540 E. Medical Center Dr., Ann Arbor, MI, USA; Department of Molecular and Integrative Physiology, University of Michigan Medical School, 1301 Catherine St., Ann Arbor, MI.
Robert H BartlettExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, B560 MSRB II/SPC 5686, 1150 W. Medical Center Dr., Ann Arbor, MI, USA.
George B MychaliskaExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, B560 MSRB II/SPC 5686, 1150 W. Medical Center Dr., Ann Arbor, MI, USA; Fetal Diagnosis and Treatment Center, C.S. Mott Children's Hospital, Michigan Medicine, 1540 E. Medical Center Dr., Ann Arbor, MI.

Funding

Development of an Artificial Placenta for Support of Premature InfantsR01HD073475 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MYCHALISKA, GEORGE BORIS · 2014 to 2018
$2.7M
NICHD NIH HHS R01 HD073475
6 · The paper itself

Abstract

purposeAn artificial placenta (AP) utilizing extracorporeal life support (ECLS) could avoid the harm of mechanical ventilation (MV) while allowing the lungs to develop.

methodsAP lambs (n = 5) were delivered at 118 days gestational age (GA; term = 145 days) and placed on venovenous ECLS (VV-ECLS) with jugular drainage and umbilical vein reinfusion. Lungs remained fluid-filled. After 10 days, lambs were ventilated. MV control lambs were delivered at 118 ("early MV"; n = 5) or 128 days ("late MV"; n = 5), and ventilated. Compliance and oxygenation index (OI) were calculated. After sacrifice, lungs were procured and H&E-stained slides scored for lung injury. Slides were also immunostained for PDGFR-α and α-actin; alveolar development was quantified by the area fraction of alveolar septal tips staining double-positive for both markers.

resultsCompliance of AP lambs was 2.79 ± 0.81 C

conclusionsLung development continues and lungs are protected from injury during AP support relative to mechanical ventilation. LEVEL OF EVIDENCE: n/a (basic/translational science).

Indexed as

Artificial OrgansExtracorporeal Membrane OxygenationAnimalsAnimals, NewbornDisease Models, AnimalFemaleGestational AgeLungPlacentaPregnancyPremature BirthSheepArtificial placentaExtracorporeal life supportLung developmentPrematurity

Identifiers

PMID29960740
PMCPMC6151273

What OpenQuestion holds

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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.