Evidence map›Paper›PMID 30242837›Full record

Trial reportThe Journal of physiology2018

Rapid saline infusion and/or drinking enhance skin sympathetic nerve activity components reduced by hypovolaemia and hyperosmolality in hyperthermia.

Yoshi-Ichiro Kamijo, Kazunobu Okazaki, Shigeki Ikegawa, Yoshiyuki Okada, Hiroshi Nose

Abstract readClinical Trial
In one paragraph

Trial report in The Journal of physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
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

5 authors.

Yoshi-Ichiro KamijoDepartment of Sports Medical Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Japan.ORCID 0000-0002-4368-1227
Kazunobu OkazakiDepartment of Sports Medical Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Japan.
Shigeki IkegawaDepartment of Sports Medical Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Japan.
Yoshiyuki OkadaDepartment of Sports Medical Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Japan.
Hiroshi NoseDepartment of Sports Medical Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Japan.

Funding

The Ministry of Education, Culture, Sports, Science, and Technology of Japan 18700529The Ministry of Education, Culture, Sports, Science, and Technology of Japan 24240089The Uehara Memorial Foundation 200810009
6 · The paper itself

Abstract

key pointsIn hyperthermia, plasma hyperosmolality suppresses both cutaneous vasodilatation and sweating responses and this suppression is removed by oropharyngeal stimulation such as drinking. Hypovolaemia suppresses only cutaneous vasodilatation, which is enhanced by rapid infusion in hyperthermia. Our recent studies suggested that skin sympathetic nerve activity (SSNA) involves components synchronized and non-synchronized with the cardiac cycle, which are associated with an active vasodilator and a sudomotor, respectively. In the present study, plasma hyperosmolality suppressed both components; drinking removed the hyperosmolality-induced suppressions, simultaneously with increases in cutaneous vasodilatation and sweating, while not altering plasma volume and osmolality. Furthermore, a rapid saline infusion increased the synchronized component and cutaneous vasodilatation in hypovolaemic and hyperthermic humans. The results support our idea that SSNA involves an active cutaneous vasodilator and a sudomotor, and that a site where osmolality signals are projected to control thermoregulation is located more superior than the medulla where signals from baroreceptors are projected. ABSTRACT: We reported that skin sympathetic nerve activity (SSNA) involved components synchronized and non-synchronized with the cardiac cycle; both components increased in hyperthermia and our results suggested that the components are associated with an active vasodilator and a sudomotor, respectively. In the present study, we examined whether the increases in the components in hyperthermia would be suppressed by plasma hyperosmolality simultaneously with suppression of cutaneous vasodilatation and sweating and whether this suppression was released by oropharyngeal stimulation (drinking). Also, effects of a rapid saline infusion on both components and responses of cutaneous vasodilatation and sweating were tested in hypovolaemic and hyperthermic subjects. We found that (1) plasma hyperosmolality suppressed both components in hyperthermia, (2) the suppression was released by drinking 200 mL of water simultaneously with enhanced cutaneous vasodilatation and sweating responses, and (3) a rapid infusion at 1.0 and 0.2 ml min

Indexed as

DrinkingAdultBody Temperature RegulationFeverHumansHypovolemiaInfusions, IntravenousMalePlasma VolumeSaline SolutionSkinSympathetic Nervous SystemWaterYoung AdultSaline SolutionWater

Identifiers

PMID30242837
PMCPMC6235932

What OpenQuestion holds

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Registered trials

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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.