Evidence map›Paper›PMID 30581236›Full record

Trial reportThe journal of extra-corporeal technology2018

The Safe Addition of Nitric Oxide into the Sweep Gas of the Extracorporeal Circuit during Cardiopulmonary Bypass and Extracorporeal Life Support.

Martin Bennett, Clarke Thuys, Simon Augustin, Brad Schultz, Steve Bottrell, Alison Horton, Andrzej Bednarz, Steve Horton

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of extra-corporeal technology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Nitric Oxide Attenuates the Inflammatory Effects of Air During Extracorporeal Circulation.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2020
    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

8 authors.

Martin BennettDepartment of Cardiac Surgery, Perfusion Unit, The Royal Children's Hospital, Parkville, Victoria, Australia.
Clarke ThuysDepartment of Cardiac Surgery, Perfusion Unit, The Royal Children's Hospital, Parkville, Victoria, Australia.
Simon AugustinDepartment of Cardiac Surgery, Perfusion Unit, The Royal Children's Hospital, Parkville, Victoria, Australia.
Brad SchultzDepartment of Cardiac Surgery, Perfusion Unit, The Royal Children's Hospital, Parkville, Victoria, Australia.
Steve BottrellDepartment of Cardiac Surgery, Perfusion Unit, The Royal Children's Hospital, Parkville, Victoria, Australia.
Alison HortonDepartment of Cardiac Surgery, Perfusion Unit, The Royal Children's Hospital, Parkville, Victoria, Australia.
Andrzej BednarzDepartment of Biomedical Engineering, The Royal Children's Hospital, Parkville, Victoria, Australia.
Steve HortonDepartment of Cardiac Surgery, Perfusion Unit, The Royal Children's Hospital, Parkville, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low cardiac output syndrome and the systemic inflammatory response are consequences of the cardiac surgical perioperative course. The mechanisms responsible are multifactorial, but recent studies have shown that nitric oxide (NO) may be a key component in mitigating some of these processes. Following on from literature reports detailing the use of inhaled NO added to the gas phase of the extracorporeal circuit, we set about developing a technique to perform this addition safely and efficiently. In the setting of cardiopulmonary bypass, the technique was validated in a randomized prospective trial looking at 198 children. The benefits observed in this trial then stimulated the incorporation of NO into all extracorporeal life support (ECLS) circuits. This required additional hardware modifications all of which were able to be performed safely. Initial results from the first series of ECLS patients using NO also appear promising.

Indexed as

Cardiopulmonary BypassExtracorporeal Membrane OxygenationHumansNitric OxideProspective StudiesNitric Oxidecardiopulmonary bypassECLSECMOinflammatory responseLCOSlow cardiac output syndromenitric oxideSIRS

Identifiers

PMID30581236
PMCPMC6296446

What OpenQuestion holds

Textmetadata
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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.