Evidence map›Paper›PMID 30585871›Full record

ArticleASAIO journal (American Society for Artificial Internal Organs : 1992)2020

Inflammatory Effects of Blood-Air Interface in a Porcine Cardiopulmonary Bypass Model.

Benjamin D Carr, Thomas J Johnson, Amalia Gomez-Rexrode, Azmath Mohammed, Megan Coughlin, John M Toomasian, Alvaro Rojas-Pena, Robert H Bartlett, Jonathan W Haft

Open access · greenAbstract read
In one paragraph

Article in ASAIO journal (American Society for Artificial Internal Organs : 1992), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Beyond preservation: future machine perfusion for liver assessment and repair.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Turbulence in surgical suction heads as detected by MRI.The journal of extra-corporeal technology · 2023
    Article
  6. Article
  7. Article
  8. Review
  9. 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

9 authors at 1 institution in 1 country.

Benjamin D CarrFrom the Extracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Thomas J JohnsonFrom the Extracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Amalia Gomez-RexrodeFrom the Extracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Azmath MohammedFrom the Extracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Megan CoughlinFrom the Extracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
John M ToomasianFrom the Extracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Alvaro Rojas-PenaFrom the Extracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Robert H BartlettFrom the Extracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Jonathan W HaftDepartment of Cardiac Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Michigan Medicine · US

Funding

Systemic Inflammatory Response: The Effects of blood-air Interface after Cardiopulmonary BypassR21HL125961 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAFT, JONATHAN · 2015 to 2016
$426k
NHLBI NIH HHS R21 HL125961
6 · The paper itself

Abstract

Cardiopulmonary bypass (CPB) causes a systemic inflammatory response syndrome (SIRS) associated with multiorgan injury. A model was developed to test whether a blood-air interface (BAI) in the CPB circuit causes blood element activation and inflammation. Ten healthy swine were placed on partial CPB for 2 hours via the cervical vessels and monitored for 96 hours postoperatively. Five pigs (control group) had minimal air exposure in the circuit, while five were exposed to a BAI simulating cardiotomy suction. There were no significant differences in bypass flow or hemodynamics between the groups. In the BAI group, there was an increase in hemolysis after bypass (plasma-free hemoglobin 5.27 ± 1.2 vs. 0.94 ± 0.8 mg/dl; p = 0.01), more aggressive platelet consumption (28% vs. 83% of baseline; p = 0.009), leukocyte consumption (71% vs. 107% of baseline; p = 0.02), and increased granulocyte CD11b expression (409% vs. 106% of baseline; p = 0.009). These data suggest the inflammatory pattern responsible for the CPB-SIRS phenomenon may be driven by blood-air interaction. Future efforts should focus on BAI-associated mechanisms for minimizing blood trauma and inflammation during CPB.

Indexed as

AirAnimalsCardiopulmonary BypassSuctionSwineSystemic Inflammatory Response Syndrome

Identifiers

PMID30585871
PMCPMC6581643
OpenAlexW2906676340

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.