Evidence map›Paper›PMID 31127320›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Cerebral effects of resuscitation with either epinephrine or vasopressin in an animal model of hemorrhagic shock.

Jan Küchler, Stephan Klaus, Ludger Bahlmann, Nils Onken, Alexander Keck, Emma Smith, Jan Gliemroth, Claudia Ditz

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Jan KüchlerDepartment of Neurosurgery, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Stephan KlausDepartment of Anesthesiology, Herz-Jesu-Krankenhaus Münster-Hiltrup, Münster, Germany.
Ludger BahlmannDepartment of Anesthesiology, Klinikum Weser Egge, Höxter, Germany.
Nils OnkenDepartment of Pediatrics, Klinikum Bremen-Mitte, Bremen, Germany.
Alexander KeckDepartment of Gynecology and Obstetrics, Klinikum Osnabrück, Osnabrück, Germany.
Emma SmithDepartment of Neurosurgery, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Jan GliemrothDepartment of Neurosurgery, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Claudia DitzDepartment of Neurosurgery, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany. claudia.ditz@uksh.de.
University of Lübeck · DEKlinikum Bremen-Mitte · DEKlinikum Links der Weser · DEKlinikum Osnabrück · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe use of epinephrine (EN) or vasopressin (VP) in hemorrhagic shock is well established. Due to its specific neurovascular effects, VP might be superior in concern to brain tissue integrity. The aim of this study was to evaluate cerebral effects of either EN or VP resuscitation after hemorrhagic shock.

methodsAfter shock induction fourteen pigs were randomly assigned to two treatment groups. After 60 min of shock, resuscitation with either EN or VP was performed. Hemodynamics, arterial blood gases as well as cerebral perfusion pressure (CPP) and brain tissue oxygenation (PtiO

resultsInduction of hemorrhagic shock led to a significant (p < 0.05) decrease of mean arterial pressure (MAP), cardiac output (CO) and CPP. Administration of both VP and EN sufficiently restored MAP and CPP and maintained physiological PtiO

conclusionsBoth vasopressors were effective in restoring hemodynamics and CPP and in maintaining brain oxygenation. With regards to the cerebral metabolism, we cannot support beneficial effects of VP in this model of hemorrhagic shock.

Indexed as

BrainCerebrovascular CirculationEpinephrineResuscitationShock, HemorrhagicVasopressinsAnimalsBiomarkersBlood Gas AnalysisBlood PressureCardiac OutputDisease Models, AnimalHemodynamicsIntracranial PressureOxygen ConsumptionSwineBiomarkersEpinephrineVasopressinsCerebral metabolismHemorrhagic shockMicrodialysisNeuromonitoringVasopressor therapy

Identifiers

PMID31127320
OpenAlexW2946407747

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.