Evidence map›Paper›PMID 32013701›Full record

ArticleJournal of the American Heart Association2020

Effects of Polyethylene Glycol-20k on Coronary Perfusion Pressure and Postresuscitation Myocardial and Cerebral Function in a Rat Model of Cardiac Arrest.

Weiwei Ge, Guanghui Zheng, Xianfei Ji, Fenglian He, Juntao Hu, Jennifer L Bradley, Christine E Moore, Mary A Peberdy, Joseph P Ornato, Martin J Mangino and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 10 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

11 authors at 3 institutions in 2 countries.

Weiwei GeDepartment of Emergency Surgery The Second Hospital of Anhui Medical University Hefei China.
Guanghui ZhengWeil Institute of Emergency and Critical Care Research Virginia Commonwealth University Richmond VA.
Xianfei JiWeil Institute of Emergency and Critical Care Research Virginia Commonwealth University Richmond VA.
Fenglian HeDepartment of Emergency Surgery The Second Hospital of Anhui Medical University Hefei China.
Juntao HuWeil Institute of Emergency and Critical Care Research Virginia Commonwealth University Richmond VA.
Jennifer L BradleyWeil Institute of Emergency and Critical Care Research Virginia Commonwealth University Richmond VA.
Christine E MooreWeil Institute of Emergency and Critical Care Research Virginia Commonwealth University Richmond VA.
Mary A PeberdyWeil Institute of Emergency and Critical Care Research Virginia Commonwealth University Richmond VA.
Joseph P OrnatoWeil Institute of Emergency and Critical Care Research Virginia Commonwealth University Richmond VA.
Martin J ManginoDepartment of Emergency Medicine Virginia Commonwealth University Health System Richmond VA.
Wanchun TangWeil Institute of Emergency and Critical Care Research Virginia Commonwealth University Richmond VA.
Virginia Commonwealth University · USUniversity Health System · USAnhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Epinephrine increases the rate of return of spontaneous circulation. However, it increases severity of postresuscitation myocardial and cerebral dysfunction and reduces duration of survival. We investigated the effects of aortic infused polyethylene glycol, 20 000 molecular weight (PEG-20k) during cardiopulmonary resuscitation on coronary perfusion pressure, postresuscitation myocardial and cerebral function, and duration of survival in a rat model of cardiac arrest. Methods and Results Twenty-four male rats were randomized into 4 groups: (1) PEG-20k, (2) epinephrine, (3) saline control-intravenous, and (4) saline control-intra-aortic. Cardiopulmonary resuscitation was initiated after 6 minutes of untreated ventricular fibrillation. In PEG-20k and Saline-A, either PEG-20k (10% weight/volume in 10% estimated blood volume infused over 3 minutes) or saline was administered intra-aortically after 4 minutes of precordial compression. In epinephrine and placebo groups, either epinephrine (20 μg/kg) or saline placebo was administered intravenously after 4 minutes of precordial compression. Resuscitation was attempted after 8 minutes of cardiopulmonary resuscitation. Sublingual microcirculation was measured at baseline and 1, 3, and 5 hours after return of spontaneous circulation. Myocardial function was measured at baseline and 2, 4, and 6 hours after return of spontaneous circulation. Neurologic deficit scores were recorded at 24, 48, and 72 hours after return of spontaneous circulation. Aortic infusion of PEG-20k increased coronary perfusion pressure to the same extent as epinephrine. Postresuscitation sublingual microcirculation, myocardial and cerebral function, and duration of survival were improved in PEG-20k (

Indexed as

Cardiopulmonary ResuscitationAnimalsCerebrovascular CirculationCoronary CirculationDisease Models, AnimalEpinephrineHeart ArrestInfusions, Intra-ArterialMaleMicrocirculationMouthPolyethylene GlycolsRats, Sprague-DawleyRecovery of FunctionTime FactorsVentricular Function, LeftEpinephrinePolyethylene Glycolscerebral functioncoronary perfusion pressuremyocardial functionpolyethylene glycol‐20kpostresuscitation

Identifiers

PMID32013701
PMCPMC7033902
OpenAlexW3004024865

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.