Evidence map›Paper›PMID 32351651›Full record

ArticleWorld journal of emergency medicine2020

Evaluation of gastric lavage efficiency and utility using a rapid quantitative method in a swine paraquat poisoning model.

Yun-Fei Jiang, Jian Kang, Pei-Pei Huang, Jia-Xi Yao, Zhong-He Wang, Lei Jiang, Jun Wang, Li Qiao, Bao-Li Zhu, Hao Sun and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in World journal of emergency medicine, 2020. 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
1.0field-weighted citation impact, top 24% 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

4 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

11 authors at 3 institutions in 1 country.

Yun-Fei JiangDepartment of Emergency, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jian KangDepartment of Emergency, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Pei-Pei HuangDepartment of Emergency, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jia-Xi YaoKey Lab of Modern Toxicology, Ministry of Education and Department of Hygienic Analysis and Detection, School of Public Health, Nanjing Medical University, Nanjing, China.
Zhong-He WangKey Lab of Modern Toxicology, Ministry of Education and Department of Hygienic Analysis and Detection, School of Public Health, Nanjing Medical University, Nanjing, China.
Lei JiangDepartment of Emergency, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jun WangKey Lab of Modern Toxicology, Ministry of Education and Department of Toxicology, School of Public Health, Nanjing Medical University, Nanjing, China.
Li QiaoDepartment of Emergency, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Bao-Li ZhuDepartment of Occupational Disease Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Hao SunDepartment of Emergency, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jin-Song ZhangDepartment of Emergency, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Nanjing Medical University · CNJiangsu Province Hospital · CNJiangsu Provincial Center for Disease Control and Prevention · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric lavage (GL) is one of the most critical early therapies for acute paraquat (PQ) poisoning; however, details of the treatment protocol remain to be established.

methodsA rapid quantitative method involving sodium dithionite testing was developed. It was validated for the determination of the PQ concentrations in gastric juice and eluate samples from a swine acute PQ poisoning model with early or delay GL, or without. The vital signs, laboratory testing, and PQ plasma concentrations were collected for therapeutic effect evaluation.

resultsThe reaction conditions of the test were optimized for two types of samples. Early GL at one hour (H1) could improve the signs and symptoms after acute PQ poisoning at 24 hours (H24). In contrast, GL at 6 hours (H6) could only partially relieve the vital signs. The H1 GL group effectively reduced the peak of the plasma PQ concentration. In addition, the PQ concentrations in the plasma and the gastric juice were significantly decreased in both the GL groups as compared to the untreated group at H24. Moreover, there was no significant difference in the washing efficiencies calculated from the total eluates between the two GL groups. However, the washing efficiency of the first 10 L eluate is superior to that of the additional 10 L eluate.

conclusionGL only at early stage may it benefit PQ poisoning in an animal model. The currently used 20 L GL volume may need to be reduced in view of the low washing efficiency in the later 10 L eluate. The rapid quantitative method can be used for gastric juice sample and has a certain value for clinical GL practices.

Indexed as

Acute paraquat poisoningGastric lavageSodium dithionite testSwine model

Identifiers

PMID32351651
PMCPMC7183924
OpenAlexW3016698731

What OpenQuestion holds

Textmetadata
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.