Evidence map›Paper›PMID 33184355›Full record

ArticleScientific reports2020

Accelerated ethanol elimination via the lungs.

Jesse M Klostranec, Diana Vucevic, Adrian P Crawley, Lashmi Venkatraghavan, Olivia Sobczyk, James Duffin, Kevin Sam, Royce Holmes, Ludwik Fedorko, David J Mikulis and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 49% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Anti-Hangover and Hepatoprotective Effects of the Leaf Extract ofPharmaceuticals (Basel, Switzerland) · 2025
    Article
  4. 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

11 authors at 3 institutions in 1 country.

Jesse M KlostranecDepartment of Medical Imaging, University of Toronto, Toronto, ON, Canada.
Diana VucevicDepartment of Medical Imaging, University of Toronto, Toronto, ON, Canada.
Adrian P CrawleyDepartment of Medical Imaging, University of Toronto, Toronto, ON, Canada.
Lashmi VenkatraghavanDepartment of Anesthesia, University of Toronto, Toronto, ON, Canada.
Olivia SobczykThornhill Medical Inc., Toronto, ON, Canada.
James DuffinThornhill Medical Inc., Toronto, ON, Canada.
Kevin SamDepartment of Medical Imaging, University of Toronto, Toronto, ON, Canada.
Royce HolmesDepartment of Medical Imaging, University of Toronto, Toronto, ON, Canada.
Ludwik FedorkoDepartment of Anesthesia, University of Toronto, Toronto, ON, Canada.
David J MikulisDepartment of Medical Imaging, University of Toronto, Toronto, ON, Canada.
Joseph A FisherDepartment of Anesthesia, University of Toronto, Toronto, ON, Canada. joe.fisher@utoronto.ca.
University of Toronto · CAThornhill Medical (Canada) · CAUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ethanol poisoning is endemic the world over. Morbidity and mortality depend on blood ethanol levels which in turn depend on the balance between its rates of absorption and clearance. Clearance of ethanol is mostly at a constant rate via enzymatic metabolism. We hypothesized that isocapnic hyperpnea (IH), previously shown to be effective in acceleration of clearance of vapour anesthetics and carbon monoxide, would also accelerate the clearance of ethanol. In this proof-of-concept pilot study, five healthy male subjects were brought to a mildly elevated blood ethanol concentration (~ 0.1%) and ethanol clearance monitored during normal ventilation and IH on different days. IH increased elimination rate of ethanol in proportion to blood levels, increasing the elimination rate more than three-fold. Increased veno-arterial ethanol concentration differences during IH verified the efficacy of ethanol clearance via the lung. These data indicate that IH is a nonpharmacologic means to accelerate the elimination of ethanol by superimposing first order elimination kinetics on underlying zero order liver metabolism. Such kinetics may prove useful in treating acute severe ethanol intoxication.

Indexed as

Pulmonary EliminationAdultAgedCarbon DioxideEthanolHumansLungMalePulmonary VentilationCarbon DioxideEthanol

Identifiers

PMID33184355
PMCPMC7665168
OpenAlexW3104178433

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.