Evidence map›Paper›PMID 34760322›Full record

ArticleCase reports in anesthesiology2021

ECMO for Metabolic Crisis in a Patient with Mitochondrial Disease.

Sonal Sharma, Clifford Deerman, Michael H Andreae, Conrad Myler

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 54% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 1 institution in 1 country.

Sonal SharmaDepartment of Anesthesiology and Perioperative Medicine, Penn State Health, Milton S. Hershey Medical Center, Hershey, PA 17033, USA.ORCID https://orcid.org/0000-0002-7163-5682
Clifford DeermanDepartment of Anesthesiology and Perioperative Medicine, Penn State Health, Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Michael H AndreaeDepartment of Anesthesiology and Perioperative Medicine, Penn State Health, Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Conrad MylerDepartment of Anesthesiology and Perioperative Medicine, Penn State Health, Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Penn State Milton S. Hershey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with mitochondrial disease exhibit disrupted pyruvate oxidation, resulting in intraoperative and perioperative physiologic derangements. Increased enzymatic conversion of pyruvate via lactate dehydrogenase during periods of fasting or stress can lead to metabolic decompensation, with rapid development of fatal lactic acidosis. We describe the intraoperative management and postoperative critical care of a patient with mitochondrial disease who presented for repair of esophageal perforation following repair of a paraesophageal hernia. His surgery was complicated by the development of metabolic crisis and severe lactic acidosis which became resistant to conventional therapy before ultimately resolving with the initiation of venoarterial extracorporeal membrane oxygenation (VA-ECMO).

Identifiers

PMID34760322
PMCPMC8575615
OpenAlexW3208228633

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.