Evidence map›Paper›PMID 34785755›Full record

ArticleScientific reports2021

Resuscitative efficacy of hemoglobin vesicles for severe postpartum hemorrhage in pregnant rabbits.

Hiroki Ishibashi, Kohsuke Hagisawa, Manabu Kinoshita, Yukako Yuki, Morikazu Miyamoto, Tomoko Kure, Hiromi Sakai, Daizoh Saitoh, Katsuo Terui, Masashi Takano

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. 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
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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
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

10 authors at 3 institutions in 1 country.

Hiroki IshibashiDepartment of Obstetrics and Gynecology, National Defense Medical College, Tokorozawa, Saitama, Japan.
Kohsuke HagisawaDepartment of Physiology, National Defense Medical College, Tokorozawa, Saitama, Japan.
Manabu KinoshitaDepartment of Immunology and Microbiology, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, 359-8513, Japan. manabu@ndmc.ac.jp.
Yukako YukiDivision of Anesthesiology, Saitama Medical University, Kawagoe, Saitama, Japan.
Morikazu MiyamotoDepartment of Obstetrics and Gynecology, National Defense Medical College, Tokorozawa, Saitama, Japan.
Tomoko KureDepartment of Chemistry, School of Medicine, Nara Medical University, Kashihara, Nara, Japan.
Hiromi SakaiDepartment of Chemistry, School of Medicine, Nara Medical University, Kashihara, Nara, Japan.
Daizoh SaitohDivision of Traumatology, National Defense Medical College Research Institute, Tokorozawa, Saitama, Japan.
Katsuo TeruiDivision of Anesthesiology, Saitama Medical University, Kawagoe, Saitama, Japan.
Masashi TakanoDepartment of Obstetrics and Gynecology, National Defense Medical College, Tokorozawa, Saitama, Japan.
National Defense Medical College · JPNara Medical University · JPSaitama Medical University · JP

Funding

Japan Agency for Medical Research and Development 18lk14030XXh0002Japan Agency for Medical Research and Development 19lk1403022h0002Japan Society for the Promotion of Science 19K09760
6 · The paper itself

Abstract

We aimed to investigate the resuscitative efficacy of hemoglobin vesicles (HbVs) as a red blood cell (RBC) substitute for the initial treatment of severe postpartum hemorrhage (PPH). Twenty-five pregnant rabbits underwent cesarean section; uncontrolled hemorrhage was induced by transecting the right uterine artery to establish a severe PPH model. During the first 30 min, all rabbits were administered 6% hydroxyethyl starch (HES) of an equivalent volume to the hemorrhage every 5 min. Thereafter, they received any of the following three isovolemic fluids for resuscitation every 5 min: RBCs with platelet-poor plasma (RBC/PPP) (n = 8), 6% HES (n = 7), or HbVs with 25% human serum albumin (n = 10). After surgical hemostasis at 60 min, survival was monitored until 12 h. No rabbits receiving only HES infusion survived beyond 6 h, whereas all rabbits receiving RBC/PPP transfusion survived. The rabbits receiving HbV infusion showed significantly higher mean arterial pressure and hemoglobin levels than the HES-receiving rabbits, and 8 of 10 rabbits survived for 6 h. The HbV group showed significantly higher survival than the HES group but worse survival than the RBC/PPP group. In conclusion, HbV infusion for severe PPH effectively prevents lethal hemorrhagic shock in a pregnant rabbit model.

Indexed as

ResuscitationAnimalsBlood SubstitutesDisease Models, AnimalFemaleHemoglobinsPostpartum HemorrhagePregnancyRabbitsBlood SubstitutesHemoglobins

Identifiers

PMID34785755
PMCPMC8595665
OpenAlexW3213729646

What OpenQuestion holds

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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.