Evidence map›Paper›PMID 35265449›Full record

ArticlePlastic and reconstructive surgery. Global open2022

Achieving Functional Outcomes after Surgical Management of Catastrophic Vasopressor-induced Limb Ischemia.

Romina Deldar, Areeg A Abu El Hawa, Zoe K Haffner, James P Higgins, Ryan D Katz, Christopher E Attinger, Karen K Evans

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 51% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 1 country.

Romina DeldarDepartment of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital; Washington, D.C.
Areeg A Abu El HawaGeorgetown University School of Medicine; Washington, D.C.
Zoe K HaffnerDepartment of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital; Washington, D.C.
James P HigginsThe Curtis National Hand Center, MedStar Union Memorial Hospital; Baltimore, Md.
Ryan D KatzThe Curtis National Hand Center, MedStar Union Memorial Hospital; Baltimore, Md.
Christopher E AttingerDepartment of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital; Washington, D.C.
Karen K EvansDepartment of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital; Washington, D.C.
Georgetown University · USMedStar Union Memorial Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vasopressor-induced limb ischemia is an unfortunate complication that can occur in patients treated for septic shock. Current literature lacks surgical treatment recommendations for this condition, besides amputation. We describe various reconstructive surgeries and functional outcomes in patients treated surgically for vasopressor-induced limb ischemia. Methods: We retrospectively reviewed patients who were treated for septic shock and developed vasopressor-induced limb ischemia at our tertiary referral academic medical center. We reviewed presentation, treatment, surgical outcomes, and long-term functional outcomes. Results: We present three previously healthy patients who developed gangrene of multiple limbs following the use of vasopressors to treat septic shock. Each patient underwent amputations or limb salvage procedures. Conclusions: Limb ischemia is a devastating complication that can occur after prolonged vasopressor use. The decision to proceed with limb salvage versus amputation of ischemic extremities should be tailored to the individual patient. The main objective should be for the patient to obtain optimal function and quality of life, regardless of the type of surgery.

Identifiers

PMID35265449
PMCPMC8901208
OpenAlexW4220665349

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.