Evidence map›Paper›PMID 36059384›Full record

ArticleResuscitation plus2022

A randomised preclinical trial of adrenaline use during cardiac arrest in mice.

Daniel G Donner, Jason E Bloom, Waled A Shihata, Aascha A Brown, Rosalind Cook, Tsin Yee Tai, Gavin W Lambert, Po-Yin Chu, William Chan, Dion Stub and 2 more

Abstract read
In one paragraph

Article in Resuscitation plus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

12 authors.

Daniel G DonnerBaker Heart and Diabetes Institute, Melbourne, Australia.
Jason E BloomBaker Heart and Diabetes Institute, Melbourne, Australia.
Waled A ShihataBaker Heart and Diabetes Institute, Melbourne, Australia.
Aascha A BrownBaker Heart and Diabetes Institute, Melbourne, Australia.
Rosalind CookBaker Heart and Diabetes Institute, Melbourne, Australia.
Tsin Yee TaiBaker Heart and Diabetes Institute, Melbourne, Australia.
Gavin W LambertIverson Health Innovation Research Institute and School of Health Sciences, Swinburne University of Technology, Melbourne, Australia.
Po-Yin ChuBaker Heart and Diabetes Institute, Melbourne, Australia.
William ChanBaker Heart and Diabetes Institute, Melbourne, Australia.
Dion StubDepartment of Cardiology, Alfred Hospital, Melbourne, Australia.
Bing H WangBaker Heart and Diabetes Institute, Melbourne, Australia.
David M KayeBaker Heart and Diabetes Institute, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adrenaline is routinely administered during cardiac arrest resuscitation. Using a novel murine model of cardiac arrest, this study evaluates the effects of adrenaline use on survival and end-organ injury. Methods: A total of 58 mice, including cardiac arrest (CA) and sham (SHAM) groups received intravenous potassium chloride either as a bolus (CA) or slow infusion (SHAM), inducing ECG-confirmed asystole (in CA only) for 4-minutes prior to intravenous adrenaline (+ADR;250 ul,32 ug/ml) or saline (-ADR;250 ul) and manual chest compressions (300 BPM) for 4-minutes. Mice with return of spontaneous circulation (ROSC) were assessed at 24- or 72-h timepoints. Results: Among animals that underwent CA, rates of ROSC ( Conclusion: Adrenaline did not improve ROSC or overall survival but following successful ROSC, its use resulted in 3-fold greater mortality rates. Adrenaline was also associated with increased myocardial injury, end-organ inflammation, and fibrosis. These findings underscore the need for further preclinical evaluation of alternate pharmacologic adjuncts for cardiopulmonary resuscitation that improve survival and limit end-organ injury.

Indexed as

ADR, adrenaline (epinephrine)AdrenalineCA, cardiac arrestCardiac arrestEpinephrineOHCA, out of hospital cardiac arrestPost-cardiac arrest syndromeResuscitationROSC, return of spontaneous circulation

Identifiers

PMID36059384
PMCPMC9436797

What OpenQuestion holds

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Registered trials

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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.