Evidence map›Paper›PMID 37395735›Full record

ArticleArtificial organs2023

The effects of nitric oxide on coagulation and inflammation in ex vivo models of extracorporeal membrane oxygenation and cardiopulmonary bypass.

Maximilian V Malfertheiner, Ashlen Garrett, Margaret Passmore, Andrew B Haymet, Richard I Webb, Viktor Von Bahr, Jonathan E Millar, Bailey A Schneider, Nchafatso G Obonyo, Debra Black and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Artificial organs, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06660784 (Mechanism of Nitric Oxide on Ventilator-induced Diaphragm Dysfunction with Extracorporeal Membrane Lung Assistance), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 33% 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.

NCT06660784 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Mechanism of Nitric Oxide on Ventilator-induced Diaphragm Dysfunction with Extracorporeal Membrane Lung Assistance

TypeobservationalSponsorZhongnan HospitalRan2024 to 2025Enrolled80ConditionsTracheal Intubation, Extracorporeal Membrane Oxygenation, Nitric Oxide, Ventilator-induced Diaphragmatic DysfunctionArmsNitric Oxide
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

14 authors at 4 institutions in 5 countries.

Maximilian V MalfertheinerThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-6245-2614
Ashlen GarrettThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Margaret PassmoreThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-0859-8882
Andrew B HaymetThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0001-6511-0081
Richard I WebbThe Centre for Microscopy and Microanalysis, The University of Queensland, Saint Lucia, Brisbane, Queensland, Australia.
Viktor Von BahrThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Jonathan E MillarThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Bailey A SchneiderThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Nchafatso G ObonyoThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-5040-4359
Debra BlackThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Mahe BouquetThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Nicole BartnikowskiThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Jacky Y SuenThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
John F FraserThe Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, Australia.
The University of Queensland · AUPrince Charles Hospital · AUKarolinska Institutet · SEUniversity Hospital Regensburg · DE

Funding

Mallinckrodt PharmaceuticalsWellcome Trust 203077Wellcome Trust 227131
6 · The paper itself

Abstract

backgroundExtracorporeal life support (ECLS) has extensive applications in managing patients with acute cardiac and pulmonary failure. Two primary modalities of ECLS, cardiopulmonary bypass (CPB) and extracorporeal membrane oxygenation (ECMO), include several similarities in their composition, complications, and patient outcomes. Both CPB and ECMO pose a high risk of thrombus formation and platelet activation due to the large surface area of the devices and bleeding due to system anticoagulation. Therefore, novel methods of anticoagulation are needed to reduce the morbidity and mortality associated with extracorporeal support. Nitric oxide (NO) has potent antiplatelet properties and presents a promising alternative or addition to anticoagulation with heparin during extracorporeal support.

methodsWe developed two ex vivo models of CPB and ECMO to investigate NO effects on anticoagulation and inflammation in these systems.

resultsSole addition of NO as an anticoagulant was not successful in preventing thrombus formation in the ex vivo setups, therefore a combination of low-level heparin with NO was used. Antiplatelet effects were observed in the ex vivo ECMO model when NO was delivered at 80 ppm. Platelet count was preserved after 480 min when NO was delivered at 30 ppm.

conclusionCombined delivery of NO and heparin did not improve haemocompatibility in either ex vivo model of CPB and ECMO. Anti-inflammatory effects of NO in ECMO systems have to be evaluated further.

Indexed as

Extracorporeal Membrane OxygenationThrombosisAnticoagulantsCardiopulmonary BypassHeparinHumansInflammationNitric OxideAnticoagulantsHeparinNitric Oxideanticoagulationcardiopulmonary bypassextracorporeal life supportextracorporeal membrane oxygenationmechanical circulatory supportnitric oxidethrombosis

Identifiers

PMID37395735
PMCPMC7616762
OpenAlexW4382918745

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.