Evidence map›Paper›PMID 37470530›Full record

ArticleAnnals of cardiac anaesthesia

Low-Dose vasopressin and renal perfusion in pediatric cardiac surgery.

Alok Kumar, Gurpinder S Ghotra, Sangeeth Raj, Nikhil Tiwari, H R Ramamurthy

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Article in Annals of cardiac anaesthesia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

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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

5 authors at 2 institutions in 2 countries.

Alok KumarDepartment of Anaesthesia and Critical Care, Army Hospital (Research and Referral), Delhi Cantt, New Delhi, India.
Gurpinder S GhotraDepartment of Anaesthesia and Critical Care, Army Institute of Cardiothoracic Sciences, Pune, Maharashtra, India.
Sangeeth RajDepartment of Anaesthesia and Critical Care, Army Hospital (Research and Referral), Delhi Cantt, New Delhi, India.
Nikhil TiwariDepartment of Cardiothoracic Surgery, Army Hospital (Research and Referral), Delhi Cantt, New Delhi, India.
H R RamamurthyDepartment of Paediatrics, Army Hospital (Research and Referral), Delhi Cantt, New Delhi, India.
Army Hospital Research and Referral · INUnited States Army · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Congenital heart surgeries are associated with post-bypass renal and cardiac dysfunctions. The use of low-dose vasopressin has been found to be beneficial in adult cardiac surgeries. Objective: To assess the hemodynamic and renal effects of patients undergoing on-pump pediatric cardiac surgery under general anesthesia (GA) with low-dose vasopressin infusion. Design: Prospective randomized controlled study. Setting: Operation room and ICU, tertiary care teaching hospital. Patients: Fifty-five pediatric cardiac patients undergoing repair for congenital heart diseases (CHD). Interventions: Low-dose vasopressin infusion in the study group and placebo in the control group. Measurements and Main Results: Renal near-infrared spectroscopy (NIRS), serum NGAL, and inflammatory mediators-IL6 and IL8 along with other renal and hemodynamic parameters in the perioperative period were recorded. Diastolic blood pressure (DBP) and cardiac index were significantly higher in the vasopressin group. Inflammatory markers were significantly high in the immediate postoperative period in all patients which later stabilized in the next 48 h but showed similar trends in both groups. Low-dose vasopressin infusion did not improve either renal perfusion or function. The duration of mechanical ventilation and length of hospital stay, the incidence of AKI development, and transfusion requirements were marginally lower in the vasopressin group, although not significant. Conclusion: Low-dose vasopressin infusion improved hemodynamics and showed a decreased incidence of complications. However, it failed to show any benefit of renal function and overall outcome in pediatric cardiac surgery.

Indexed as

Acute Kidney InjuryCardiac Surgical ProceduresAdultChildHumansKidneyPerfusionPostoperative ComplicationsProspective StudiesVasopressinsVasopressinsAcute kidney injuryCongenital heart surgeryInterleukinsRenal NIRSSerum NGALVasopressin

Identifiers

PMID37470530
PMCPMC10451146
OpenAlexW4383749893

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.