Evidence map›Paper›PMID 38114893›Full record

Trial reportBMC anesthesiology2023

Bicarbonate ringer's solution could improve the intraoperative acid-base equilibrium and reduce hepatocellular enzyme levels after deceased donor liver transplantation: a randomized controlled study.

Qingkai Li, Ying Liu, Yanan Wang, Xin Shan, Chunxiao Liu, Zhihua Li, Jinglin Cao, Jian Dou, Guanjie Xu, Qiujun Wang and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2023. 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
1.6field-weighted citation impact, top 16% 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, 5 citations in OpenAlex.

  1. Trial
  2. Trial
  3. 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

11 authors at 2 institutions in 1 country.

Qingkai Li *Department of Aesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Ying Liu *Department of Aesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Yanan WangDepartment of Aesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Xin ShanDepartment of Aesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Chunxiao LiuDepartment of Aesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Zhihua LiDepartment of Aesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Jinglin CaoDepartment of Hepatobiliary Surgery, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Jian DouDepartment of Hepatobiliary Surgery, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Guanjie XuDepartment of Aesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Qiujun WangDepartment of Aesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China.
Xiaojuan QieDepartment of Aesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, 050051, China. qiexiaojuan@163.com.
Hebei Medical University · CNThird Hospital of Hebei Medical University · CN

Funding

China Primary Health Care Foundation YLGX-WS-2020014
6 · The paper itself

Abstract

backgroundBicarbonate Ringer's (BR) solution is a direct liver and kidney metabolism-independent HCO

methodsSixty-nine adult patients underwent OLT. Patients in the bicarbonate and acetate groups received BR solution or AR solution as infused crystalloids and graft washing solution, respectively. The primary outcome was the effect on pH and base excess (BE) levels. The secondary outcome measures were the incidence and volume of intraoperative 5% sodium bicarbonate infusion and laboratory indicates of liver and kidney function.

resultsThe pH and absolute BE values changed significantly during the anhepatic phase and immediately after transplanted liver reperfusion in the bicarbonate group compared with the acetate group (all P < 0.05). The incidence and volume of 5% sodium bicarbonate infusion were lower in the bicarbonate group than in the acetate group (all P < 0.05). The aspartate transaminase (AST) level at 7 postoperative days and the creatine level at 30 postoperative days were significantly higher in the acetate group than in the bicarbonate group (all P < 0.05).

conclusionCompared with AR solution, BR solution was associated with improved intraoperative acid-base balance and potentially protected early postoperative liver graft function and reduced late-postoperative renal injury.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsLiver TransplantationAcetatesAcid-Base EquilibriumAdultBicarbonatesHumansIsotonic SolutionsLiving DonorsRinger's SolutionSodium BicarbonateAcetatesBicarbonatesIsotonic SolutionsRinger's SolutionSodium BicarbonateAcid-base equilibriumBicarbonate Ringer’s solutionCrystalloidLiver functionLiver transplantation

Identifiers

PMID38114893
PMCPMC10729548
OpenAlexW4389946311

What OpenQuestion holds

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LicenceCC BY
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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.