Evidence map›Paper›PMID 39420063›Full record

ArticleNature biomedical engineering2024

Systemically injected oxygen within rapidly dissolving microbubbles improves the outcomes of severe hypoxaemia in swine.

Julia Garcia Mancebo, Kristen Sack, Jay Hartford, Saffron Dominguez, Michelle Balcarcel-Monzon, Elizabeth Chartier, Tien Nguyen, Alexis R Cole, Francesca Sperotto, David M Harrild and 10 more

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. 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

20 authors.

Julia Garcia Mancebo *Department of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Kristen Sack *Department of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Jay HartfordDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Saffron DominguezDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Michelle Balcarcel-MonzonDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Elizabeth ChartierDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Tien NguyenDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Alexis R ColeDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Francesca SperottoDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0001-7109-0582
David M HarrildDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Brian D PolizzottiDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Allen D EverettDepartment of Pediatrics, Blalock-Taussig-Thomas Congenital Heart Center, Johns Hopkins University, Baltimore, MD, USA.
Alan B PackardDepartment of Radiology, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0003-0906-1021
Jason DearlingDepartment of Radiology, Boston Children's Hospital, Boston, MA, USA.
Arthur G NedderAnimal Resources at Children's Hospital, Boston Children's Hospital, Boston, MA, USA.
Simon WarfieldDepartment of Radiology, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-7659-3880
Edward YangDepartment of Radiology, Boston Children's Hospital, Boston, MA, USA.
Hart G W LidovDepartment of Pathology, Boston Children's Hospital, Boston, MA, USA.
John N KheirDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA. John.Kheir@childrens.harvard.edu.ORCID 0000-0001-6080-8739
Yifeng PengDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA. Yifeng.Peng@childrens.harvard.edu.ORCID 0000-0002-1273-8171

Funding

Intravenous oxygen microparticles for treatment of cardiac arrestR01HL141818 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI KHEIR, JOHN NAGI · 2018 to 2021
$2.3M
NHLBI NIH HHS R01 HL141818U.S. Department of Defense (United States Department of Defense) W81XWH-19-1-0237U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) 5R01HL141818
6 · The paper itself

Abstract

Acute respiratory failure can cause profound hypoxaemia that leads to organ injury or death within minutes. When conventional interventions are ineffective, the intravenous administration of oxygen can rescue patients from severe hypoxaemia, but at the risk of microvascular obstruction and of toxicity of the carrier material. Here we describe polymeric microbubbles as carriers of high volumes of oxygen (350-500 ml of oxygen per litre of foam) that are stable in storage yet quickly dissolve following intravenous injection, reverting to their soluble and excretable molecular constituents. In swine with profound hypoxaemia owing to acute and temporary (12 min) upper-airway obstruction, the microbubble-mediated delivery of oxygen led to: the maintenance of critical oxygenation, lowered burdens of cardiac arrest, improved survival, and substantially improved neurologic and kidney function in surviving animals. Our findings underscore the importance of maintaining a critical threshold of oxygenation and the promise of injectable oxygen as a viable therapy in acute and temporary hypoxaemic crises.

Indexed as

HypoxiaMicrobubblesOxygenAnimalsHeart ArrestSwineOxygen

Identifiers

PMID39420063
PMCPMC11584390

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.