Evidence map›Paper›PMID 39593182›Full record

ReviewCritical care (London, England)2024

The renin-angiotensin-aldosterone-system in sepsis and its clinical modulation with exogenous angiotensin II.

Matthieu Legrand, Ashish K Khanna, Marlies Ostermann, Yuki Kotani, Ricard Ferrer, Massimo Girardis, Marc Leone, Gennaro DePascale, Peter Pickkers, Pierre Tissieres and 8 more

Abstract readReview
In one paragraph

Review in Critical care (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Trial
  2. [Vasopressors in septic shock: the old and the new].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Refractory septic shock: our updated pragmatic approach.Journal of anesthesia, analgesia and critical care · 2026
    Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Severe Vasoplegic Syndrome Treated with Angiotensin II and Hemoadsorption Therapy after Cardiac Surgery.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    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

18 authors.

Matthieu Legrand *Department of Anesthesia and Perioperative Care, Division of Critical Care Medicine, University of California San Francisco, 521 Parnassus Avenue, San Francisco, CA, 94143, USA. Matthieu.Legrand@ucsf.edu.
Ashish K Khanna *Department of Anesthesiology, Section on Critical Care Medicine, Wake Forest School of Medicine, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA. akhanna@wakehealth.edu.
Marlies OstermannDepartment of Critical Care, Guy's and St Thomas' Hospital, London, UK.
Yuki KotaniDepartment of Intensive Care Medicine, Kameda Medical Center, Kamogawa, Japan.
Ricard FerrerDepartment of Intensive Care, Department of Medicine, SODIR Research Group, VHIR, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.
Massimo GirardisAnesthesia and Intensive Care Department, University Hospital of Modena, University of Modena and Reggio Emilia, Modena, Italy.
Marc LeoneDepartment of Anesthesiology and Intensive Care Unit, Nord Hospital, Aix Marseille University, Assistance Publique Hôpitaux Universitaires de Marseille, Marseille, France.
Gennaro DePascaleDipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy.
Peter PickkersDepartment of Intensive Care Medicine, Radboud UMC Nijmegen, Nijmegen, The Netherlands.
Pierre TissieresPediatric Intensive Care and Neonatal Medicine, Bicêtre Hospital, AP-HP Paris Saclay University, Le Kremlin-Bicêtre, Paris, France.
Filippo AnnoniDepartment of Intensive Care, Erasme University Hospital, Université Libre de Buxelles, Brussels, Belgium.
Katarzyna KotfisDepartment of Anaesthesiology, Intensive Therapy and Pain Medicine, Pomeranian Medical University, Szczecin, Poland.
Giovanni LandoniDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Alexander ZarbockDepartment of Anesthesiology, Intensive Care and Pain Medicine, University Hospital of Münster, Albert-Schweitzer Campus 1, Building A1, 48149, Münster, Germany.
Patrick M WieruszewskiDepartment of Pharmacy, Mayo Clinic, Rochester, MN, USA.
Daniel De BackerDepartment of Intensive Care, CHIREC Hospitals, Université Libre de Bruxelles, Brussels, Belgium.
Jean-Louis VincentDepartment of Intensive Care, Erasme University Hospital, Université Libre de Buxelles, Brussels, Belgium.
Rinaldo BellomoDepartment of Intensive Care, Austin Hospital, Melbourne, Australia.

Funding

Identification of sub-phenotypes of severely ill burn patients and risk for secondary sepsis: SEPSISBURNR01GM151494 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Matthieu Legrand · 2023 to 2026
$1.5M
NIGMS NIH HHS R01 GM151494
6 · The paper itself

Abstract

Dysregulation of the renin-angiotensin-aldosterone-system (RAAS) in sepsis is a complex and early phenomenon with a likely significant contribution to organ failure and patient outcomes. A better understanding of the pathophysiology and intricacies of the RAAS in septic shock has led to the use of exogenous angiotensin II as a new therapeutic agent. In this review, we report a multinational and multi-disciplinary expert panel discussion on the role and implications of RAAS modulation in sepsis and the use of exogenous angiotensin II. The panel proposed guidance regarding patient selection and treatment options with exogenous angiotensin II which should trigger further research.

Indexed as

Angiotensin IIRenin-Angiotensin SystemSepsisHumansAngiotensin II

Identifiers

PMID39593182
PMCPMC11590289

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.