Evidence map›Paper›PMID 40956364›Full record

ArticleIntensive care medicine experimental2025

Effect of mannitol on diuresis and acid-base equilibrium in critically ill patients.

Davide Chiumello, Clara Aiello, Tommaso Pozzi, Francesca Panina, Alessandra Muscas, Simone Mancusi, Silvia Coppola

Abstract read
In one paragraph

Article in Intensive care medicine experimental, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Davide ChiumelloDepartment of Anesthesia and Intensive Care, ASST Santi Paolo E Carlo, San Paolo University Hospital, Milan, Italy. davide.chiumello@unimi.it.ORCID http://orcid.org/0000-0001-9260-3930
Clara AielloDepartment of Anesthesia and Intensive Care, ASST Santi Paolo E Carlo, San Paolo University Hospital, Milan, Italy.
Tommaso PozziDepartment of Anesthesia and Intensive Care, ASST Santi Paolo E Carlo, San Paolo University Hospital, Milan, Italy.
Francesca PaninaDepartment of Health Sciences, University of Milan, Milan, Italy.
Alessandra MuscasDepartment of Health Sciences, University of Milan, Milan, Italy.
Simone MancusiDepartment of Health Sciences, University of Milan, Milan, Italy.
Silvia CoppolaDepartment of Anesthesia and Intensive Care, ASST Santi Paolo E Carlo, San Paolo University Hospital, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMannitol is the most commonly used osmotic diuretic, but its effect on plasma and urine electrolytes and on acid-base equilibrium have not been well investigated. The aim of this study was to evaluate the short-term effects of mannitol on diuresis and plasma and urine acid-base equilibrium in a group of critically ill patients according to the Stewart approach.

resultsProspective observational study enrolling all consecutive sedated and mechanically ventilated patients requiring mannitol infusion for clinical purpose. Plasma and urine acid-base variables and electrolytes were measured before mannitol infusion and every 60 and 30 min, respectively, following the infusion of 1 g/kg of ideal body weight of mannitol. Forty-two patients were enrolled. Diuresis increased significantly 30 min after the mannitol infusion was completed and remained significantly higher as compared with T

conclusionsSince the end of the infusion, mannitol promoted a significant increase in diuresis, with a reduction in plasma electrolytes due to volume expansion, and a slight decrease in arterial pH due to dilutional acidosis. Kidney relative excretion pattern was unmodified during the study.

Indexed as

Acid–base disordersMannitolStrong ion differenceUrine electrolytes

Identifiers

PMID40956364
PMCPMC12440839

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.