Evidence map›Paper›PMID 40975689›Full record

Trial reportBritish journal of anaesthesia2025

Restrictive versus liberal oxygenation in patients undergoing cardiopulmonary bypass-assisted heart surgery: a randomised controlled trial.

Sebastian Wiberg, Christian H Møller, Jesper Kjaergaard, Astrid D Mikkelsen, Hasse-Møller Sørensen, Joakim B Kunkel, Peter S Olsen, Dan E Høfsten, Jesper Ravn, Hanne Ravn and 4 more

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in British journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02673931 (Efficacy of a Glucagon-like-peptide-1 Agonist and Restrictive vs. Liberal Oxygen Supply in Patients Undergoing Coronary Artery Bypass Grafting or Aortic Valve Replacement - a 2-by-2 Factorial Designed, Randomized Clinical Study), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

NCT02673931 naactive not recruitingnot on this map

Efficacy of a Glucagon-like-peptide-1 Agonist and Restrictive vs. Liberal Oxygen Supply in Patients Undergoing Coronary Artery Bypass Grafting or Aortic Valve Replacement - a 2-by-2 Factorial Designed, Randomized Clinical Study

TypeinterventionalSponsorRigshospitalet, DenmarkRan2016 to 2024Enrolled1,400ConditionsCoronary Disease, Shock, Cardiogenic, Renal Failure, StrokeArmsByetta (Lilly, Exenatide), Conoxia (AGA, oxygen), 20% Human Albumin
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

14 authors.

Sebastian WibergDepartment of Cardiothoracic Anesthesiology and Intensive Care, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark; Department of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark. Electronic address: Sebastian.christoph.wiberg@regionh.dk.
Christian H MøllerDepartment of Cardiothoracic Surgery, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Jesper KjaergaardDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Astrid D MikkelsenDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Hasse-Møller SørensenDepartment of Cardiothoracic Anesthesiology and Intensive Care, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Joakim B KunkelDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Peter S OlsenDepartment of Cardiothoracic Surgery, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Dan E HøfstenDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Jesper RavnDepartment of Cardiothoracic Surgery, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Hanne RavnDepartment of Anesthesiology and Intensive Care, Odense University Hospital, Odense, Denmark.
Søren BoesgaardDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Christian HassagerDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Lars KøberDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Jens C NilssonDepartment of Cardiothoracic Anesthesiology and Intensive Care, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaintaining adequate oxygen delivery during cardiopulmonary bypass (CPB)-assisted cardiac surgery is crucial, but hyperoxia has been suggested to cause organ injury. We compared the effects of restrictive vs liberal oxygenation during CPB and weaning from CPB on clinical outcomes in cardiac surgery.

methodsWe conducted a single-centre, patient- and assessor-blinded randomised trial on adults undergoing CPB-assisted coronary artery bypass grafting, aortic valve replacement, or both. Participants were randomly assigned (1:1) to restrictive (Fio

resultsAmong 1389 participants (mean age, 67 yr [range, 29-85 yr]; 17% female), randomisation to receive Fio

conclusionsAmong patients undergoing elective or urgent CPB-assisted coronary artery bypass grafting, aortic valve replacement, or both, no significant differences were observed in mortality, dialysis-dependent renal failure, stroke, or new-onset or worsening heart failure between a restrictive oxygenation strategy (Fio CLINICAL

trial registrationNCT02673931.

Indexed as

Cardiac Surgical ProceduresCardiopulmonary BypassOxygen Inhalation TherapyAdultAgedAged, 80 and overCoronary Artery BypassFemaleHeart Valve Prosthesis ImplantationHumansMaleMiddle AgedOxygenPostoperative ComplicationsTreatment OutcomeOxygenaortic valve replacementcardiac surgerycardiopulmonary bypasscoronary artery bypass graftinghyperoxiaoxygenation

Identifiers

PMID40975689
PMCPMC12799424

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Registered trials

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.