Evidence map›Paper›PMID 41109794›Full record

Trial reportBritish journal of anaesthesia2026

The effects of balanced crystalloid versus plasma on endothelial injury, systemic inflammation, and coagulation in experimental endotoxaemia: a randomised human volunteer study.

Daan P van den Brink, Bashar N Hilderink, Derek J B Kleinveld, Robert B Klanderman, Inge Pareyn, Karen Vanhoorelbeke, Philip C Spinella, Nicole P Juffermans

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in British journal of anaesthesia, 2026. 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. Trial
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

8 authors.

Daan P van den BrinkDepartment of Intensive Care Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands; Laboratory of Experimental Intensive Care and Anaesthesiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. Electronic address: d.p.vandenbrink@amterdamumc.nl.
Bashar N HilderinkDepartment of Intensive Care Medicine, Erasmus MC, Erasmus University of Rotterdam, Rotterdam, The Netherlands.
Derek J B KleinveldDepartment of Anaesthesiology, Erasmus MC, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Robert B KlandermanDepartment of Intensive Care Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands; Department of Anaesthesiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Inge PareynLaboratory for Thrombosis Research, KU Leuven Campus Kulak Kortrijk, Kortrijk, Belgium.
Karen VanhoorelbekeLaboratory for Thrombosis Research, KU Leuven Campus Kulak Kortrijk, Kortrijk, Belgium.
Philip C SpinellaTrauma and Transfusion Medicine Research Centre, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Nicole P JuffermansDepartment of Intensive Care Medicine, Erasmus MC, Erasmus University of Rotterdam, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring shock, neutrophil-mediated glycocalyx degradation can lead to exposure of the procoagulant endothelial surface and consequent organ injury. Resuscitation using crystalloid fluids may augment this endothelial damage, while resuscitation using plasma may preserve glycocalyx health. We hypothesised that resuscitation with plasma would preserve glycocalyx integrity by reducing inflammation, glycocalyx shedding, and dyscoagulation in a controlled model of systemic inflammation in human volunteers.

methodsTwelve healthy male volunteers were injected with 2 ng kg

resultsLPS induced a systemic inflammatory response, accompanied by endothelial injury as indicated by increased levels of syndecan-1 (median increase: 2920-4430 pg ml

conclusionsIn human endotoxaemia, plasma resuscitation reduced leucocyte and neutrophil levels but did not reduce glycocalyx degradation, when compared with equal volume resuscitation with a balanced crystalloid solution.

Indexed as

Blood CoagulationCrystalloid SolutionsEndothelium, VascularEndotoxemiaInflammationPlasmaAdultBiomarkersFluid TherapyGlycocalyxHealthy VolunteersHumansLipopolysaccharidesMaleSyndecan-1Young AdultBiomarkersCrystalloid SolutionsLipopolysaccharidesSyndecan-1endotheliumendotoxaemiafluid resuscitationglycocalyxinflammationplasma

Identifiers

PMID41109794
PMCPMC12851875

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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.