Evidence map›Paper›PMID 41639519›Full record

ArticleIntensive care medicine experimental2026

Albumin kinetics, intravascular fluid volume, and respiratory function in pigs ventilated at different levels of mechanical power following crystalloid vs. albumin infusion.

Simone Gattarello, Gaetano Gazzé, Emanuele Rollo, Beatrice Donati, Martina Caronna, Ilaria Grava, Carlo Chiumiento, Zhe Li, Walter Gallese, Domenico Nocera and 11 more

Abstract read
In one paragraph

Article in Intensive care medicine experimental, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

21 authors.

Simone GattarelloDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany. gattarello@gmail.com.ORCID http://orcid.org/0000-0002-5047-9246
Gaetano GazzéDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Emanuele RolloDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Beatrice DonatiDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Martina CaronnaDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Ilaria GravaDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Carlo ChiumientoDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Zhe LiDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Walter GalleseDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Domenico NoceraDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Stefano GiovanazziDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Aurelio SonzogniDepartment of Pathology, ASST Bergamo Est, Seriate, Italy.
Chiara SonzogniDepartment of Pediatric Surgery, Spedali Civili di Brescia, Brescia, Italy.
Alessandro GattaDepartment of Anesthesia and Intensive Care, Ceccarini Hospital, AUSL della Romagna, Riccione, Italy.
Francesca CollinoDepartment of Anesthesia, Intensive Care and Emergency, "Città della Salute e della Scienza" Hospital, Corso Bramante, 88, 10126, Turin, Italy.
Luigi CamporotaCentre for Human and Applied Physiological Sciences, School of Basic and Medical Biosciences, King's College London, London, UK.
Michael QuintelDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Onnen MoererDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Federica RomittiDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Luciano GattinoniDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.
Mattia BusanaDepartment of Anesthesiology, University Medical Centre Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany.

Funding

European Society of Intensive Care Medicine 2022 NEXT Start-Up Grant (no award number available)Grifols 2022 Grifols Albus Awards
6 · The paper itself

Abstract

backgroundThe rationale of albumin use lies in its potential to increase oncotic pressure and optimize tissue perfusion. Randomized trials have not demonstrated a survival benefit, and the effects of albumin on volemia remain unclear. This study investigates, in healthy pigs, the effects of a 48-h albumin infusion on intravascular fluid volume, albumin kinetics, and its impact on respiratory function.

methodsThirty-nine healthy female pigs ventilated for 48 h were grouped according to mechanical power (high ~ 18 J/min vs. low ~ 6 J/min) and type of fluid (5% albumin solution vs. crystalloid), generating four experimental groups: MP

resultsIntravascular fluid volume was similar across groups (MP

conclusionsIn our cohort, prolonged albumin infusion did not lead to a difference in intravascular fluid volume, but it resulted in the loss of ~ 60% of the infused albumin and ascites development. Ascites was associated with lower end-expiratory lung gas volume and higher elastance, despite similar histological lung damage across the groups.

Indexed as

AlbuminColloidCrystalloidFluid balanceLung damageMechanical powerMechanical ventilation

Identifiers

PMID41639519
PMCPMC12872945

What OpenQuestion holds

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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.