Evidence map›Paper›PMID 41772775›Full record

ArticleTransfusion2026

Microcirculatory perfusion is improved with plasma, but not with crystalloids, in a rat polytraumatic shock model.

Tarık Gözden, Bulent Ergin, Can Ince, Nicole P Juffermans

Abstract read
In one paragraph

Article in Transfusion, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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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

4 authors.

Tarık GözdenEPIC Lab (Laboratory of Emergency, Peri-operative and Intensive Care), The Department of Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-3717-2047
Bulent ErginEPIC Lab (Laboratory of Emergency, Peri-operative and Intensive Care), The Department of Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.
Can InceEPIC Lab (Laboratory of Emergency, Peri-operative and Intensive Care), The Department of Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.
Nicole P JuffermansEPIC Lab (Laboratory of Emergency, Peri-operative and Intensive Care), The Department of Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-3039-6574

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic shock is associated with microcirculatory dysfunction. Plasma resuscitation for traumatic shock outside the context of bleeding may exert benefit by augmenting intravascular volume and inhibiting endotheliopathy. However, its effects on microcirculatory perfusion and tissue oxygenation in trauma remain poorly understood. STUDY DESIGN AND

methodsFollowing polytraumatic injury and shock induction with controlled bleeding, rats (n = 11) received crystalloids or plasma until mean arterial pressure (MAP) was 65 mmHg for 2 h, after resuscitation was stopped. Total vessel density (TVD), functional capillary density (FCD), proportion of perfused vessel density (PPV), and tissue red blood cell perfusion (tRBCp) were evaluated. Microcirculatory oxygen availability (μHbO

resultsAfter resuscitation, MAP was restored in both groups. However, TVD, FCD, and tRBCp were impaired in the crystalloid group as compared to the sham (p < 0.05), which did not occur in the plasma group. tRBCp was significantly improved by plasma resuscitation compared to crystalloid (p < 0.05). After resuscitation had stopped, TVD, FCD, and tRBCp remained significantly higher in the plasma group compared to the crystalloid group (p < 0.05). sVCAM decreased significantly by plasma compared to crystalloid (p < 0.05). There was no significant change in hyaluronan and μHbO

conclusionsPlasma, but not crystalloids, preserved microcirculatory diffusion and perfusion, which was associated with correction of endothelial functionality in rats requiring fluids following traumatic shock. Results suggest that plasma may be used in traumatic shock patients with persistent need of volume after bleeding has been contained.

Indexed as

Crystalloid SolutionsMicrocirculationMultiple TraumaPlasmaShock, TraumaticAnimalsDisease Models, AnimalHyaluronic AcidIsotonic SolutionsMaleRatsRats, Sprague-DawleyResuscitationCrystalloid SolutionsHyaluronic AcidIsotonic Solutionsmicrocirculationplasmarattrauma

Identifiers

PMID41772775
PMCPMC13184412

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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.