Evidence map›Paper›PMID 42788544›Full record

ArticleSao Paulo medical journal = Revista paulista de medicina2026

Validation of the thermal stability of EMAIS-SR autonomous packaging for preservation of porcine lungs: cooling curve in an experimental model.

Flavio Pola Dos Reis, Pedro Henrique Andrade Guimarães, Matheus Werner Fantato, Selma Ferrer da Silva, Liliane Moreira Ruiz, Natalia Aparecida Nepomuceno, Edson Caoru Kitani, Bartira de Aguiar Roza, Paulo Manuel Pêgo Fernandes

Abstract readValidation Study
In one paragraph

Article in Sao Paulo medical journal = Revista paulista de medicina, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Flavio Pola Dos ReisAttending Surgeon, Thoracic Surgery Program, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (InCor-HCFMUSP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-4510-1070
Pedro Henrique Andrade GuimarãesMedical Student. Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.ORCID http://orcid.org/0009-0003-6504-7248
Matheus Werner FantatoMedical Student. Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.ORCID http://orcid.org/0009-0005-7963-5272
Selma Ferrer da SilvaDevelopment Engineer, São Rafel Câmaras Frigoríficas, Arujá (SP), Brazil.ORCID http://orcid.org/0009-0005-9689-9587
Liliane Moreira RuizResearcher, Laboratório de Pesquisa em Cirurgia Torácica, Departamento de Cardiopneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (InCor-HC-FMUSP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-4936-2814
Natalia Aparecida NepomucenoResearcher, Laboratório de Pesquisa em Cirurgia Torácica, Departamento de Cardiopneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (InCor-HC-FMUSP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-2039-7565
Edson Caoru KitaniProfessor, Departamento de Eletrônica Automotiva, Faculdade de Tecnologia de Santo André (FATEC), Santo André (SP), Brazil.ORCID http://orcid.org/0009-0001-0631-9296
Bartira de Aguiar RozaAssociate Professor, Departamento de Enfermagem Clínica, Escola Paulista de Enfermagem, Universidade Federal de São Paulo (EPE-Unifesp), São Paulo (SP), Brazil; WHO Expert Advisory Panel, Committee on Donation and Transplantation (ECDT). Collaborating Professor PAHO-WHO, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-6445-6846
Paulo Manuel Pêgo FernandesFull Professor, Programa de Pós-Graduação em Cirurgia Torácica e Cardiovascular, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (InCor-HC-FMUSP), São Paulo (SP), Brazil; Faculdade de Medicina, Universidade de São Paulo (HC-FMUSP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0001-7243-5343

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntermediate temperatures (10°C) better preserve mitochondrial function and extend ischemic time, which are fundamental for lung preservation during transplantation. The EMAIS-SR device was developed as a reusable, cost-effective alternative to maintain the 10°C set-point, thereby overcoming logistical and economic barriers in organ transport.

objectiveThis study aimed to validate the thermal stability of the EMAIS-SR system in a swine model by evaluating the organ-cooling curve and the time spent within the target temperature range. DESIGN AND

settingValidation study using experimental surgery on porcine organs.

methodsLung blocks were harvested from two Landrace swine in independent experiments (P1, P2). The organs were placed in triple sterile packaging. Thermal stability was monitored for 48 h by using four negative temperature coefficient (NTC) thermistors (three intrapulmonary and one extrapulmonary) with data acquisition at a 0.1-s interval. Another datalogger (Hantek ® HTM208B) was used for control and validation. Thermal distribution was further characterized by infrared thermography (FLIR C3-X).

resultsIn Experiment 1 (P1), intrapulmonary temperatures reached the predefined target range (≤ 12°C) approximately 1.4 h after lung extraction, and the mean temperature recorded in the container was 8.01 °C (standard deviation, 2.88°C). In Experiment 2 (P2), a mean temperature reduction of 6.6°C was observed, bringing the intrapulmonary temperature to the target range (≤ 12°C) within approximately 2 h post-extraction.

conclusionThe EMAIS-SR device effectively maintained lung-preservation temperatures within the target 8°C-12°C range over 48 h. These results demonstrate the system's technical feasibility and its capacity to provide consistent thermal stability across intrapulmonary compartments.

Indexed as

LungOrgan PreservationAnimalsCold TemperatureModels, AnimalReproducibility of ResultsSwineThermographyTime Factors

Identifiers

PMID42788544
PMCPMC13588545

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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.