Evidence map›Paper›PMID 9549416›Full record

ReviewThe Western journal of medicine1998

Nitric oxide and septic shock. From bench to bedside.

S J Kuhl, H Rosen

Open access · greenAbstract readCase ReportsClinical ConferenceReview
In one paragraph

Review in The Western journal of medicine, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 32% of its field
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

6 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

2 authors at 1 institution in 1 country.

S J KuhlDepartment of Medicine, University of Washington, Seattle 98195, USA.
H Rosen
University of Washington · US

Funding

OXIDATIVE NEUTROPHIL MICROBICIDAL MECHANISMSR37AI025606 · NIAID · UNIVERSITY OF WASHINGTON · PI ROSEN, HENRY · 1993 to 2000
$236k
OXIDATIVE NEUTROPHIL MICROBICIDAL MECHANISMSR01AI025606 · NIAID · SWEDISH MEDICAL CENTER, FIRST HILL · PI ROSEN, HENRY · 1988 to 1992
–
NIAID NIH HHS AI 25606
6 · The paper itself

Abstract

Refractory hypotension with end-organ hypoperfusion is an ominous feature of inflammatory shock. In the past fifteen years, nitric oxide (a diffusible, short-lived product of arginine metabolism) has been found to be an important regulatory molecule in several areas of metabolism, including vascular tone control. Vascular endothelial cells constitutively produce low levels of nitric oxide that regulate blood pressure by mediating adjacent smooth-muscle relaxation. In an inflammatory shock state, cytokines, like interleukin-1 and tumor necrosis factor-alpha, induce a separate, high-output form of the enzyme that synthesizes nitric oxide in both endothelial and smooth-muscle cells. The ensuing high rates of nitric oxide formation result in extensive smooth-muscle relaxation, pressor refractory vasodilation, and--ultimately--shock. The concept of the pathogenesis of inflammatory shock explains many limitations of current therapies and may foster the development of new interventions to mitigate the effects of nitric oxide overproduction in this syndrome.

Indexed as

AgedHumansMaleNitric OxideNitric Oxide SynthaseShock, SepticVasomotor SystemNitric OxideNitric Oxide Synthase

Identifiers

PMID9549416
PMCPMC1304857
OpenAlexW1594902056

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.