Evidence mapPaperPMID 38864969Full record

Trial reportCardiovascular drugs and therapy2025

Cardioprotection with Intralipid During Coronary Artery Bypass Grafting Surgery on Cardiopulmonary Bypass: A Randomized Clinical Trial.

Nkanyiso Hadebe, Martin Cour, Aqeela Imamdin, Tarra Petersen, Timothy Pennel, Jacques Scherman, Jane Snowball, Mpiko Ntsekhe, Peter Zilla, Justiaan Swanevelder and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cardiovascular drugs and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02807727 (Randomised Control Study on Cardiac Protection With Intralipid® in Patients Undergoing Coronary Artery Bypass Grafting on Cardiopulmonary Bypass), which is not on this 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.

NCT02807727 phase2 / phase3unknown statusnot on this map

Randomised Control Study on Cardiac Protection With Intralipid® in Patients Undergoing Coronary Artery Bypass Grafting on Cardiopulmonary Bypass

TypeinterventionalSponsorNkanyiso HadebeRan2017 to 2018Enrolled30ConditionsReperfusion InjuryArmsIntralipid 20%, Modified Ringers Lactate
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

11 authors.

Nkanyiso HadebeCardioprotection Group, Faculty of Health Sciences, Cape Heart Institute, University of Cape Town, Anzio Road, Cape Town, 7925, Observatory, South Africa.
Martin CourCardioprotection Group, Faculty of Health Sciences, Cape Heart Institute, University of Cape Town, Anzio Road, Cape Town, 7925, Observatory, South Africa.
Aqeela ImamdinCardioprotection Group, Faculty of Health Sciences, Cape Heart Institute, University of Cape Town, Anzio Road, Cape Town, 7925, Observatory, South Africa.
Tarra PetersenCardioprotection Group, Faculty of Health Sciences, Cape Heart Institute, University of Cape Town, Anzio Road, Cape Town, 7925, Observatory, South Africa.
Timothy PennelChris Barnard Division of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa.
Jacques SchermanChris Barnard Division of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa.
Jane SnowballCardioprotection Group, Faculty of Health Sciences, Cape Heart Institute, University of Cape Town, Anzio Road, Cape Town, 7925, Observatory, South Africa.
Mpiko NtsekheDivision of Cardiology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Peter ZillaChris Barnard Division of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa.
Justiaan SwanevelderDepartment of Anaesthesia, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Sandrine LecourCardioprotection Group, Faculty of Health Sciences, Cape Heart Institute, University of Cape Town, Anzio Road, Cape Town, 7925, Observatory, South Africa. sandrine.lecour@uct.ac.za.ORCID 0000-0003-1942-8974

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCoronary artery bypass grafting (CABG) on cardiopulmonary bypass (CPB) is associated with myocardial ischemia-reperfusion injury (IRI), which may limit the benefit of the surgery. Both experimental and clinical studies suggest that Intralipid, a lipid emulsion commonly used for parenteral nutrition, can limit myocardial IRI. We therefore aimed to investigate whether Intralipid administered at reperfusion can reduce myocardial IRI in patients undergoing CABG on CPB.

methodsWe conducted a randomized, double-blind, pilot trial in which 29 adult patients scheduled for CABG were randomly assigned (on a 1:1 basis) to receive either 1.5 ml/kg Intralipid 20% or Ringer's Lactate 3 min before aortic cross unclamping. The primary endpoint was the 72-h area under the curve (AUC) for troponin I.

resultsOf the 29 patients randomized, 26 were included in the study (two withdrew consent and one was excluded before surgery). The 72-h AUC for troponin I did not significantly differ between the control and Intralipid group (546437 ± 205518 versus 487561 ± 115724 arbitrary units, respectively; P = 0.804). Other outcomes (including 72-h AUC for CK-MB, C-reactive protein, need for defibrillation, time to extubation, length of ICU and hospital stay, and serious adverse events) were similar between the two groups.

conclusionIn patients undergoing CABG on CPB, Intralipid did not limit myocardial IRI compared to placebo.

trial registrationClinicalTrials.gov Identifier: NCT02807727 (registration date: 16 June 2016).

Indexed as

Cardiopulmonary BypassCardiotonic AgentsCoronary Artery BypassFat Emulsions, IntravenousMyocardial Reperfusion InjuryPhospholipidsSoybean OilAgedDouble-Blind MethodEmulsionsFemaleHumansMaleMiddle AgedPilot ProjectsRinger's LactateCardiotonic AgentsEmulsionsFat Emulsions, IntravenousPhospholipidsRinger's LactateSoybean Oilsoybean oil, phospholipid emulsionTroponin ICardioprotectionCoronary artery bypass graftingIntralipidIschemia–reperfusion injury

Identifiers

PMID38864969
PMCPMC12602576

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.