{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T14:57:49Z","timestamp":1777301869681,"version":"3.51.4"},"reference-count":30,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This is an animal model study to investigate changes in hemostasis during endotoxemic shock and to determine whether the combination of inhaled nitric oxide (iNO) + intravenous hydrocortisone had an effect on clot formation and fibrinolysis. iNO selectively decreases pulmonary artery pressure, without affecting cardiac index or systemic vascular resistance; however, the results of studies on the possible consequences of iNO administration on coagulation are inconsistent and require further research. Thirty-four piglets were included. Administering endotoxin caused severe hypodynamic shock. Half of the animals received iNO (30 ppm) + hydrocortisone, starting 3 h after endotoxin infusion and continuing to the end of the study. All animals developed coagulation disorders, manifested by a tendency to hypocoagulation; at the same time, fibrinolysis was impaired. Coagulation and fibrinolysis disorders persisted after endotoxin infusion was discontinued, with worse severity in the animals that died before the study was terminated. Administering iNO + hydrocortisone did not cause further changes in coagulation and fibrinolysis parameters, either during or after the endotoxin challenge, suggesting that potential therapeutic interventions with iNO to lower pulmonary arterial pressure will not affect hemostasis.<\/jats:p>","DOI":"10.2478\/aite-2024-0011","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T08:55:46Z","timestamp":1717750546000},"source":"Crossref","is-referenced-by-count":0,"title":["Abnormalities of Coagulation and Fibrinolysis Assessed by Thromboelastometry in an Endotoxic Shock Model in Piglets Treated with Nitric Oxide and Hydrocortisone"],"prefix":"10.2478","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0541-841X","authenticated-orcid":false,"given":"Barbara","family":"Adamik","sequence":"first","affiliation":[{"name":"Clinical Department of Anesthesiology and Intensive Therapy , Wroclaw Medical University , Wroclaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7199-1310","authenticated-orcid":false,"given":"Claes","family":"Frostell","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care , Karolinska Institutet at Danderyd Hospital , Stockholm , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3108-4211","authenticated-orcid":false,"given":"Barbara","family":"Dragan","sequence":"additional","affiliation":[{"name":"Clinical Department of Anesthesiology and Intensive Therapy , Wroclaw Medical University , Wroclaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2298-9713","authenticated-orcid":false,"given":"Urszula","family":"Paslawska","sequence":"additional","affiliation":[{"name":"Nicolaus Copernicus University , Institute of Veterinary Medicine, Faculty of Biological and Veterinary Sciences , Torun , Poland"},{"name":"Department of Internal Medicine and Clinic of Horses, Dogs and Cats , Wroclaw University of Environmental and Life Sciences , Wroclaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0856-472X","authenticated-orcid":false,"given":"Stanislaw","family":"Zielinski","sequence":"additional","affiliation":[{"name":"Clinical Department of Anesthesiology and Intensive Therapy , Wroclaw Medical University , Wroclaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9607-2919","authenticated-orcid":false,"given":"Robert","family":"Paslawski","sequence":"additional","affiliation":[{"name":"Nicolaus Copernicus University , Institute of Veterinary Medicine, Faculty of Biological and Veterinary Sciences , Torun , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7888-1774","authenticated-orcid":false,"given":"Adrian","family":"Janiszewski","sequence":"additional","affiliation":[{"name":"Department of Internal Disease and Diagnostics , Poznan University of Life Sciences, Faculty of Veterinary Medicine and Animal Sciences , Poznan , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7765-9642","authenticated-orcid":false,"given":"Marzena","family":"Zielinska","sequence":"additional","affiliation":[{"name":"Clinical Department of Anesthesiology and Intensive Therapy , Wroclaw Medical University , Wroclaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanislaw","family":"Ryniak","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care , Karolinska Institutet at Danderyd Hospital , Stockholm , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna","family":"Albert","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care , Karolinska Institutet at Danderyd Hospital , Stockholm , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8668-1641","authenticated-orcid":false,"given":"Waldemar","family":"Gozdzik","sequence":"additional","affiliation":[{"name":"Clinical Department of Anesthesiology and Intensive Therapy , Wroclaw Medical University , Wroclaw , Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2024,6,7]]},"reference":[{"key":"2026042709495635547_j_aite-2024-0011_ref_001","doi-asserted-by":"crossref","unstructured":"Abdel Razeq SS, Norwitz ER (2018) Septic shock. 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