Evidence map›Paper›PMID 19921365›Full record

ReviewJournal of anesthesia2009

Physiology and pathophysiology at high altitude: considerations for the anesthesiologist.

Kay B Leissner, Feroze U Mahmood

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Journal of anesthesia, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05715476 (The Effect of Different Altitude Levels on Spinal Anesthesia in Cesarean Section Surgery; Comparison of Anesthesia Parameters and Hemodynamic Changes), which is not on this map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
–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.

NCT05715476 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Different Altitude Levels on Spinal Anesthesia in Cesarean Section Surgery; Comparison of Anesthesia Parameters and Hemodynamic Changes

TypeinterventionalSponsorGiresun UniversityRan2023 to 2023Enrolled150ConditionsPregnant, High AltitudeArmscesarian surgery
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Interventions for treating acute high altitude illness.The Cochrane database of systematic reviews · 2018
    Pooled it
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  9. Review
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  13. High-altitude illness: Management approach.Turkish journal of emergency medicine · 2019
    Review
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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.

Kay B LeissnerDepartment of Anesthesia, VA Boston Healthcare System & Massachusetts General Hospital, Harvard Medical School, Boston, MA 02132, USA.
Feroze U Mahmood

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Millions of people live in, work in, and travel to areas of high altitude (HA). Skiers, trekkers, and mountaineers reach altitudes of 2500 m to more than 8000 m for recreation, and sudden ascents to high altitude without the benefits of acclimatization are increasingly common. HA significantly affects the human body, especially the cardiovascular and pulmonary systems, because of oxygen deprivation due to decreased ambient barometric pressure. Rapid ascents may lead to high-altitude diseases that sometimes have fatal consequences. Other factors, such as severe cold, dehydration, high winds, and intense solar radiation, increase the morbidity of patients at HA. Anesthesiologists working in or visiting areas of higher elevations should become familiar with the human physiology, altered pharmacology, and disease pattern of HA.

Indexed as

AltitudeAnesthesiaAltitude SicknessAnesthesia, ConductionAnesthesiologyAnestheticsBrain EdemaHumansHypoxiaPulmonary EdemaRespiratory MechanicsAnesthetics

Identifiers

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.