Evidence map›Paper›PMID 24723946›Full record

ReviewAnesthesiology research and practice2014

Controversies in the anesthetic management of intraoperative rupture of intracranial aneurysm.

Tumul Chowdhury, Andrea Petropolis, Marshall Wilkinson, Bernhard Schaller, Nora Sandu, Ronald B Cappellani

Abstract readReview
In one paragraph

Review in Anesthesiology research and practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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.

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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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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

6 authors.

Tumul ChowdhuryDepartment of Anesthesia and Perioperative Medicine, 2nd Floor, Herry Medovy House, 671-William's Avenue, Health Sciences Center, University of Manitoba, Winnipeg, MB, Canada R3E 0Z2.ORCID 0000-0002-8946-4148
Andrea PetropolisDepartment of Anesthesia and Perioperative Medicine, 2nd Floor, Herry Medovy House, 671-William's Avenue, Health Sciences Center, University of Manitoba, Winnipeg, MB, Canada R3E 0Z2.
Marshall WilkinsonNeurophysiology, Section Neurosurgery, Health Sciences Center, University of Manitoba, Winnipeg, MB, Canada R3E 0Z2.
Bernhard SchallerUniversity of Southampton, Southampton S017 1 BJ, UK.ORCID 0000-0002-7710-8090
Nora SanduUniversity of Southampton, Southampton S017 1 BJ, UK.
Ronald B CappellaniDepartment of Anesthesia and Perioperative Medicine, 2nd Floor, Herry Medovy House, 671-William's Avenue, Health Sciences Center, University of Manitoba, Winnipeg, MB, Canada R3E 0Z2.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite great advancements in the management of aneurysmal subarachnoid hemorrhage (SAH), outcomes following SAH rupture have remained relatively unchanged. In addition, little data exists to guide the anesthetic management of intraoperative aneurysm rupture (IAR), though intraoperative management may have a significant effect on overall neurological outcomes. This review highlights the various controversies related to different anesthetic management related to aneurysm rupture. The first controversy relates to management of preexisting factors that affect risk of IAR. The second controversy relates to diagnostic techniques, particularly neurophysiological monitoring. The third controversy pertains to hemodynamic goals. The neuroprotective effects of various factors, including hypothermia, various anesthetic/pharmacologic agents, and burst suppression, remain poorly understood and have yet to be further elucidated. Different management strategies for IAR during aneurysmal clipping versus coiling also need further attention.

Identifiers

PMID24723946
PMCPMC3958760

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Registered trials

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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.