Evidence map›Paper›PMID 25559834›Full record

Trial reportCroatian medical journal2014

Antiinflammatory effect of sevoflurane in open lung surgery with one-lung ventilation.

Iztok Potočnik, Vesna Novak Janković, Maja Šostarič, Ales Jerin, Tomaž Štupnik, Milan Skitek, Jasmina Markovič-Božič, Tomislav Klokočovnik

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Croatian medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02188407 (Phase 1 Study of Antiinflammatory Effect of Sevoflurane in Open Lung Surgery With One-Lung Ventilation), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 20% 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.

NCT02188407 phase1completednot on this map

Phase 1 Study of Antiinflammatory Effect of Sevoflurane in Open Lung Surgery With One-Lung Ventilation

TypeinterventionalSponsorUniversity Medical Centre LjubljanaRan2008 to 2014Enrolled40ConditionsInflammationArmsSevoflurane, Propofol
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Intravenous versus inhalation anaesthesia for one-lung ventilation.The Cochrane database of systematic reviews · 2013
    Pooled it
  4. Anesthetics to Prevent Lung Injury in Cardiac Surgery: A Randomized Controlled Trial.Journal of cardiothoracic and vascular anesthesia · 2022
    Trial
  5. Trial
  6. Trial
  7. Review
  8. Review
  9. Article
  10. Effects of PropofolFrontiers in oncology · 2021
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Perioperative "remote" acute lung injury: recent update.Journal of biomedical research · 2017
    Article
  16. Review
  17. 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

8 authors at 1 institution in 1 country.

Iztok PotočnikIztok Potocnik, University Medical Centre Ljubljana, Clinical Department of Anesthesiology and Intensive Therapy, Zaloska 7, SI-1000 Ljubljana, Slovenia, iztokpotocnik@gmail.com.
Vesna Novak Janković
Maja Šostarič
Ales Jerin
Tomaž Štupnik
Milan Skitek
Jasmina Markovič-Božič
Tomislav Klokočovnik
Ljubljana University Medical Centre · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo prospectively assess the antiinflammatory effect of volatile anesthetic sevoflurane in patients undergoing open lung surgery with one lung ventilation (OLV).

methodsThis prospective, randomized study included 40 patients undergoing thoracic surgery with OLV (NCT02188407). The patients were randomly allocated into two equal groups that received either propofol or sevoflurane. Four patients were excluded from the study because after surgery they received blood transfusion or non-steroid antiinflammatory drugs. Inflammatory mediators (interleukins 6, 8, and 10, C-reactive protein [CRP], and procalcitonin) were measured perioperatively. The infiltration of the nonoperated lung was assessed on chest x-rays and the oxygenation index was calculated. The major postoperative complications were counted.

resultsInterleukin 6 levels were significantly higher in propofol than in sevoflurane group (P=0.014). Preoperative CRP levels did not differ between the groups (P=0.351) and in all patients they were lower than 20 mg/L, but postoperative CRP was significantly higher in propofol group (31±6 vs 15±7 ng/L; P=0.035); Pre- and postoperative procalcitonin was within the reference range (<0.04 µg/L) in both groups. The oxygenation index was significantly lower in propofol group (339±139 vs 465±140; P=0.021). There was no significant difference between the groups in lung infiltrates (P=0.5849). The number of postoperative adverse events was higher in propofol group, but the difference was not-significant (5 vs 1; P=0.115).

conclusionThe study suggests an antiinflammatory effect of sevoflurane in patients undergoing thoracotomy with OLV.

Indexed as

One-Lung VentilationThoracotomyAdultAgedAnesthetics, InhalationAnesthetics, IntravenousCytokinesFemaleHumansInflammationLung NeoplasmsMaleMethyl EthersMiddle AgedPropofolProspective StudiesAnesthetics, InhalationAnesthetics, IntravenousCytokinesMethyl EthersPropofolSevoflurane

Identifiers

PMID25559834
PMCPMC4295075
OpenAlexW2011982202

What OpenQuestion 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 OpenQuestion graph.