Evidence map›Paper›PMID 30174851›Full record

ArticleJournal of thoracic disease2018

Bedside sonography assessment of extravascular lung water increase after major pulmonary resection in non-small cell lung cancer patients.

Lucio Cagini, Marco Andolfi, Cecilia Becattini, Maria Giovanna Ranalli, Francesco Bartolucci, Alessandra Mancuso, Jacopo Vannucci, Giancarlo Agnelli, Francesco Puma

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

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

4 citing papers in PubMed, 17 citations in OpenAlex.

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  4. Review
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

9 authors at 1 institution in 1 country.

Lucio CaginiDepartment of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy.
Marco AndolfiDepartment of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy.
Cecilia BecattiniInternal and Cardiovascular Medicine, Department of Medicine, University of Perugia Medical School, Perugia, Italy.
Maria Giovanna RanalliDepartment of Political Science, University of Perugia, Perugia, Italy.
Francesco BartolucciDepartment of Economics, University of Perugia, Perugia, Italy.
Alessandra MancusoInternal and Cardiovascular Medicine, Department of Medicine, University of Perugia Medical School, Perugia, Italy.
Jacopo VannucciDepartment of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy.
Giancarlo AgnelliInternal and Cardiovascular Medicine, Department of Medicine, University of Perugia Medical School, Perugia, Italy.
Francesco PumaDepartment of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy.
University of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtra vascular lung water (EVLW) following pulmonary resection increases due to fluid infusion and rises in capillary surface and permeability of the alveolar capillary membranes. EVLW increase clinically correlates to pulmonary oedema and it may generate impairments of gas exchanges and acute lung injury. An early and reliable assessment of postoperative EVLW, especially following major pulmonary resection, is useful in terms of reducing the risk of postoperative complications. The currently used methods, though satisfying these criteria, tend to be invasive and cumbersome and these factors might limit its use. The presence and burden of EVLW has been reported to correlate with sonographic B-line artefacts (BLA) assessed by lung ultrasound (LUS). This observational study investigated if bedside LUS could detect EVLW increases after major pulmonary resection. Due to the clinical association between EVLW increase and impairment of gas exchange, secondary aims of the study included investigating for associations between any observed EVLW increases and both respiratory ratio (PaO

methodsOverall, 74 major pulmonary resection patients underwent bedside LUS before surgery and at postoperative days 1 and 4, in the inviolate hemithorax which were divided into four quadrants. BLA were counted with a four-level method. The respiratory ratio PaO

resultsBLA resulted being increased at postoperative day 1 (OR 9.25; 95% CI, 5.28-16.20; P<0.0001

conclusionsOur results suggest that LUS, due to its non-invasiveness, affordability and capacity to detect increases in EVLW, might be useful in better managing postoperative patients.

Indexed as

alveolar-interstitial syndrome (AIS)B-lines artefacts (BLA)Extra vascular lung water (EVLW)lung ultrasound (LUS)post-operative acute lung injury (PALI)

Identifiers

PMID30174851
PMCPMC6106020
OpenAlexW2811543174

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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.