Evidence map›Paper›PMID 30345858›Full record

ArticleThe Journal of international medical research2018

Cardiac arrest caused by intramyometrial injection of vasopressin during a robotic-assisted laparoscopic myomectomy.

Gang Geun Lee, Seung Youp Baek, Tae Woo Kim, Chang Young Jeong, Keon Hee Ryu, Dong Ho Park

Open access · goldAbstract readCase Reports
In one paragraph

Article in The Journal of international medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
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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 at 1 institution in 1 country.

Gang Geun LeeDepartment of Anaesthesiology and Pain Medicine, Eulji University Medical Centre, Daejeon, Republic of Korea.ORCID https://orcid.org/0000-0002-1703-2303
Seung Youp BaekDepartment of Anaesthesiology and Pain Medicine, Eulji University Medical Centre, Daejeon, Republic of Korea.ORCID https://orcid.org/0000-0002-8242-7109
Tae Woo KimDepartment of Anaesthesiology and Pain Medicine, Eulji University Medical Centre, Daejeon, Republic of Korea.ORCID https://orcid.org/0000-0002-2115-6448
Chang Young JeongDepartment of Anaesthesiology and Pain Medicine, Eulji University Medical Centre, Daejeon, Republic of Korea.ORCID https://orcid.org/0000-0002-8830-3406
Keon Hee RyuDepartment of Anaesthesiology and Pain Medicine, Eulji University Medical Centre, Daejeon, Republic of Korea.ORCID https://orcid.org/0000-0001-5781-6658
Dong Ho ParkDepartment of Anaesthesiology and Pain Medicine, Eulji University Medical Centre, Daejeon, Republic of Korea.ORCID https://orcid.org/0000-0002-6587-3756
Eulji University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vasopressin is a locally-injected vasoconstrictor used to reduce bleeding during gynaecological surgery. However, even in these cases, vasopressin can induce adverse effects, including bradycardia, myocardial infarction and cardiac arrest. Elevated blood concentrations of vasopressin may induce the sympathoinhibitory reflex by increasing blood pressure and augment the sympathoinhibitory reflex by activating the area postrema. In addition, pneumoperitoneum formation needed for laparoscopy as well as physiological changes caused by steep Trendelenburg positions used during robotic surgeries may cause bradycardia. Shoulder braces used to prevent slipping from a steep Trendelenburg position may also be hazardous. This case report describes a 31-year-old female patient who underwent a scheduled robotic-assisted laparoscopic myomectomy in a steep Trendelenburg position. The patient experienced a cardiac arrest 2 min after the vasopressin injection and was treated accordingly. There were no abnormal findings on the postoperative laboratory studies, chest X-ray and electrocardiogram. The patient also had clear consciousness with no other notable symptoms. The patient was discharged on postoperative day 2. The report discusses the potential adverse effects of local vasopressin injection during robotic-assisted laparoscopic myomectomy.

Indexed as

AdultFemaleGynecologic Surgical ProceduresHeart ArrestHumansInjections, IntramuscularLaparoscopyLeiomyomaRobotic Surgical ProceduresUterine MyomectomyUterine NeoplasmsVasopressinsVasopressinsBradycardiacardiac arrestlaparoscopymyomectomyroboticsvasopressin

Identifiers

PMID30345858
PMCPMC6300950
OpenAlexW2897574015

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.