Evidence map›Paper›PMID 30537951›Full record

Trial reportBMC anesthesiology2018

Can apneic oxygen insufflation become a novel lung protective ventilation strategy? A randomized, controlled, blinded, single center clinical trial.

Yongtao Gao, Zhi Wang, Feng Jiang, Jie Gao, Yujia Li, Siyuan Liu

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors at 1 institution in 1 country.

Yongtao GaoAffiliated Hospital of Nantong University, No. 20 Xishi Road, 226001, Nantong City, Jiangsu Province, People's Republic of China. gyt19700114@sina.com.ORCID 0000-0002-9436-7393
Zhi WangAffiliated Hospital of Nantong University, No. 20 Xishi Road, 226001, Nantong City, Jiangsu Province, People's Republic of China.
Feng JiangAffiliated Hospital of Nantong University, No. 20 Xishi Road, 226001, Nantong City, Jiangsu Province, People's Republic of China.
Jie GaoMedical College of Nantong University, Nantong, People's Republic of China.
Yujia LiAffiliated Hospital of Nantong University, No. 20 Xishi Road, 226001, Nantong City, Jiangsu Province, People's Republic of China.
Siyuan LiuAffiliated Hospital of Nantong University, No. 20 Xishi Road, 226001, Nantong City, Jiangsu Province, People's Republic of China.
Nantong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to determine whether a AOI strategy on non-ventilated lung could reduce the regional and systemic proinflammatory cytokine and oxidative stress response associated with esophagectomy, and to evaluate whether AOI can be used as a novel lung protective ventilation strategy. Its impact on oxygenation after OLV, surfactant protein A, B, C (SP-A, B, C), postoperative hospital stay and postoperative pulmonary complications (PPCs) was also evaluated.

methodsFifty-four adults (ASA II-III) undergoing esophagectomy with OLV were enrolled in the study. Patients were randomly assigned into 2 groups: control group (group C) and treated group (group T). Group C was treated with traditional OLV mode,while group T was given AOI of 5 L/min oxygen on the non-ventilated lung immediately at the beginning of OLV. Arterial blood gas was analyzed before and after OLV. A bronchoalveolar lavage(BAL) was performed after OLV on the non-ventilated lung. Proinflammatory cytokine, oxidative stress markers(TNF-α, NF-κB,sICAM-1,IL-6,IL-10,SOD,MDA) and SP-A, B, C were analyzed in serum and BALF as the primary endpoint.The clinical outcome determined by PPCs was assessed as the secondary endpoint.

resultsPatients with AOI had better oxygenation in the recovery period, oxygenation index(OI) (394[367-426] and 478[440-497]mmHg, respectively) of group T at T

conclusionAOI on non-ventilated lung during OLV can improve the oxygenation function after OLV, relieve the inflammatory and oxidative stress response in the systemic and non-ventilated lung after OLV associated with esophagectomy.

trial registrationChiCTR-IOR-17011037 . Registered on 31 March 2017.

Indexed as

AgedBlood Gas AnalysisBronchoalveolar LavageCytokinesEsophagectomyFemaleHumansInsufflationLength of StayLungMaleMiddle AgedOne-Lung VentilationOxidative StressOxygenPostoperative ComplicationsCytokinesOxygenApneic oxygen insufflationBronchoalveolar lavage fluidInflammatory responseOne lung ventilationOxidative stressOxygenation index

Identifiers

PMID30537951
PMCPMC6290548
OpenAlexW2904497288

What OpenQuestion holds

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LicenceCC BY
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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.