Evidence map›Paper›PMID 30813195›Full record

ArticleMedicine2019

Diffuse alveolar hemorrhage following sugammadex and remifentanil administration: A case report.

Won Kyu Choi, Jae Myeong Lee, Jong Bun Kim, Kyong Shil Im, Bong Hee Park, Su Bin Yoo, Cha Yun Park

Open access · goldAbstract readCase Reports
In one paragraph

Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Won Kyu ChoiDepartment of Anesthesiology and Pain Medicine.
Jae Myeong LeeDepartment of Anesthesiology and Pain Medicine.
Jong Bun KimDepartment of Anesthesiology and Pain Medicine.
Kyong Shil ImDepartment of Anesthesiology and Pain Medicine.
Bong Hee ParkDepartment of Urology, Uijeongbu St Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, Korea.
Su Bin YooDepartment of Anesthesiology and Pain Medicine.
Cha Yun ParkDepartment of Anesthesiology and Pain Medicine.
The Catholic University of Korea Uijeongbu St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleDiffuse alveolar hemorrhage (DAH) is a rare life-threatening condition that accompanies general anesthesia. Negative-pressure pulmonary edema (NPPE) is a rare cause of DAH. PATIENT CONCERNS: A 25-year-old male patient developed hemoptysis following remifentanil administration by bolus injection with sugammadex at the emergence from general anesthesia. DIAGNOSIS: Chest x-ray and computed tomography showed DAH.

interventionsConservative care was provided with 4L of oxygen via nasal prong, 20 mg of Lasix and 2500 mg of tranexamic acid. OUTCOMES: The patient was discharged uneventfully. LESSONS: Muscle rigidity by remifentanil and the dissociated reversal of neuromuscular blockade by sugammadex was suspected as the cause of NPPE-related DAH. Therefore, the possibility NPPE-related DAH should be considered when using a bolus of remifentanil and sugammadex during emergence from general anesthesia.

Indexed as

AdultAnalgesics, OpioidAnesthesia, GeneralHemoptysisHemorrhageHumansLungLung DiseasesMalePulmonary EdemaRemifentanilSugammadexTomography, X-Ray ComputedAnalgesics, OpioidRemifentanilSugammadex

Identifiers

PMID30813195
PMCPMC6408145
OpenAlexW2918361443

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.