Evidence map›Paper›PMID 32066598›Full record

Trial reportBMJ open2020

Randomised controlled trial to investigate the relationship between mild hypercapnia and cerebral oxygen saturation in patients undergoing major surgery.

Clarence Wong, Leonid Churilov, Dean Cowie, Chong Oon Tan, Raymond Hu, David Tremewen, Brett Pearce, Param Pillai, Dharshi Karalapillai, Rinaldo Bellomo and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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  9. Alveolar Recruitment Maneuver Reduces Cerebral Oxygen Saturation and Cerebral Blood Flow Velocity in Patients During Carotid Endarterectomy.Medical science monitor : international medical journal of experimental and clinical research · 2021
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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

11 authors at 3 institutions in 1 country.

Clarence WongDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.ORCID 0000-0002-5422-8145
Leonid ChurilovThe Department of Medicine, Austin Health, The Univesity of Melbourne, Heidelberg, Victoria, Australia.
Dean CowieDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
Chong Oon TanDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
Raymond HuDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
David TremewenDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
Brett PearceDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
Param PillaiDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
Dharshi KaralapillaiDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
Rinaldo BellomoDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.
Laurence WeinbergDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia laurence.weinberg@austin.org.au.
Austin Health · AUAustin Hospital · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe effects of hypercapnia on regional cerebral oxygen saturation (rSO

designA prospective, randomised, controlled trial in adult participants undergoing elective major surgery.

settingA single tertiary centre in Heidelberg, Victoria, Australia.

participants40 participants were randomised to either a TMH or TN group (20 to each).

interventionsTMH (partial pressure of carbon dioxide in arterial blood, PaCO PRIMARY AND SECONDARY OUTCOME MEASURES: The primary endpoint was the absolute difference between the two groups in percentage change in rSO

resultsThe absolute difference between the two groups in percentage change in rSO

conclusionTMH was associated with a stable increase in rSO TRIAL REGISTRATION NUMBER: The Australian New Zealand Clinical Trials Registry (ACTRN12616000320459).

Indexed as

BrainDeliriumHypercapniaPostoperative Cognitive ComplicationsSurgical Procedures, OperativeBlood Gas AnalysisCarbon DioxideCerebrovascular CirculationFemaleHumansIntraoperative CareLength of StayMaleMiddle AgedOutcome Assessment, Health CareOxygenCarbon DioxideOxygendeliriumhypercapniaoximetryrespiration, artificialspectroscopy, near infrared

Identifiers

PMID32066598
PMCPMC7045198
OpenAlexW3005715117

What OpenQuestion holds

Textmetadata
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.