Evidence map›Paper›PMID 32594214›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

The tenets of intrathoracic packing during damage control thoracic surgery for trauma patients: a systematic review.

Ramiro Manzano-Nunez, Julian Chica, Alexandra Gómez, Maria P Naranjo, Harold Chaves, Luis E Muñoz, Javier E Rengifo, Isabella Caicedo-Holguin, Juan C Puyana, Alberto F García

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Awareness of damage control surgery and resuscitation practice: Rational emergency surgical trends in mass trauma events in Syria.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
    Article
  5. Review
  6. Article
  7. Damage control surgery in lung trauma.Colombia medica (Cali, Colombia) · 2021
    Review
  8. Reinterventions after damage control surgery.Colombia medica (Cali, Colombia)
    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

10 authors at 5 institutions in 2 countries.

Ramiro Manzano-NunezClinical Research Center, Fundacion Valle del Lili, Cali, Colombia. ramiro.manzano@fvl.org.co.ORCID http://orcid.org/0000-0001-7444-9634
Julian ChicaClinical Research Center, Fundacion Valle del Lili, Cali, Colombia.
Alexandra GómezClinical Research Center, Fundacion Valle del Lili, Cali, Colombia.
Maria P NaranjoClinical Research Center, Fundacion Valle del Lili, Cali, Colombia.
Harold ChavesDepartment of Surgery, Universidad del Valle, Cali, Colombia.
Luis E MuñozDepartment of Surgery, Universidad del Valle, Cali, Colombia.
Javier E RengifoDepartment of Radiology, Universidad Autónoma de Bucaramanga, Bucaramanga, Colombia.
Isabella Caicedo-HolguinFacultad de Medicina, Universidad del Rosario, Bogotá, Colombia.
Juan C PuyanaDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Alberto F GarcíaDepartment of Surgery, Fundacion Valle del Lili, Cali, Colombia.
Fundación Valle del Lili · COUniversidad del Valle · COUniversidad Autónoma de Bucaramanga · COUniversidad del Rosario · COUniversity of Pittsburgh · US

Funding

Trauma and Injury Excellence in Education on Research (TralnEER) ProgramD43TW007560 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PUYANA, JUAN CARLOS · 2006 to 2010
$745k
FIC NIH HHS D43 TW007560
6 · The paper itself

Abstract

purposeAlthough Damage Control Thoracic Surgery (DCTS) has become a provocative alternative to treat patients with chest injuries who are critically ill and physiologically depleted, the management approaches of chest-packing and the measurement of clinically relevant outcomes are not well established. In this paper, we systematically reviewed the available knowledge and evidence about intra-thoracic packing during DCTS for trauma patients. We furthermore inform on the management approaches, surgical strategies, and mortality associated with this intervention.

methodsWe identified articles in MEDLINE and SCOPUS. We reviewed all studies that included trauma patients with chest injuries and managed with intrathoracic packing during DCTS. Studies were eligible if the use of intrathoracic packing in trauma populations was reported.

resultsWe identified 14 studies with a total of 211 patients. Overall, intrathoracic packing was used in 131 trauma patients. Packing was most commonly used to arrest persistent coagulopathic bleeding or oozing either from raw surfaces or repaired structures and in conjunction with other operative techniques. Pneumonectomy was a deadly intervention; however, one study reported survivors when pneumonectomy was deferred.

conclusionPacking is a feasible, reliable and potentially effective complementary method for hemorrhage control. Therefore, we recommend that packing can be used liberally as a complement to rapid lung-sparing techniques.

Indexed as

Thoracic InjuriesThoracic SurgeryThoracic Surgical ProceduresBandagesHemorrhageHumansDamage controlPackingPneumonectomyThoracic trauma

Identifiers

PMID32594214
OpenAlexW3037366043

What OpenQuestion holds

Textmetadata
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.