Evidence map›Paper›PMID 33061118›Full record

ArticleIndian journal of thoracic and cardiovascular surgery2020

Combination of internal (epicardial) and external (transthoracic) defibrillation during heart surgery.

Georgios Theodoros Karapanagiotidis, Philemon Sylvester Gukop, Mustafa Zakkar, Paschalis Tossios, Fotios Leventis, Georgios Ntontos, Mazin Abdul Ibrahim Sarsam

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In one paragraph

Article in Indian journal of thoracic and cardiovascular surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 77% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 2 institutions in 2 countries.

Georgios Theodoros KarapanagiotidisCardiothoracic Surgery Department, St George's Hospital, Blackshaw Road SW, Tooting, London, 17 0QT UK.ORCID 0000-0002-2065-7646
Philemon Sylvester GukopCardiothoracic Surgery Department, St George's Hospital, Blackshaw Road SW, Tooting, London, 17 0QT UK.
Mustafa ZakkarCardiothoracic Surgery Department, St George's Hospital, Blackshaw Road SW, Tooting, London, 17 0QT UK.
Paschalis TossiosCardiothoracic Surgery Department, AHEPA University Hospital, Thessaloniki, Greece.
Fotios LeventisCardiothoracic Surgery Department, AHEPA University Hospital, Thessaloniki, Greece.
Georgios NtontosCardiothoracic Surgery Department, AHEPA University Hospital, Thessaloniki, Greece.
Mazin Abdul Ibrahim SarsamCardiothoracic Surgery Department, St George's Hospital, Blackshaw Road SW, Tooting, London, 17 0QT UK.
St George's Hospital · GBAHEPA University Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis report describes a modified defibrillation technique during cardiac surgery using a combined internal (epicardial) and external (transthoracic) defibrillation system.

methodsWe routinely used 30 J (J) shock between the epicardial pad placed directly onto the right atrium and the left anterolateral transthoracic pad placed in the left anterolateral chest wall directly to the skin in the area of the cardiac apex under the nipple.

resultsThirty-two patients whom developed ventricular fibrillation (VF) during surgery were managed in theatre using this method. A single 30 J shock was successfully given in 29 patients while the remaining three required an additional shock with the same amount (30 J).

conclusionsWe believe that this technique is safe and complications free. It is easy to perform especially in patients with difficult access such as redo operations.

Indexed as

Arrhythmia therapyDefibrillationRe-operationShock

Identifiers

PMID33061118
PMCPMC7525868
OpenAlexW2991468217

What OpenQuestion holds

Textmetadata
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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.