Evidence map›Paper›PMID 33106758›Full record

ArticlePerioperative medicine (London, England)2020

Recommendations from the Italian intersociety consensus on Perioperative Anesthesa Care in Thoracic surgery (PACTS) part 2: intraoperative and postoperative care.

Federico Piccioni, Andrea Droghetti, Alessandro Bertani, Cecilia Coccia, Antonio Corcione, Angelo Guido Corsico, Roberto Crisci, Carlo Curcio, Carlo Del Naja, Paolo Feltracco and 16 more

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In one paragraph

Article in Perioperative medicine (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
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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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

26 authors.

Federico PiccioniDepartment of Critical and Supportive Care, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.ORCID 0000-0002-9589-1891
Andrea DroghettiDivision of Thoracic Surgery, ASST Mantova, Mantova, Italy.
Alessandro BertaniDivision of Thoracic Surgery and Lung Transplantation, Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS ISMETT - UPMC, Palermo, Italy.
Cecilia CocciaDepartment of Anesthesia and Critical Care Medicine, National Cancer Institute "Regina Elena"-IRCCS, Rome, Italy.
Antonio CorcioneDepartment of Critical Care Area Monaldi Hospital, Ospedali dei Colli, Naples, Italy.
Angelo Guido CorsicoDivision of Respiratory Diseases, IRCCS Policlinico San Matteo Foundation and Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy.
Roberto CrisciDepartment of Thoracic Surgery, University of L'Aquila, L'Aquila, Italy.
Carlo CurcioThoracic Surgery, AORN dei Colli Vincenzo Monaldi Hospital, Naples, Italy.
Carlo Del NajaDepartment of Thoracic Surgery, IRCCS Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, FG Italy.
Paolo FeltraccoDepartment of Medicine, Anaesthesia and Intensive Care, University Hospital of Padova, Padova, Italy.
Diego FontanaThoracic Surgery Unit - San Giovanni Bosco Hospital, Turin, Italy.
Alessandro GonfiottiThoracic Surgery Unit, University Hospital Careggi, Florence, Italy.
Camillo LopezThoracic Surgery Unit, 'V Fazzi' Hospital, Lecce, Italy.
Domenico MassulloAnesthesiology and Intensive Care Unit, Azienda Ospedaliero Universitaria S. Andrea, Rome, Italy.
Mario NosottiThoracic Surgery and Lung Transplant Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Riccardo RagazziDepartment of Morphology, Surgery and Experimental Medicine, Azienda Ospedaliero-Universitaria Sant'Anna, Ferrara, Italy.
Marco RispoliAnesthesia and Intensive Care, AORN dei Colli Vincenzo Monaldi Hospital, Naples, Italy.
Stefano RomagnoliDepartment of Health Science, Section of Anesthesia and Critical Care, University of Florence, Florence, Italy.
Raffaele ScalaPneumology and Respiratory Intensive Care Unit, San Donato Hospital, Arezzo, Italy.
Luigia ScudellerClinical Epidemiology Unit, Scientific Direction, Fondazione IRCCS San Matteo, Pavia, Italy.
Marco TaurchiniDepartment of Thoracic Surgery, IRCCS Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, FG Italy.
Silvia TognellaRespiratory Unit, Orlandi General Hospital, Bussolengo, Verona, Italy.
Marzia UmariCombined Department of Emergency, Urgency and Admission, Cattinara University Hospital, Trieste, Italy.
Franco ValenzaDepartment of Critical and Supportive Care, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Flavia PetriniDepartment of Anaesthesia, Perioperative Medicine, Pain Therapy, RRS and Critical Care Area - DEA ASL2 Abruzzo, Chieti University Hospital, Chieti, Italy.
AIPO, Associazione Italiana Pneumologi Ospedalieri; SIAARTI, Società Italiana di Anestesia Analgesia Rianimazione Terapia Intensiva; SIC, Società Italiana di Chirurgia; SICT, Società Italiana di Chirurgia Toracica; SIET, Società Italiana di Endoscopia Toracica; SIP, Società Italiana di Pneumologia

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnesthetic care in patients undergoing thoracic surgery presents specific challenges that require a multidisciplinary approach to management. There remains a need for standardized, evidence-based, continuously updated guidelines for perioperative care in these patients.

methodsA multidisciplinary expert group, the Perioperative Anesthesia in Thoracic Surgery (PACTS) group, was established to develop recommendations for anesthesia practice in patients undergoing elective lung resection for lung cancer. The project addressed three key areas: preoperative patient assessment and preparation, intraoperative management (surgical and anesthesiologic care), and postoperative care and discharge. A series of clinical questions was developed, and literature searches were performed to inform discussions around these areas, leading to the development of 69 recommendations. The quality of evidence and strength of recommendations were graded using the United States Preventive Services Task Force criteria.

resultsRecommendations for intraoperative care focus on airway management, and monitoring of vital signs, hemodynamics, blood gases, neuromuscular blockade, and depth of anesthesia. Recommendations for postoperative care focus on the provision of multimodal analgesia, intensive care unit (ICU) care, and specific measures such as chest drainage, mobilization, noninvasive ventilation, and atrial fibrillation prophylaxis.

conclusionsThese recommendations should help clinicians to improve intraoperative and postoperative management, and thereby achieve better postoperative outcomes in thoracic surgery patients. Further refinement of the recommendations can be anticipated as the literature continues to evolve.

Indexed as

AnesthesiaIntraoperative carePneumonectomyPostoperative carePractice guidelineThoracic surgery

Identifiers

PMID33106758
PMCPMC7582032

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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.