Evidence map›Paper›PMID 33437072›Full record

ArticleIndian journal of anaesthesia2020

Role of ultrasonographic inferior venacaval assessment in averting spinal anaesthesia-induced hypotension for hernia and hydrocele surgeries-A prospective randomised controlled study.

Basavaraja Ayyanagouda, B C Ajay, Chhaya Joshi, S Y Hulakund, Anilkumar Ganeshnavar, E Archana

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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

6 authors at 1 institution in 1 country.

Basavaraja AyyanagoudaDepartment of Anaesthesiology, S N Medical College and HSK Hospital, Navanagar, Bagalkot, Karnataka, India.
B C AjayDepartment of Anaesthesiology, S N Medical College and HSK Hospital, Navanagar, Bagalkot, Karnataka, India.
Chhaya JoshiDepartment of Anaesthesiology, S N Medical College and HSK Hospital, Navanagar, Bagalkot, Karnataka, India.
S Y HulakundDepartment of Anaesthesiology, S N Medical College and HSK Hospital, Navanagar, Bagalkot, Karnataka, India.
Anilkumar GaneshnavarDepartment of Anaesthesiology, S N Medical College and HSK Hospital, Navanagar, Bagalkot, Karnataka, India.
E ArchanaDepartment of Anaesthesiology, S N Medical College and HSK Hospital, Navanagar, Bagalkot, Karnataka, India.
Sarojini Naidu Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsHypotension is one of the most common side effects of spinal anaesthesia and preoperative volume status is one of the predictive variables for developing spinal-induced hypotension (SIH). Inferior venacaval ultrasound (IVCUS) is effective to assess fluid responsiveness in critical care patients. The aim of this study was to evaluate the IVCUS-guided volume optimisation prior to spinal anaesthesia to prevent SIH and requirement of vasopressors.

methodsEighty patients undergoing inguinal hernia/hydrocele surgeries under spinal anaesthesia were randomised into group A consisting of an IVCUS-guided volume optimisation before spinal anaesthesia and group B with no IVCUS assessment. Unpaired t-test and Z test were used for statistical analysis. Pearson's correlation coefficient was used to find correlation. The primary outcome was relative risk reduction in the incidence of SIH between the groups. Secondary outcomes were the need for vasopressor drugs, the total volume of fluids required throughout procedure, and correlation between IVC collapsibility index (IVCCI) versus prespinal fluids, IVCCI versus baseline mean arterial pressure (MAP).

resultsThe relative risk reduction in the incidence of SIH was lower in group A compared to group B which was 40% (

conclusionIVCUS assessment reduces the SIH as well as requirement of vasopressor for hernia and hydrocele surgeries.

Indexed as

HypotensionIVC collapsibility indexIVC ultrasoundspinal anaesthesia

Identifiers

PMID33437072
PMCPMC7791418
OpenAlexW3090010587

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.