Evidence map›Paper›PMID 33725316›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2021

[The impact of unilateral diaphragmatic paralysis on sleep-disordered breathing: a scoping review].

Mandeep Singh, Jorge M Mejia, Dennis Auckley, Faraj Abdallah, Christopher Li, Vivek Kumar, Marina Englesakis, Richard Brull

Erratum issuedOpen access · bronzeAbstract readScoping Review
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.5field-weighted citation impact, top 44% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
  9. Diaphragm and Lung Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Mandeep SinghDepartment of Anesthesiology and Pain Management, Women's College Hospital, Toronto, ON, Canada. mandeep.singh@uhn.ca.ORCID http://orcid.org/0000-0002-3393-8586
Jorge M MejiaDepartment of Anesthesiology and Pain Management, Women's College Hospital, Toronto, ON, Canada.
Dennis AuckleyDivision of Pulmonary, Critical Care and Sleep Medicine, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Faraj AbdallahDepartment of Anesthesia, University of Ottawa, Ottawa, ON, Canada.
Christopher LiDepartment of Respirology, St. Michael's Hospital, Unity Health, Toronto, ON, Canada.
Vivek KumarDepartment of Anesthesiology and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, McL 2-405, Toronto, ON, M5T 2S8, Canada.
Marina EnglesakisDepartment of Anesthesiology and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, McL 2-405, Toronto, ON, M5T 2S8, Canada.
Richard BrullDepartment of Anesthesiology and Pain Management, Women's College Hospital, Toronto, ON, Canada.
University Health Network · CAMetroHealth Medical Center · USSt. Michael's Hospital · CAToronto Western Hospital · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnilateral diaphragm paralysis (UDP) may potentially worsen sleep-disordered breathing (SDB). Unilateral diaphragm paralysis has been associated with proximal brachial plexus blockade, such as interscalene and supraclavicular block. The impact of UDP in patients with SDB is not known in this context. The objectives of this scoping review were to explore the associations between UDP and worsening SDB severity, oxygenation, and pulmonary function.

methodsA systematic search was developed, peer-reviewed, and applied to Embase, Medline, CINAHL, and Cochrane databases to include studies involving adult patients (≥ 18 yr) with SDB, where the effects of UDP on SDB severity, oxygenation, and pulmonary function were examined.

resultsSix studies (n = 100 patients) with UDP and SDB were included. The sample population was derived exclusively from respirology-sleep clinics, and none were surgical patients. Compared with control (no UDP), UDP was associated with an increased respiratory disturbance index, most pronounced during rapid eye movement (REM) sleep and supine sleep. Supine and REM sleep were associated with obstructive and mixed (both obstructive and central) events, respectively. Compared with control, UDP was associated with a lower mean and minimum oxygen saturation and arterial oxygen tension during all sleep stages and in all body positions. The majority of UDP patients were found to have clinically significant reductions in mean forced expiratory volume in one second and forced vital capacity values, consistent with restrictive ventilatory pattern.

conclusionWe observed an association between UDP and increasing SDB severity, particularly during REM sleep and while sleeping in the supine position. Although we identified weaknesses in study design and lack of perioperative data, anesthesiologists should be aware of this association when considering proximal brachial plexus blockade in patients with SDB.

Indexed as

Respiratory ParalysisSleep Apnea SyndromesAdultHumansPolysomnographySleep, REMVital Capacitydiaphragm palsyhypoxemiainterscalene blockobstructive sleep apneashoulder surgerysleep-disordered breathing

Identifiers

PMID33725316
OpenAlexW3136295853

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.