Evidence map›Paper›PMID 33969407›Full record

ArticleInteractive cardiovascular and thoracic surgery2021

Propofol pharmacokinetics and pharmacodynamics-a perspective in minimally invasive extracorporeal circulation.

Ignazio Condello, Giuseppe Santarpino, Flavio Fiore, Nicola Di Bari, Giuseppe Speziale, Marco Moscarelli, Giuseppe Nasso

Open access · bronzeAbstract read
In one paragraph

Article in Interactive cardiovascular and thoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 40% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Minimal invasive extracorporeal circulation versus conventional cardiopulmonary bypass in cardiac surgery: a contemporary systematic review and meta-analysis.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Pooled it
  2. Review
  3. Article
  4. TiMikrochimica acta · 2023
    Article
  5. 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

7 authors at 3 institutions in 3 countries.

Ignazio CondelloDepartment of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.ORCID 0000-0003-1192-1908
Giuseppe SantarpinoDepartment of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.ORCID 0000-0002-4913-9834
Flavio FioreDepartment of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.
Nicola Di BariDivision of Cardiac Surgery, Dipartimento di Emergenza e Trapianti di Organo (D.E.T.O.), University of Bari, Bari, Italy.
Giuseppe SpezialeDepartment of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.
Marco MoscarelliDepartment of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.
Giuseppe NassoDepartment of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.
Woodlands Hospital · GBMagna Graecia University · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is limited evidence as to the pharmacokinetic changes expected in adults with extracorporeal technologies. Drugs may be taken up by various components of the cardiopulmonary bypass circuit itself. Issues include the increased volume of the circuit leading to haemodilution; the sequestration of lipophilic drugs within the circuit tubing; and the absorption of proteins, especially albumin, onto the circuit, which can result in increased free drug. However, in this context, the aspect of pharmacokinetics and pharmacodynamics during minimally invasive extracorporeal circulation has not been described and evidenced by scientific studies. In this single-centre control study of 60 patients undergoing isolated coronary artery bypass grafting, we present the results focused on postoperative albumin values and intraoperative propofol dosages in patients undergoing surgery with minimally invasive (n = 30) versus conventional extracorporeal circulation (n = 30). In the minimally invasive extracorporeal circulation group, a lower propofol dosage titrated to a bispectral index of 40-45 was used during coronary artery bypass grafting, and an improvement of postoperative concentration of serum albumin was observed compared to the conventional extracorporeal circulation group.

Indexed as

PropofolAdultCoronary Artery BypassExtracorporeal CirculationHumansMinimally Invasive Surgical ProceduresPostoperative PeriodPropofolAlbuminCardiopulmonary bypassMinimally invasive extracorporeal circulationPharmacodynamicsPharmacokineticsPropofol

Identifiers

PMID33969407
PMCPMC8691579
OpenAlexW3160873127

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.