Evidence map›Paper›PMID 34117557›Full record

ArticleJA clinical reports2021

Perioperative management of a patient undergoing resection of interleukin-6 producing pheochromocytoma.

Masahiro Kuroki, Hiroto Suzuki, Misato Kurota, Masaki Nakane, Kaneyuki Kawamae

Open access · goldAbstract read
In one paragraph

Article in JA clinical reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

5 authors at 2 institutions in 1 country.

Masahiro KurokiDepartment of Anesthesiology, Yamagata University Hospital, 2-2-2 Iida-nishi, Yamagata City, Yamagata, 990-9585, Japan. m_kuroki@med.id.yamagata-u.ac.jp.ORCID http://orcid.org/0000-0001-9152-3226
Hiroto SuzukiCritical Care Center, Yamagata University Hospital, 2-2-2 Iida-nishi, Yamagata City, Yamagata, 990-9585, Japan.
Misato KurotaDepartment of Anesthesiology, Yamagata University Hospital, 2-2-2 Iida-nishi, Yamagata City, Yamagata, 990-9585, Japan.
Masaki NakaneDepartment of Emergency and Critical Care Medicine, Yamagata University Hospital, 2-2-2 Iida-nishi, Yamagata City, Yamagata, 990-9585, Japan.
Kaneyuki KawamaeDepartment of Anesthesiology, Yamagata University Hospital, 2-2-2 Iida-nishi, Yamagata City, Yamagata, 990-9585, Japan.
Yamagata University Hospital · JPYamagata University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPheochromocytomas produce hormones, cytokines, and catecholamines. We report perioperative anesthetic management of a rare interleukin-6 (IL-6)-producing pheochromocytoma. CASE PRESENTATION: A 32-year-old female was scheduled for laparoscopic adrenalectomy for pheochromocytoma. She had a sustained high fever with elevated serum noradrenaline and IL-6 levels. The persistent high inflammatory state, followed by anemia, malnutrition, and coagulopathy, led us to prepone her date of surgery. During general anesthesia, alpha-blockers allowed hemodynamic fluctuations to be controlled. During surgery, simultaneous increases in noradrenaline and IL-6 levels were observed, which rapidly declined after tumor removal. Her postoperative course was uneventful, without pulmonary edema caused by cytokine storms.

conclusionsThe conventional pheochromocytoma strategy allowed surgical removal of an IL-6-producing pheochromocytoma under general anesthesia. However, management of high inflammatory states that induce anemia and coagulopathy is necessary.

Indexed as

InflammatoryInterleukin-6Pheochromocytoma

Identifiers

PMID34117557
PMCPMC8196126
OpenAlexW3169929134

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.