Evidence map›Paper›PMID 34136261›Full record

ArticleRespirology case reports2021

Precautionary strategy for high-risk airway bleeding cases during robotic-assisted bronchoscopy.

Sebastian Fernandez-Bussy, David Abia-Trujillo, Neal M Patel, Jorge M Pascual, Adnan Majid, Erik E Folch, Janani S Reisenauer

Open access · goldAbstract readCase Reports
In one paragraph

Article in Respirology case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Anesthesia for Bronchoscopy-An Update.Journal of clinical medicine · 2024
    Review
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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

7 authors at 4 institutions in 1 country.

Sebastian Fernandez-BussyDivision of Pulmonary, Allergy, Sleep Medicine & Respiratory Services Mayo Clinic Jacksonville FL USA.ORCID https://orcid.org/0000-0002-3847-4127
David Abia-TrujilloDivision of Pulmonary, Allergy, Sleep Medicine & Respiratory Services Mayo Clinic Jacksonville FL USA.ORCID https://orcid.org/0000-0002-2064-292X
Neal M PatelDivision of Pulmonary, Allergy, Sleep Medicine & Respiratory Services Mayo Clinic Jacksonville FL USA.
Jorge M PascualDivision of Pulmonary, Allergy, Sleep Medicine & Respiratory Services Mayo Clinic Jacksonville FL USA.
Adnan MajidDivision of Thoracic Surgery and Interventional Pulmonology Beth Israel Deaconess Medical Center Boston MA USA.
Erik E FolchDepartment of Pulmonary and Critical Care Medicine Massachusetts General Hospital Boston MA USA.
Janani S ReisenauerDivision of General Thoracic Surgery Mayo Clinic Rochester MN USA.
Jacksonville College · USBeth Israel Deaconess Medical Center · USMassachusetts General Hospital · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bronchoscopy in thrombocytopenic patients remains a controversial topic as traditionally varying platelet thresholds have been stablished as "safe," ranging from 20,000 to 50,000. A lower threshold may be safe for a routine airway inspection with bronchoalveolar lavage but will be far from safe for more invasive interventions such as needle biopsy, transbronchial biopsy, or cryo-biopsy. Currently, a minimal platelet threshold during robotic-assisted bronchoscopy (RAB) has not been established. In addition, the absolute platelet number does not guarantee appropriate platelet function. The literature regarding the safety of bronchoscopy and its bleeding risk, considering broader and more functional tests such as thromboelastography (TEG), is also lacking. We present our RAB approach to safely sample lung nodules in a patient with thrombocytopenia. Our precautionary strategy for high-risk bleeding cases during RAB utilizing TEG and parallel flexible bronchoscopy with segmental balloon occlusion may be an appropriate technique to minimize bleeding risk.

Indexed as

Robotic‐assisted bronchoscopysignificant airway bleedingthromboelastography

Identifiers

PMID34136261
PMCPMC8193863
OpenAlexW3168378771

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.