Evidence map›Paper›PMID 34208699›Full record

ReviewJournal of clinical medicine2021

Management of Intraoperative Mechanical Ventilation to Prevent Postoperative Complications after General Anesthesia: A Narrative Review.

Alberto Fogagnolo, Federica Montanaro, Lou'i Al-Husinat, Cecilia Turrini, Michela Rauseo, Lucia Mirabella, Riccardo Ragazzi, Irene Ottaviani, Gilda Cinnella, Carlo Alberto Volta and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 45 citations in OpenAlex.

  1. Association of intraoperative end-tidal COBritish journal of anaesthesia · 2025
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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

11 authors at 3 institutions in 2 countries.

Alberto FogagnoloDepartment of Translation Medicine and for Romagna, Section of Anesthesia and Intensive Care, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0002-2737-0162
Federica MontanaroDepartment of Translation Medicine and for Romagna, Section of Anesthesia and Intensive Care, University of Ferrara, 44121 Ferrara, Italy.
Lou'i Al-HusinatDepartment of Clinical Sciences, Faculty of Medicine, Yarmouk University, Irbid 21163, Jordan.ORCID 0000-0001-8945-8330
Cecilia TurriniDepartment of Translation Medicine and for Romagna, Section of Anesthesia and Intensive Care, University of Ferrara, 44121 Ferrara, Italy.
Michela RauseoDepartment of Anesthesia and Intensive Care, University of Foggia, 71122 Foggia, Italy.
Lucia MirabellaDepartment of Anesthesia and Intensive Care, University of Foggia, 71122 Foggia, Italy.
Riccardo RagazziDepartment of Translation Medicine and for Romagna, Section of Anesthesia and Intensive Care, University of Ferrara, 44121 Ferrara, Italy.
Irene OttavianiDepartment of Translation Medicine and for Romagna, Section of Anesthesia and Intensive Care, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0002-9150-1323
Gilda CinnellaDepartment of Anesthesia and Intensive Care, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0001-9864-2893
Carlo Alberto VoltaDepartment of Translation Medicine and for Romagna, Section of Anesthesia and Intensive Care, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0003-3533-6121
Savino SpadaroDepartment of Translation Medicine and for Romagna, Section of Anesthesia and Intensive Care, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-5027-5318
University of Ferrara · ITUniversity of Foggia · ITYarmouk University · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mechanical ventilation (MV) is still necessary in many surgical procedures; nonetheless, intraoperative MV is not free from harmful effects. Protective ventilation strategies, which include the combination of low tidal volume and adequate positive end expiratory pressure (PEEP) levels, are usually adopted to minimize the ventilation-induced lung injury and to avoid post-operative pulmonary complications (PPCs). Even so, volutrauma and atelectrauma may co-exist at different levels of tidal volume and PEEP, and therefore, the physiological response to the MV settings should be monitored in each patient. A personalized perioperative approach is gaining relevance in the field of intraoperative MV; in particular, many efforts have been made to individualize PEEP, giving more emphasis on physiological and functional status to the whole body. In this review, we summarized the latest findings about the optimization of PEEP and intraoperative MV in different surgical settings. Starting from a physiological point of view, we described how to approach the individualized MV and monitor the effects of MV on lung function.

Indexed as

general anesthesiaintraoperative mechanical ventilationintraoperative monitoringpositive end expiratory pressurepostoperative carepostoperative pulmonary atelectasispostoperative pulmonary complicationsprecision medicinepreoperative carerespiratory failurerisk assessment

Identifiers

PMID34208699
PMCPMC8234365
OpenAlexW3170457234

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.