Evidence map›Paper›PMID 34232373›Full record

ArticleSurgery today2021

Extracorporeal membrane oxygenation for the anesthetic management of a patient with severe airway stenosis caused by thyroid carcinoma invasion.

Yoshifumi Ikeda, Yoshiyuki Saito, Tomohisa Kadomura, Roppei Yamada, Shun Shibuya, Hideki Itoh, Dai Ishiwa, Kazuma Tsuji, Zenko Nagashima, Satoru Segawa

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In one paragraph

Article in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Anaesthetic challenges of carinal resection and reconstruction: A case report.Lung India : official organ of Indian Chest Society · 2024
    Article
  4. Review
  5. Article
  6. 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

10 authors at 3 institutions in 1 country.

Yoshifumi IkedaDepartment of Surgery, International University of Health and Welfare, Atami Hospital, 13-1 Higashikaigan-cho, Atami-City, Shizuoka, 413-0012, Japan. yikeda@iuhw.ac.jp.
Yoshiyuki SaitoDepartment of Surgery, International Goodwill Hospital, 1-28-1 Nishigaoka, Izumi-ku, Yokohama-city, Kanagawa, 245-0006, Japan.
Tomohisa KadomuraDepartment of Surgery, International University of Health and Welfare, Atami Hospital, 13-1 Higashikaigan-cho, Atami-City, Shizuoka, 413-0012, Japan.
Roppei YamadaDepartment of Surgery, International University of Health and Welfare, Atami Hospital, 13-1 Higashikaigan-cho, Atami-City, Shizuoka, 413-0012, Japan.
Shun ShibuyaDepartment of Surgery, International University of Health and Welfare, Atami Hospital, 13-1 Higashikaigan-cho, Atami-City, Shizuoka, 413-0012, Japan.
Hideki ItohDepartment of Anesthesiology and Pain Medicine, International University of Health and Welfare, Atami Hospital, 13-1 Higashikaigan-cho, Atami-City, Shizuoka, 413-0012, Japan.
Dai IshiwaDepartment of Anesthesiology and Pain Medicine, International University of Health and Welfare, Atami Hospital, 13-1 Higashikaigan-cho, Atami-City, Shizuoka, 413-0012, Japan.
Kazuma TsujiDepartment of Anesthesiology and Pain Medicine, International University of Health and Welfare, Atami Hospital, 13-1 Higashikaigan-cho, Atami-City, Shizuoka, 413-0012, Japan.
Zenko NagashimaDepartment of Cardiovascular Medicine, International University of Health and Welfare, Atami Hospital, 13-1 Higashikaigan-cho, Atami-City, Shizuoka, 413-0012, Japan.
Satoru SegawaDepartment of Cardiovascular Medicine, International University of Health and Welfare, Atami Hospital, 13-1 Higashikaigan-cho, Atami-City, Shizuoka, 413-0012, Japan.
International University Of Health And Welfare Atami Hospital · JPInternational University of Health and Welfare · JPInternational Goodwill Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment of a thyroid carcinoma extending into the thoracic cavity with severe airway stenosis is difficult, since there is a risk of acute respiratory decompensation at every stage of anesthesia. Extracorporeal membrane oxygenation (ECMO) is a life support technique for maintaining both the cardiac and respiratory functions. It is used for the management of acute, severe, reversible respiratory or cardiac failure refractory to conventional management. We herein describe the use of ECMO for the anesthetic management of an elderly patient with severe airway stenosis caused by thyroid carcinoma invasion, which underwent total thyroidectomy with the resection of four tracheal rings and end-to-end anastomosis under a median sternotomy. Although the risks and benefits should be carefully weighed before a decision to use ECMO is made, the use of ECMO in the management of general anesthesia may be a rational and effective strategy for maintaining oxygenation.

Indexed as

Extracorporeal Membrane OxygenationAgedAnesthesia, GeneralFemaleHumansNeoplasm InvasivenessSeverity of Illness IndexThyroid Cancer, PapillaryThyroid NeoplasmsTracheal StenosisTreatment OutcomeExtracorporeal membrane oxygenationPapillary thyroid carcinomaSevere tracheal stenosis

Identifiers

PMID34232373
OpenAlexW3179426018

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.