Evidence map›Paper›PMID 34667407›Full record

ArticleAnnals of pediatric cardiology

Effect of change in tidal volume on left to right shunt across ventricular septal defect in children - A pilot study.

Pravin Pathak, Sambhunath Das, Saurabh Kumar Gupta, Suruchi Hasija, Arindam Choudhury, Parag Gharde, Neeti Makhija, Sandeep Chauhan

Open access · diamondAbstract read
In one paragraph

Article in Annals of pediatric cardiology. 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
0.5field-weighted citation impact, top 35% 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, 4 citations in OpenAlex.

  1. Pediatric cardiology: Is India self-reliant?Annals of pediatric cardiology
    Article
  2. Article
  3. Annals of pediatric cardiology
    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

8 authors at 1 institution in 1 country.

Pravin PathakDepartment of Cardiac Anaesthesia, CNC, All India Institute of Medical Sciences, New Delhi, India.
Sambhunath DasDepartment of Cardiac Anaesthesia, CNC, All India Institute of Medical Sciences, New Delhi, India.
Saurabh Kumar GuptaDepartment of Cardiology, Cardiothoracic Centre, CNC, All India Institute of Medical Sciences, New Delhi, India.
Suruchi HasijaDepartment of Cardiac Anaesthesia, CNC, All India Institute of Medical Sciences, New Delhi, India.
Arindam ChoudhuryDepartment of Cardiac Anaesthesia, CNC, All India Institute of Medical Sciences, New Delhi, India.
Parag GhardeDepartment of Cardiac Anaesthesia, CNC, All India Institute of Medical Sciences, New Delhi, India.
Neeti MakhijaDepartment of Cardiac Anaesthesia, CNC, All India Institute of Medical Sciences, New Delhi, India.
Sandeep ChauhanDepartment of Cardiac Anaesthesia, CNC, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary vascular resistance, an important determinant of shunting across ventricular septal defects (VSD), rises at both extremes of lung volume.

aimsWe sought to determine the effect of changes in tidal volumes (VT) on pulmonary blood flow (Qp), systemic blood flow (Qs), and shunt (Qp/Qs) in children with VSD.

settingSingle-center teaching hospital.

designProspective observational study.

methodsThirty children with a mean age of 11.8 ± 5 months undergoing surgical closure of VSD were studied. Hemodynamics and shunt-related parameters were assessed using transthoracic echocardiography measured at three different VT i.e. 10, 8, and 6-ml/kg keeping the minute ventilation constant.

resultsReduction in VT from 10 to 8 to 6 ml/kg led to a reduction in gradient across VSD measuring 23.5, 20 and 13 mmHg respectively (

conclusionLower V

Indexed as

Peak airway pressureshunt (Qp/Qs)tidal volumetransthoracic echocardiographyventilatory settingventricular septal defect

Identifiers

PMID34667407
PMCPMC8457296
OpenAlexW3193490153

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.