Evidence map›Paper›PMID 34719390›Full record

ArticleBMC anesthesiology2021

Current practice of thoracic anaesthesia in Europe - a survey by the European Society of Anaesthesiology Part I - airway management and regional anaesthesia techniques.

Jerome Defosse, Mark Schieren, Torsten Loop, Vera von Dossow, Frank Wappler, Marcelo Gama de Abreu, Mark Ulrich Gerbershagen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. 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

7 authors at 4 institutions in 3 countries.

Jerome Defosse *Department of Anaesthesiology and Intensive Care Medicine, University Witten/Herdecke, Medical centre Cologne-Merheim, Cologne, Germany. defossej@kliniken-koeln.de.
Mark Schieren *Department of Anaesthesiology and Intensive Care Medicine, University Witten/Herdecke, Medical centre Cologne-Merheim, Cologne, Germany.
Torsten LoopDepartment of Anesthesiology and Critical Care, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Vera von DossowInstitute of Anesthesiology, Heart and Diabetes Center North Rhine Westphalia, Bad Oeynhausen, Germany.
Frank WapplerDepartment of Anaesthesiology and Intensive Care Medicine, University Witten/Herdecke, Medical centre Cologne-Merheim, Cologne, Germany.
Marcelo Gama de AbreuDepartment of Anaesthesiology and Intensive Care Medicine, Pulmonary Engineering Group, Technische Universität Dresden, University Hospital Carl Gustav Carus, Dresden, Germany.
Mark Ulrich GerbershagenDepartment of Anaesthesiology, University Witten/Herdecke, Hospital Holweide, Cologne, Germany.
Witten/Herdecke University · DEHeart and Diabetes Center North Rhine-Westphalia · DEUniversity Hospital Carl Gustav Carus · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe scientific working group for "Anaesthesia in thoracic surgery" of the German Society of Anaesthesiology and Intensive Care Medicine (DGAI) has performed an online survey to assess the current standards of care and structural properties of anaesthesia workstations in thoracic surgery.

methodsAll members of the European Society of Anaesthesiology (ESA) were invited to participate in the study.

resultsThoracic anaesthesia was most commonly performed by specialists/board-certified anaesthetists and/or senior/attending physicians. Across Europe, the double lumen tube (DLT) was most commonly chosen as the primary device for lung separation (461/ 97.3%). Bronchial blockers were chosen less frequently (9/ 1.9%). Throughout Europe, bronchoscopy was not consistently used to confirm correct double lumen tube positioning. Respondents from Eastern Europe (32/ 57.1%) frequently stated that there were not enough bronchoscopes available for every intrathoracic operation. A specific algorithm for difficult airway management in thoracic anaesthesia was available to only 18.6% (n = 88) of the respondents. Thoracic epidural analgesia (TEA) is the most commonly used form of regional analgesia for thoracic surgery in Europe. Ultrasonography was widely available 93,8% (n = 412) throughout Europe and was predominantly used for central line placement and lung diagnostics.

conclusionsWhile certain "gold standards "are widely met, there are also aspects of care requiring substantial improvement in thoracic anaesthesia throughout Europe. Our data suggest that algorithms and standard operating procedures for difficult airway management in thoracic anaesthesia need to be established. A European recommendation for the basic requirements of an anaesthesia workstation for thoracic anaesthesia is expedient and desirable, to improve structural quality and patient safety.

Indexed as

Airway ManagementAlgorithmsAnesthesia, ConductionAnesthesiologyBronchoscopyCross-Sectional StudiesEuropeHealth Care SurveysHumansThoracic Surgical ProceduresBronchial blockerOne-lung ventilationRegional anaesthesiaThoracic anaesthesiaThoracic surgery

Identifiers

PMID34719390
PMCPMC8558093
OpenAlexW3209105924

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.