Evidence map›Paper›PMID 34985733›Full record

ArticleGeneral thoracic and cardiovascular surgery2022

Better intraoperative cardiopulmonary stability and similar postoperative results of spontaneous ventilation combined with intubation than non-intubated thoracic surgery.

József Furák, Zsanett Barta, Judit Lantos, Aurél Ottlakán, Tibor Németh, Balázs Pécsy, Tamás Tánczos, Zsolt Szabó, Dóra Paróczai

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in General thoracic and cardiovascular surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
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

9 authors at 2 institutions in 1 country.

József Furák *Department of Surgery, University of Szeged, Semmelweis u. 8, Szeged, 6725, Hungary. jfurak@gmail.com.ORCID http://orcid.org/0000-0002-7224-1642
Zsanett Barta *Department of Surgery, University of Szeged, Semmelweis u. 8, Szeged, 6725, Hungary.
Judit LantosDepartment of Neurology, Bács-Kiskun County Hospital, Kecskemét, Hungary.
Aurél OttlakánDepartment of Surgery, University of Szeged, Semmelweis u. 8, Szeged, 6725, Hungary.
Tibor NémethDepartment of Surgery, University of Szeged, Semmelweis u. 8, Szeged, 6725, Hungary.
Balázs PécsyDepartment of Surgery, University of Szeged, Semmelweis u. 8, Szeged, 6725, Hungary.
Tamás TánczosDepartment of Anesthesiology and Intensive Care, University of Szeged, Szeged, Hungary.
Zsolt SzabóInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Dóra ParóczaiDepartment of Medical Microbiology, University of Szeged, Szeged, Hungary.
University of Szeged · HUBács-Kiskun Megyei Kórház · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNon-intubated spontaneous ventilation video-assisted thoracic surgery lobectomy is a well-known procedure, but there are doubts regarding its safety. To solve this problem, we developed a safe procedure for spontaneous ventilation thoracic surgery (spontaneous ventilation with intubation). This study analyzed the intraoperative parameters and postoperative results of spontaneous ventilation with intubation.

methodsBetween March 11, 2020 and March 26, 2021, 38 spontaneous ventilation with intubation video-assisted thoracic surgery lobectomies were performed. We chose the first 38 non-intubated spontaneous ventilation video-assisted thoracic surgery lobectomy cases with a laryngeal mask performed in 2017 for comparison.

resultsThere were no significant differences between the non-intubated spontaneous ventilation and spontaneous ventilation with intubation groups in postoperative surgical results (surgical time: 98,7 vs. 88,1 min (p = 0.067); drainage time: 3.5 vs. 2.7 days (p = 0.194); prolonged air leak 15.7% vs. 10.5% (p = 0.5); conversion rate to relaxation: 5.2% vs. 13.1% (p = 0.237); failure of the spontaneous ventilation rate: 10.5% vs. 13.1% (p = 0.724); and morbidity: 21% vs. 13.1% (p = 0.364)) and oncological outcomes. Significantly lower lowest systolic and diastolic blood pressure (systolic, 83.1 vs 132.3 mmHg, p = 0.001; diastolic 47.8 vs. 73.4 mmHg, p = 0.0001), lowest oxygen saturation (90.3% vs 94.9%, p = 0.026), and higher maximum pCO

conclusionsSpontaneous ventilation with intubation is a more physiological procedure than non-intubated spontaneous ventilation in terms of intraoperative blood pressure stability and gas exchange. The surgical results were similar in the two groups.

Indexed as

Thoracic SurgeryHumansIntubation, IntratrachealOperative TimePostoperative PeriodThoracic Surgery, Video-AssistedIntubationNon-intubatedSpontaneous ventilationVideo-assisted thoracic surgery

Identifiers

PMID34985733
OpenAlexW4205725610

What OpenQuestion holds

Textmetadata
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.