Evidence map›Paper›PMID 35118288›Full record

ReviewMediastinum (Hong Kong, China)2020

Impact of different sedation modalities on endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).

Paola Ciriaco

Open access · diamondAbstract readReview
In one paragraph

Review in Mediastinum (Hong Kong, China), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  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

1 author at 1 institution in 1 country.

Paola CiriacoDepartment of Thoracic Surgery, Scientific Institute and University Vita-Salute O San Raffaele, Milan, Italy.
Vita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is an important tool in diagnosis and staging of lung and mediastinal disease. However, opinions regarding patient sedation are controversial. Moderate sedation, deep sedation and general anesthesia are widely used with different criteria by many centers. The choice of sedation varies also depending on the type of operator performing the EBUS-TBNA and the location. The operator can be either a thoracic surgeon or a pulmonologist. The thoracic surgeon can have both the endoscopy unit and the operative room available and consequently can perform a triage of patients to be distributed in the two locations. The presence or absence of the anesthesiologist is another variable of the different sedation protocols. In many countries, including Italy, the use of some drugs is restricted to anesthesiologist; therefore, a whole series of sedation protocols performed by bronchoscopists alone would not be reproducible. What emerged from the data analysis is that both mild sedation and deep sedation can be acceptable approaches for EBUS-TBNA. General anesthesia, despite allowing operator's comfort, might be excessive for a maneuver such as EBUS-TBNA and can be proposed in selected cases. The choice about sedation should be modulated on the specific patient's need respecting the operator's best practice.

Indexed as

bronchoscopyEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)sedation

Identifiers

PMID35118288
PMCPMC8794419
OpenAlexW3043498233

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.