Evidence map›Paper›PMID 35488195›Full record

Trial reportBMC anesthesiology2022

Desflurane improves lung collapse more than propofol during one-lung ventilation and reduces operation time in lobectomy by video-assisted thoracic surgery: a randomized controlled trial.

Ryosuke Kawanishi, Nami Kakuta, Yoko Sakai, Yuki Hari, Hideto Sasaki, Ryo Sekiguchi, Katsuya Tanaka

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06207344 (The Anesthesia Effects of Dexmedetomidine Combined With Desflurane or Propofol in Lobectomy.), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

NCT06207344 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Anesthesia Effects of Dexmedetomidine Combined With Desflurane or Propofol in Lobectomy.

TypeinterventionalSponsorThe Second Affiliated Hospital of Chongqing Medical UniversityRan2023 to 2025Enrolled120ConditionsAnesthesia Recovery Period, Postoperative ComplicationsArmsDexmedetomidine and propofol, Dexmedetomidine and desflurane
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 10 citations in OpenAlex.

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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 2 institutions in 1 country.

Ryosuke KawanishiDivision of Surgical Center, Tokushima University Hospital, 2-50-1 Kuramoto, Tokushima, 770-8503, Japan. Kawanishi.riyosuke@tokushima-u.ac.jp.
Nami KakutaDepartment of Anesthesiology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Yoko SakaiDepartment of Anesthesiology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Yuki HariDepartment of Anesthesiology, Tokushima University Hospital, Tokushima, Japan.
Hideto SasakiDepartment of Anesthesiology, Tokushima University Hospital, Tokushima, Japan.
Ryo SekiguchiDepartment of Anesthesiology, Tokushima University Hospital, Tokushima, Japan.
Katsuya TanakaDepartment of Anesthesiology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Tokushima University Hospital · JPTokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluated whether desflurane improved lung collapse during one-lung ventilation (OLV) more than propofol, and whether it could reduce the operation time of video-assisted thoracic surgery.

methodsSixty patients undergoing lobectomy by video-assisted thoracic surgery (VATS) were randomly assigned to general anesthesia with desflurane or propofol. Lungs were inspected by thoracoscope at 10, 30, and 60 min after initiation of OLV. After surgery, the Lung Collapse Score, a composite of lung color and volume assessments, was assigned by two clinicians blinded to the anesthetic regimen. The primary outcome was operation time. The secondary outcome included the complication rate.

resultsOf the 60 participants, 50 completed the study, 26 in Desflurane group and 24 in Propofol group. The Lung Collapse Scores at 30 and 60 min after OLV initiation were significantly better in Desflurane group than in Propofol group, and operation time was significantly shorter in Desflurane group (214 (57) min vs. 262 (72) min [mean (SD)], difference in means, -48; 95% CI, -85 to -11; P = 0.01). The incidence of multiple complications was 1/26 (3%) and 6/24 (25%) in Desflurane and Propofol group, respectively (relative risk, 0.1; 95% CI, 0.02 to 1.18; P = 0.04).

conclusionsDesflurane improved lung collapse during OLV and significantly shortened VATS lobectomy operation time compared to propofol in our studied patients. Desflurane resulted in fewer postoperative complications. Thus, desflurane may be an appropriate anesthetic during lobectomy by VATS requiring OLV.

trial registrationThe study was registered with the University Hospital Medical Information Network ( UMIN000009412 ). The date of disclosure of this study information is 27/11/2012. On this date, we registered the study into UMIN; patients were included from 2013 to 2014. However, on 11/27/2015, the UMIN system administrator suggested a detailed description. Thereafter, we added it to the Randomization Unit. Despite being prospective, it was retrospectively registered on UMIN for the above reasons.

Indexed as

AnestheticsIsofluraneOne-Lung VentilationPropofolPulmonary AtelectasisDesfluraneHumansLungProspective StudiesThoracic Surgery, Video-AssistedAnestheticsDesfluraneIsofluranePropofolDesfluraneLung collapseOne-lung ventilationPropofol

Identifiers

PMID35488195
PMCPMC9052625
OpenAlexW4225121245

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.