Evidence map›Paper›PMID 35644204›Full record

SynthesisBrazilian journal of anesthesiology (Elsevier)

Effects of hypercapnia versus normocapnia during general anesthesia on outcomes: a systematic review and meta-analysis.

Jan Petran, Kelly Ansems, Rolf Rossaint, Gernot Marx, Christina Kalvelage, Rüdger Kopp, Carina Benstoem, Christian Brülls

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% 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, 8 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Observational
  4. Carbon dioxide and MAPK signalling: towards therapy for inflammation.Cell communication and signaling : CCS · 2023
    Review
  5. Article
  6. How to identify a high-risk surgical patient?Brazilian journal of anesthesiology (Elsevier)
    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.

Jan PetranRWTH Aachen University, Medical Faculty, Department of Anaesthesiology, Aachen, Germany; RWTH Aachen University, Medical Faculty, Department of Intensive Care Medicine and Intermediate Care, Aachen, Germany. Electronic address: jpetran@ukaachen.de.
Kelly AnsemsRWTH Aachen University, Medical Faculty, Department of Intensive Care Medicine and Intermediate Care, Aachen, Germany.
Rolf RossaintRWTH Aachen University, Medical Faculty, Department of Anaesthesiology, Aachen, Germany.
Gernot MarxRWTH Aachen University, Medical Faculty, Department of Intensive Care Medicine and Intermediate Care, Aachen, Germany.
Christina KalvelageRWTH Aachen University, Medical Faculty, Department of Intensive Care Medicine and Intermediate Care, Aachen, Germany.
Rüdger KoppRWTH Aachen University, Medical Faculty, Department of Intensive Care Medicine and Intermediate Care, Aachen, Germany.
Carina BenstoemRWTH Aachen University, Medical Faculty, Department of Intensive Care Medicine and Intermediate Care, Aachen, Germany.
Christian BrüllsRWTH Aachen University, Medical Faculty, Department of Anaesthesiology, Aachen, Germany.
RWTH Aachen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of mild changes in CO

methodsWe conducted a systematic review of parallel-arm randomised controlled trials comparing hypercapnia versus normocapnia in adult patients undergoing general anesthesia. In July 2018 and September 2019 we searched "CENTRAL‿, "MEDLINE‿, and "Embase‿, checked reference lists of all included studies and relevant systematic reviews for additional references to trials. Two review authors independently assessed trials for inclusion, extracted data, and completed a "Risk of bias‿ assessment for all included studies.

resultsOur search identified 297 records after abstract screening 30 full-text papers remained for further examination. Ten publications met our inclusion criteria and were used for narrative description of this systematic review. Three studies were eligible for the meta-analysis normocapnia versus hypercapnia with the outcomes: time to extubation and adverse events. On average, time to extubation was significantly reduced in the hypercapnia group with a mean difference 3.78 (95% CI 0.85 to 6.71). No difference was found regarding adverse events.

conclusionsThe findings of our study do not enable us to produce evidence of a positive influence of increased CO

Indexed as

Carbon DioxideHypercapniaAdultAnesthesia, GeneralHumansCarbon DioxideAdverse eventsGeneral anesthesiaHypercapniaInvasive ventilationNormocapniaTime to extubation

Identifiers

PMID35644204
PMCPMC9373272
OpenAlexW3131498273

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.