Evidence map›Paper›PMID 36479830›Full record

ArticleThoracic cancer2023

One-lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer.

Beatrice Leonardi, Stefano Forte, Giovanni Natale, Gaetana Messina, Anna Rainone, Giorgia Opromolla, Maria Antonietta Puca, Mario Grande, Mario Martone, Francesco Leone and 11 more

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% 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, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
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  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

21 authors at 5 institutions in 1 country.

Beatrice LeonardiThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Stefano ForteIstituto Oncologico Mediterraneo, Viagrande, Italy.
Giovanni NataleThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Gaetana MessinaThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Anna RainoneThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Giorgia OpromollaThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Maria Antonietta PucaThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Mario GrandeThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Mario MartoneThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Francesco LeoneThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Roberta FioritoAnaestesiology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Francesca MolinoAnaestesiology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Giovanni LiguoriAnaestesiology Unit, Cardarelli Hospital, Naples, Italy.
Fara RussoAnaestesiology Unit, Villa Malta Hospital, Sarno, Italy.
Fausto FerraroAnaestesiology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Maria Caterina PaceAnaestesiology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Antonio MolinoPneumology Unit, Federico II University, Naples, Italy.
Luigi FerranteAnaestesiology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Mauro ForteAnaestesiology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Giovanni VicidominiThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Alfonso FiorelliThoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.ORCID https://orcid.org/0000-0002-0628-613X
University of Campania "Luigi Vanvitelli" · ITFederico II University Hospital · ITIstituto Agronomico Mediterraneo di Bari · ITOspedale Antonio Cardarelli · ITVilla Pineta Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated the safety and feasibility of one-lung ventilation in obese patients undergoing thoracoscopic lobectomy and whether obesity affected peri- and postoperative outcomes.

methodsThis was a retrospective single center study including consecutive patients undergoing thoracoscopic lobectomy between October 2019 and February 2022. Obese patients were statistically compared to a control group to evaluate any differences in relation to one-lung ventilation and peri- and postoperative outcomes.

resultsOur study population included 111 patients; of these, 26 (23%) were included in the obese group, while 85 (77%) were included within the nonobese group. To obtain one-lung ventilation in nonobese patients, a double-lumen tube was more frequently used than a single-lumen tube with bronchial blocker (61% vs. 39%; p = 0.02), while in obese patients a single-lumen tube with bronchial blocker was used more than a double-lumen tube (81% vs. 19%, p = 0.001). Intergroup comparison showed that a double-lumen tube was the preferred method in nonobese patients, while a single-lumen tube with bronchial blockers was the strategy of choice in obese patients (p = 0.0002). Intubation time was longer in the obese group than in the nonobese group (94.0 ± 6.1 vs. 85.0 ± 7.0 s; p = 0.0004) and failure rate of first attempt at intubation was higher in the obese group (23% vs. 5%; p = 0.01). Obesity was not associated with increased intra-, peri- and postoperative complications and/or mortality.

conclusionsOne-lung ventilation is a feasible and safe procedure also in obese patients and obesity did not negatively affect peri- and postoperative outcomes after lung resection.

Indexed as

Lung NeoplasmsOne-Lung VentilationBronchiHumansObesityRetrospective Studieslobectomylung cancerobeseone-lung ventilationthoracoscopy

Identifiers

PMID36479830
PMCPMC9870737
OpenAlexW4310946318

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.