Evidence map›Paper›PMID 36882701›Full record

Trial reportBMC anesthesiology2023

Low tidal volume ventilation for patients undergoing laparoscopic surgery: a secondary analysis of a randomised clinical trial.

Dharshi Karalapillai, Laurence Weinberg, Ary Serpa Neto, Philip J Peyton, Louise Ellard, Raymond Hu, Brett Pearce, Chong O Tan, David Story, Mark O'Donnell and 9 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

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

19 authors at 3 institutions in 1 country.

Dharshi KaralapillaiDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia. dharshi.karalapillai@austin.org.au.
Laurence WeinbergDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Ary Serpa NetoAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Philip J PeytonDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Louise EllardDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Raymond HuDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Brett PearceDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Chong O TanDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
David StoryDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Mark O'DonnellDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Patrick HamiltonDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Chad OughtonDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Jonathan GaltieriDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Anthony WilsonDepartment of Intensive Care, Austin Hospital, Melbourne, Victoria, Australia.
Grace LiskaserDepartment of Intensive Care, Austin Hospital, Melbourne, Victoria, Australia.
Ajay BalasubramaniamDepartment of Anesthesia, Austin Hospital, Studley Rd, Heidelberg, Melbourne, Victoria, 3084, Australia.
Glenn EastwoodDepartment of Intensive Care, Austin Hospital, Melbourne, Victoria, Australia.
Rinaldo BellomoDepartment of Intensive Care, Austin Hospital, Melbourne, Victoria, Australia.
Daryl A JonesDepartment of Intensive Care, Austin Hospital, Melbourne, Victoria, Australia.
Austin Hospital · AUMonash University · AUUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe recently reported the results for a large randomized controlled trial of low tidal volume ventilation (LTVV) versus conventional tidal volume (CTVV) during major surgery when positive end expiratory pressure (PEEP) was equal between groups. We found no difference in postoperative pulmonary complications (PPCs) in patients who received LTVV. However, in the subgroup of patients undergoing laparoscopic surgery, LTVV was associated with a numerically lower rate of PPCs after surgery. We aimed to further assess the relationship between LTVV versus CTVV during laparoscopic surgery.

methodsWe conducted a post-hoc analysis of this pre-specified subgroup. All patients received volume-controlled ventilation with an applied PEEP of 5 cmH

resultsThree hundred twenty-eight patients (27.2%) underwent laparoscopic surgeries, with 158 (48.2%) randomised to LTVV. Fifty two of 157 patients (33.1%) assigned to LTVV and 72 of 169 (42.6%) assigned to conventional tidal volume developed PPCs within 7 days (unadjusted absolute difference, - 9.48 [95% CI, - 19.86 to 1.05]; p = 0.076). After adjusting for pre-specified confounders, the LTVV group had a lower incidence of the primary outcome than patients receiving CTVV (adjusted absolute difference, - 10.36 [95% CI, - 20.52 to - 0.20]; p = 0.046).

conclusionIn this post-hoc analysis of a large, randomised trial of LTVV we found that during laparoscopic surgeries, LTVV was associated with a significantly reduced PPCs compared to CTVV when PEEP was applied equally between both groups.

trial registrationAustralian and New Zealand Clinical Trials Registry no: 12614000790640.

Indexed as

LaparoscopyRespirationAustraliaHumansNew ZealandPostoperative ComplicationsTidal VolumeLaparoscopic surgeryLow tidal volume ventilationPost-operative pulmonary complications

Identifiers

PMID36882701
PMCPMC9990198
OpenAlexW4323363927

What OpenQuestion holds

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LicenceCC BY
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.