Evidence map›Paper›PMID 37266852›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2023

Perioperative clinical practice in liver transplantation: a cross-sectional survey.

François M Carrier, Christian Vincelette, Helen Trottier, Éva Amzallag, Adrienne Carr, Prosanto Chaudhury, Khaled Dajani, René Fugère, Jeanne-Marie Giard, Nelson Gonzalez-Valencia and 8 more

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In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Response to Commentary on Vincelette et al.Canadian liver journal · 2025
    Article
  2. Article
  3. Guidelines to manage liver transplant recipients: time for consensus?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 11 institutions in 2 countries.

François M CarrierDepartment of Anesthesiology, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada. francois.martin.carrier@umontreal.ca.ORCID http://orcid.org/0000-0003-0310-0616
Christian VinceletteSchool of Nursing, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, QC, Canada.
Helen TrottierDepartment of Social and Preventive Medicine, École de santé publique de l'Université de Montréal, Montreal, QC, Canada.
Éva AmzallagHealth Innovation and Evaluation Hub, Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), 900, rue St-Denis, porte S03-434, Montreal, QC, H2X 0A9, Canada.
Adrienne CarrDepartment of Anesthesiology, Pain Management & Perioperative Medicine, Dalhousie University, Halifax, NS, Canada.
Prosanto ChaudhuryDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Khaled DajaniDepartment of Surgery, University Health Centre, University of Alberta, Edmonton, AB, Canada.
René FugèreCanadian Donation and Transplantation Research Program, Edmonton, AB, Canada.
Jeanne-Marie GiardDepartment of Medicine, Liver Disease Division, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.
Nelson Gonzalez-ValenciaDepartment of Anesthesiology, London Health Sciences Centre, London, ON, Canada.
Alexandre JoostenDepartment of Anesthesiology, Paris Saclay University, Paul Brousse Hospital, Villejuif, France.
Stanislas KandelmanDepartment of Anesthesiology, McGill University Health Centre, Montreal, QC, Canada.
Constantine KarvellasDivision of Gastroenterology (Liver Unit), Department of Critical Care Medicine, University of Alberta, Edmonton, AB, Canada.
Stuart A McCluskeyDepartment of Anesthesia and Pain Management, Toronto General Hospital, Toronto, ON, Canada.
Timur ÖzelselDepartment of Anesthesiology & Pain Medicine, University of Alberta, Edmonton, AB, Canada.
Jeieung ParkDepartment of Anesthesiology and Perioperative Care, Vancouver General Hospital, Vancouver, BC, Canada.
Ève SimoneauHepatobiliary Division, Department of Surgery, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.
Michaël ChasséCritical Care Division, Department of Medicine, Centre hospitalier de l'Université de Montréal, Montreal, Canada.
Centre Hospitalier de l’Université de Montréal · CAUniversity of Alberta · CAMcGill University Health Centre · CADalhousie University · CALondon Health Sciences Centre · CATranslational Research in Oncology · CAUniversité de Montréal · CAUniversité de Sherbrooke · CAUniversité Paris-Saclay · FRUniversity of British Columbia · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this study was to describe some components of the perioperative practice in liver transplantation as reported by clinicians.

methodsWe conducted a cross-sectional clinical practice survey using an online instrument containing questions on selected themes related to the perioperative care of liver transplant recipients. We sent email invitations to Canadian anesthesiologists, Canadian surgeons, and French anesthesiologists specialized in liver transplantation. We used five-point Likert-type scales (from "never" to "always") and numerical or categorical answers. Results are presented as medians or proportions.

resultsWe obtained answers from 130 participants (estimated response rate of 71% in Canada and 26% in France). Respondents reported rarely using transesophageal echocardiography routinely but often using it for hemodynamic instability, often using an intraoperative goal-directed hemodynamic management strategy, and never using a phlebotomy (medians from ordinal scales). Fifty-nine percent of respondents reported using a restrictive fluid management strategy to manage hemodynamic instability during the dissection phase. Forty-two percent and 15% of respondents reported using viscoelastic tests to guide intraoperative and postoperative transfusions, respectively. Fifty-four percent of respondents reported not pre-emptively treating preoperative coagulations disturbances, and 91% reported treating them intraoperatively only when bleeding was significant. Most respondents (48-64%) did not have an opinion on the maximal graft ischemic times. Forty-seven percent of respondents reported that a piggyback technique was the preferred vena cava anastomosis approach.

conclusionDifferent interventions were reported to be used regarding most components of perioperative care in liver transplantation. Our results suggest that significant equipoise exists on the optimal perioperative management of this population.

Indexed as

Liver TransplantationCanadaCross-Sectional StudiesHemorrhageHumansPerioperative Carehemodynamic managementliver transplantationperioperative managementresearchTransfusion

Identifiers

PMID37266852
OpenAlexW4379095588

What OpenQuestion holds

Textmetadata
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.