Evidence map›Paper›PMID 37386522›Full record

ArticleJournal of anesthesia, analgesia and critical care2022

Anesthetic management of carotid endarterectomy: an update from Italian guidelines.

Sergio Bevilacqua, Giulia Ticozzelli, Massimiliano Orso, Giuseppe Alba, Laura Capoccia, Alessandro Cappelli, Carlo Cernetti, Marina Diomedi, Walter Dorigo, Gianluca Faggioli and 19 more

Abstract read
In one paragraph

Article in Journal of anesthesia, analgesia and critical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. 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

29 authors.

Sergio BevilacquaDepartment of Anesthesia, Azienda Ospedaliera Universitaria Careggi, Firenze, Italy.
Giulia TicozzelliAnesthesiology and Intensive Care Unit, Fondazione I.R.C.C.S. Policlinico San Matteo, Pavia, Italy. g.ticozzelli@smatteo.pv.it.
Massimiliano OrsoSocietà Italiana di Chirurgia Vascolare ed Endovascolare (SICVE), Roma, Italy.
Giuseppe AlbaDepartment of Vascular Surgery, University of Siena, Siena, Italy.
Laura CapocciaVascular and Endovascular Surgery Division, Policlinico Umberto I La Sapienza University of Rome, Rome, Italy.
Alessandro CappelliVascular Surgery Unit, Policlinico Le Scotte Hospital University of Siena, Siena, Italy.
Carlo CernettiDivision of Cardiology and and Interventional Hemodynamics, Ca' Foncello Hospital, Azienda USLL2 Marca Trevigiana, Treviso, Italy.
Marina DiomediStroke Unit, Department of Systems Medicine, Tor Vergata University Hospital, Rome, Italy.
Walter DorigoVascular Surgery Unit, University of Florence, Florence, Italy.
Gianluca FaggioliVascular Surgery Unit, Policlinico Sant'Orsola, Alma Mater Studiorum University, Bologna, Italy.
Giovanni GiannaceVascular Surgery Unit, Arcispedale Snata Maria Nuova, Reggio Emilia, Italy.
David GiannandreaStroke Unit, Neurology Department, USL Umbria 1, Cittá di Castello, Perugia, Italy.
Matteo GiannettaVascular Surgery Unit, IRCCS Policlinico San Donato Hospital University, San Donato Milanese, Italy.
Gianfranco LessianiAngiology Unit, Villa Serena Hospital, AUSL 3, Pescara, Italy.
Enrico Maria MaroneVascular Surgery Unit, Department of Policlinico Monaza, Monza, Italy.
Daniela MazzaccaroVascular Surgery Unit, IRCCS Policlinico San Donato Hospital University, San Donato Milanese, Italy.
Rino MigliacciAngiology and Internal Medicine, Valdichiana S.Margherita Hospital, Cortona, Italy.
Giovanni NanoVascular Surgery Unit, IRCCS Policlinico San Donato Hospital University, San Donato Milanese, Italy.
Gabriele PagliariccioVascular Surgery Unit, Policlinico Riuniti Hospital University, Ancona, Italy.
Marco PetruzzellisNeurology and Stroke Unit, Policlinico Hospital University, Bari, Italy.
Andrea PlutinoStroke Unit, Marche Nord Riuniti Hospital, Fano, Italy.
Sara PomattoVascular Surgery Unit, Policlinico Sant'Orsola, Alma Mater Studiorum University, Bologna, Italy.
Raffaele PulliVascular Surgery Unit, Policlinico Careggi Hospital University, Florence, Italy.
Pasqualino SirignanoVascular and Endovascular Surgery Division, Sant'andrea Hospital , "La sapienza" University of Rome, Rome, Italy.
Andrea VacircaVascular Surgery Unit, Policlinico San'Orsola-Alma Mater Studiorum University, Bologna, Italy.
Emanuele ViscoDivision of Cardiology and Interventional Hemodynamic, San Giacomo Apostolo Hospital, Azienda ULSS2 Marca Trevigiana, Castelfranco Veneto, Italy.
Shadeh Parsapour MoghadamNorthwick Park Hospital, London, UK.
Gaetano LanzaVascular Surgery Department, Multimedica Hospital-IRCCS, Castellanza, Italy.
Jessica LanzaVascular Surgery Department, IRCSS Ospedale Policlinico, San Martino Genova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsIn order to systematically review the latest evidence on anesthesia, intraoperative neurologic monitoring, postoperative heparin reversal, and postoperative blood pressure management for carotid endarterectomy. The present review is based on a single chapter of the Italian Health Institute Guidelines for diagnosis and treatment of extracranial carotid stenosis and stroke prevention. METHODS AND

resultsA systematic article review focused on the previously cited topics published between January 2016 and October 2020 has been performed; we looked for both primary and secondary studies in the extensive archive of Medline/PubMed and Cochrane library databases. We selected 14 systematic reviews and meta-analyses, 13 randomized controlled trials, 8 observational studies, and 1 narrative review. Based on this analysis, syntheses of the available evidence were shared and recommendations were indicated complying with the GRADE-SIGN version methodology.

conclusionsFrom this up-to-date analysis, it has emerged that any type of anesthesia and neurological monitoring method is related to a better outcome after carotid endarterectomy. In addition, insufficient evidence was found to justify reversal or no-reversal of heparin at the end of surgery. Furthermore, despite a low evidence level, a suggestion for blood pressure monitoring in the postoperative period was formulated.

Indexed as

AnesthesiaBlood pressure monitoringCarotid endarterectomyGuidelinesHeparin reversalIntraoperative cerebral monitoringRecommendations

Identifiers

PMID37386522
PMCPMC10245611

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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.