Evidence map›Paper›PMID 37629322›Full record

ArticleJournal of clinical medicine2023

Hypotension after Anesthesia Induction: Target-Controlled Infusion Versus Manual Anesthesia Induction of Propofol.

Serap Aktas Yildirim, Lerzan Dogan, Zeynep Tugce Sarikaya, Halim Ulugol, Bulent Gucyetmez, Fevzi Toraman

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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.

NCT06535230 narecruitingnot on this mapstarted 2024, after this paper: background citation

Does Induction of Anesthesia with Target-controlled Propofol Infusion Reduce the Risk of Post-induction Hypotension in High-risk Patients?

TypeinterventionalSponsorAcibadem UniversityRan2024 to 2025Enrolled200ConditionsAnesthesia, Hemodynamic InstabilityArmsManual anesthesia induction, Anesthesia induction with Target controlled infusions (TCI), Hemodynamic monitoring with pressure recording analytical method (PRAM)
NCT07638306 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Dynamic Internal Jugular Vein Assessment During Anesthesia Induction as a Predictor of Hemodynamic Instability and Postoperative Outcomes

Typeobservational_patient_registrySponsorTîrgu Mureș Emergency Clinical County Hospital, RomaniaRan2026 to 2027Enrolled150ConditionsIntraoperative Hypotension, Jugular Veins, Hypotension on Induction, General Anesthesia With PropofolArmsInternal Jugular Vein Ultrasound Assesment
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Serap Aktas YildirimDepartment of Anesthesiology and Reanimation, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul 34752, Turkey.ORCID 0000-0002-4889-6649
Lerzan DoganAcibadem Altunizade Hospital, Istanbul 34662, Turkey.ORCID 0000-0002-1456-4072
Zeynep Tugce SarikayaDepartment of Anesthesiology and Reanimation, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul 34752, Turkey.ORCID 0000-0002-1352-7667
Halim UlugolDepartment of Anesthesiology and Reanimation, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul 34752, Turkey.
Bulent GucyetmezDepartment of Anesthesiology and Reanimation, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul 34752, Turkey.
Fevzi ToramanDepartment of Anesthesiology and Reanimation, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul 34752, Turkey.ORCID 0000-0002-7455-6648

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-induction hypotension frequently occurs and can lead to adverse outcomes. As target-controlled infusion (TCI) obviates the need to calculate the infusion rate manually and helps safer dosing with prompt titration of the drug using complex pharmacokinetic models, the use of TCI may provide a better hemodynamic profile during anesthesia induction. This study aimed to compare TCI versus manual induction and to determine the hemodynamic risk factors for post-induction hypotension.

methodsA total of 200 ASA grade 1-3 patients, aged 24 to 82 years, were recruited and randomly assigned to the TCI (n = 100) or manual induction groups (n = 100). Hemodynamic parameters were monitored with the pressure-recording analytic method. The propofol dosage was adjusted to keep the Bispectral Index between 40 and 60.

resultsPost-induction hypotension was significantly higher in the manual induction group than in the TCI group (34% vs. 13%;

conclusionTCI induction with propofol provided better hemodynamic stability than manual induction, and the presence of hypertension, a decrease in the pre-induction SVI, and the CPO could predict post-induction hypotension.

Indexed as

cardiac power outputpost-induction hypotensionpropofolstroke volume indextarget-controlled infusion

Identifiers

PMID37629322
PMCPMC10455971

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Registered trials

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.