Evidence map›Paper›PMID 37863862›Full record

SynthesisJournal of clinical monitoring and computing2024

Intraoperative individualization of positive-end-expiratory pressure through electrical impedance tomography or esophageal pressure assessment: a systematic review and meta-analysis of randomized controlled trials.

Teresa Esposito, Martina Fregonese, Giulio Morettini, Paloma Carboni, Cecilia Tardioli, Antonio Messina, Rosanna Vaschetto, Francesco Della Corte, Luigi Vetrugno, Paolo Navalesi and 10 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of clinical monitoring and computing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.8field-weighted citation impact, top 8% 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, 11 citations in OpenAlex.

  1. Article
  2. Article
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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

20 authors at 13 institutions in 4 countries.

Teresa Esposito *Department of Anesthesiology and Intensive Care, 'Maggiore della Carità' Hospital, Novara, Italy.
Martina Fregonese *Department of Medicine and Surgery, Università degli Studi di Perugia, Perugia, Italy.
Giulio MorettiniDepartment of Medicine and Surgery, Università degli Studi di Perugia, Perugia, Italy.
Paloma CarboniDepartment of Medicine and Surgery, Università degli Studi di Perugia, Perugia, Italy.
Cecilia TardioliDepartment of Medicine and Surgery, Università degli Studi di Perugia, Perugia, Italy.
Antonio MessinaHumanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Rosanna VaschettoDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Francesco Della CorteDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Luigi VetrugnoDepartment of Medical, Oral and Biotechnological Sciences, Università Gabriele D'Annunzio di Chieti-Pescara, Chieti, Italy.
Paolo NavalesiDepartment of Medicine, Università degli Studi Di Padova, Padova, Italy.
Edoardo De RobertisDepartment of Medicine and Surgery, Università degli Studi di Perugia, Perugia, Italy.
Danila AzzolinaDepartment of Ambiental Science and Prevention, Università degli Studi di Ferrara, Ferrara, Italy.
Annop PiriyapatsomDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Mauro R TucciService of Pneumology, Instituto do Coracao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Hermann WriggeIntegrated Research and Treatment Centre Adiposity Diseases, University of Leipzig, Leipzig, Germany.
Philipp SimonIntegrated Research and Treatment Centre Adiposity Diseases, University of Leipzig, Leipzig, Germany.
Elena BignamiAnesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Salvatore M MaggioreDepartment of Anesthesiology and Intensive Care, Ospedale SS Annunziata & Department of Innovative Technologies in Medicine and Odonto-stomatology, Università Gabriele D'Annunzio di Chieti-Pescara, Chieti, Italy.
Rachele Simonte *Department of Anesthesiology and Intensive Care, 'Maggiore della Carità' Hospital, Novara, Italy.
Gianmaria Cammarota *Department of Medicine and Surgery, Università degli Studi di Perugia, Perugia, Italy. gmcamma@gmail.com.
University of Perugia · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITAzienda Ospedaliero Universitaria Maggiore della Carita · ITBG Klinikum Bergmannstrost Halle · DEHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRHumanitas University · ITIFB Adiposity Diseases · DEOspedale SS. Annunziata · ITSiriraj Hospital · THUniversity of Chieti-Pescara · ITUniversity of Ferrara · ITUniversity of Padua · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review of randomized-controlled trials (RCTs) with meta-analyses aimed to compare the effects on intraoperative arterial oxygen tension to inspired oxygen fraction ratio (PaO

methodsPUBMED®, EMBASE®, and Cochrane Controlled Clinical trials register were searched for observational studies and RCTs from inception to the end of August 2022. Inclusion criteria were: RCTs comparing PEEP titrated on EIT/Pes assessment vs. PEEP not individualized on EIT/Pes and reporting intraoperative PaO

resultsSix RCTs were included for a total of 240 patients undergoing general anesthesia for surgery, of whom 117 subjects in the intervention group and 123 subjects in the control group. The intraoperative mean PaO

conclusionsIn patients undergoing abdominal or pelvic surgery with an open or laparoscopic/robotic approach, PEEP personalized by EIT or Pes allowed the achievement of a better intraoperative oxygenation compared to PEEP not individualized through EIT or Pes. PROSPERO REGISTRATION NUMBER: CRD 42021218306, 30/01/2023.

Indexed as

Electric ImpedanceEsophagusMonitoring, IntraoperativePositive-Pressure RespirationRandomized Controlled Trials as TopicTomographyAbdomenAnesthesia, GeneralBlood Gas AnalysisHumansLaparoscopyOxygenPelvisPressureOxygenElectrical impedance tomographyEsophageal pressureIntraoperative mechanical ventilationIntraoperative oxygenationPulmonary complications

Identifiers

PMID37863862
OpenAlexW4387840651

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.