Evidence map›Paper›PMID 38034715›Full record

ArticleHeliyon2023

Minimal fixed flow anesthesia for off-pump coronary artery bypass surgery: A parallel randomized trail.

Ioseb Begashvili, Merab Kiladze, Christina Ejibishvili, George Grigolia

Open access · goldAbstract read
In one paragraph

Article in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 66% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 1 institution in 1 country.

Ioseb BegashviliTbilisi 5th clinical hospital, Department of cardiac anesthesia and intensive care. PhD student of Ivane Javakhishvili Tbilisi state university. Address: Temqa - XI, I Quarter, 5th clinical hospital "Open Heart", 0102 Tbilisi, Georgia.
Merab KiladzeProfessor of Ivane Javakhishvili Tbilisi state university, Chief of the department of surgery at American hospital Tbilisi, Georgia.
Christina EjibishviliTbilisi 5th clinical hospital, Department of cardiac anesthesia and intensive care, PhD student of Ivane Javakhishvili Tbilisi state university, Georgia.
George GrigoliaTbilisi 5th clinical hospital, Head of the department of cardiac anesthesia and intensive care, Georgia.
Tbilisi State University · GE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The aim of the present study was to test a safety of a fixed minimal (0.5 l/min) fresh gas flow (FGF) anesthesia as a method ensuring adequate oxygenation during off-pump coronary artery bypass grafting operations. Design: A randomized, prospective study. Setting: Single-center clinical hospital affiliated with a university. Participants: 208 patients underwent off-pump coronary artery bypass surgery. Interventions: All patients received endotracheal inhalational anesthesia with fixed minimal FGF. Half of them were anesthetized by sevoflurane and another half by isoflurane. The fresh (carrier) gas was pure oxygen in the control groups and a mixture of medical air and oxygen (FiO Measurements and main results: In the control groups inhaled oxygen concentration changed minimally during the operation. In the trial groups in 28.8 % of cases inhaled oxygen concentration dropped below preliminary margin (0.4). Body surface area (BSA) (B = 38.7; p = 0.002) and patient's age (B = -0.47; p = 0.004) were retained into final logistic regression model as independent predictors. We divided BSA into subcategories and analyzed data by survival cox regression with Forward LR method. Patients with BSA>2.3 (Exp.B = 183) and BSA [2.2-2.3] (Exp.B = 59) had high chance to get less than 0.4 of inhaled oxygen concentration compared to the patients with BSA <2.0 (p < 0.001).Exp(B) or OR for the patients' age as independent predictor tested in multiple logistic regression was 0.628 In other words, for every year less the patient had 1/0.628 = 1.6 times more chance to reach the preliminary low margin (0.4) of oxygenation. Conclusions: Fixed minimal FGF 0.5 l/min with FiO

Identifiers

PMID38034715
PMCPMC10685267
OpenAlexW4388573430

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LicenceCC BY-NC-ND
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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.