Evidence map›Paper›PMID 38068519›Full record

ArticleJournal of clinical medicine2023

Electrical Impedance Tomography during Abdominal Laparoscopic Surgery: A Physiological Pilot Study.

Michela Rauseo, Savino Spadaro, Lucia Mirabella, Antonella Cotoia, Donato Laforgia, Gennaro Gaudino, Francesca Vinella, Giuseppe Ferrara, Adriana Gattullo, Livio Tullo and 1 more

Registry-linked trialOpen access · goldAbstract 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 trial NCT07289113 (Personalized PEEP Titration Guided by Electrical Impedance Tomography in Patients Undergoing Laparoscopic Surgery), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 34% 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.

NCT07289113 narecruitingnot on this mapstarted 2026, after this paper: background citation

Personalized PEEP Titration Guided by Electrical Impedance Tomography in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial - The PEaRL Study

TypeinterventionalSponsorASST Fatebenefratelli SaccoRan2026 to 2026Enrolled52ConditionsElectrical Impedance TomographyArmsA PEEP trial performed with the PulmoVista® 500 (Dräger, Lübeck, Germany) is a procedure designed to identify the optimal level of positive end-expiratory pressure
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

11 authors at 2 institutions in 1 country.

Michela RauseoDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.ORCID 0000-0001-9718-7454
Savino SpadaroDepartment of Translational Medicine, Anesthesia and Intensive Care Unit, Azienda Ospedaliera Universitaria di Ferrara, University of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy.ORCID 0000-0001-5027-5318
Lucia MirabellaDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.
Antonella CotoiaDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.
Donato LaforgiaDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.
Gennaro GaudinoDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.
Francesca VinellaDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.
Giuseppe FerraraDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.
Adriana GattulloDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.
Livio TulloDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.
Gilda CinnellaDepartment of Surgical and Medical Science, Anesthesia and Intensive Care Unit, Policlinico Riuniti di Foggia, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy.ORCID 0000-0001-9864-2893
University of Foggia · ITUniversity of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBoth general anesthesia and pneumoperitoneum insufflation during abdominal laparoscopic surgery can lead to atelectasis and impairment in oxygenation. Setting an appropriate level of external PEEP could reduce the occurrence of atelectasis and induce an improvement in gas exchange. However, in clinical practice, it is common to use a fixed PEEP level (i.e., 5 cmH

methodsTwelve consecutive patients scheduled for abdominal laparoscopic surgery were enrolled in this prospective study. The EIT Timpel Enlight 1800 was applied to each patient and a dedicated pneumotachograph and a spirometer flow sensor, integrated with EIT, constantly recorded respiratory mechanics. Gas exchange, respiratory mechanics and hemodynamics were recorded at five time points: T0, baseline; T1, after induction; T2, after pneumoperitoneum insufflation; T3, after a recruitment maneuver; and T4, at the end of surgery after desufflation.

resultsA titrated mean PEEP of 8 cmH

conclusionsEIT, used as a non-invasive intra-operative monitor, enables the rapid assessment of lung volume and regional ventilation changes in patients undergoing laparoscopic surgery and helps to identify the "optimal" PEEP level in the operating theatre, improving ventilation strategies.

Indexed as

anesthesiadriving pressureelectrical impedance tomographylaparoscopymechanical ventilationpneumoperitoneumpositive end-expiratory pressurerecruitment maneuver

Identifiers

PMID38068519
PMCPMC10707351
OpenAlexW4389221723

What OpenQuestion holds

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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.