Evidence map›Paper›PMID 38793032›Full record

ArticleJournal of personalized medicine2024

Restoration of Pulmonary Compliance after Laparoscopic Gynecologic Surgery Using a Recruitment Maneuver.

Panagiota Griva, Christina Talliou, Loizos Rougeris, Dimitra Samara, Konstantina Panagouli, Giolanda Varvarousi, Maria Papa, Nikolaos Kathopoulis, Vasiliki Chantziara, Nikoletta Rovina

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

10 authors.

Panagiota GrivaDepartment of Anesthesiology, University General Hospital Attikon,12462 Athens, Greece.ORCID 0000-0002-4168-1987
Christina TalliouDepartment of Anesthesiology, University General Hospital Attikon,12462 Athens, Greece.
Loizos RougerisDepartment of Anaesthesiology, Rea Maternity Hospital, 17564 Athens, Greece.
Dimitra SamaraDepartment of Anesthesiology, University General Hospital Attikon,12462 Athens, Greece.
Konstantina PanagouliDepartment of Anesthesiology, University General Hospital Attikon,12462 Athens, Greece.
Giolanda VarvarousiDepartment of Anaesthesiology, General Hospital of Athens Alexandra, 11528 Athens, Greece.
Maria PapaDepartment of Anaesthesiology, General Hospital of Athens Alexandra, 11528 Athens, Greece.
Nikolaos KathopoulisDepartment of Obstetrics and Gynaecology, General Hospital of Athens Alexandra, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0002-0031-809X
Vasiliki Chantziara1st Department of Respiratory Medicine, Sotiria Thoracic Diseases Hospital of Athens, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Nikoletta Rovina1st Department of Respiratory Medicine, Sotiria Thoracic Diseases Hospital of Athens, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0003-0138-5582

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThis study aimed to investigate the hypothesis that an alveolar recruitment maneuver can restore lung compliance to initial values after laparoscopic gynecological surgery.

methodsA total of 31 patients who underwent laparoscopic gynecological surgery were enrolled. Protective mechanical ventilation was applied, and the radial artery was catheterized in all patients. An alveolar recruitment maneuver (incremental and decremental positive end-expiratory pressure) was applied ten minutes after the release of pneumoperitoneum. The respiratory mechanics and blood gas results were recorded at eight different time points: after induction of anesthesia (T1), in the lithotomy position (T2), in the Trendelenburg position (T3), 10 and 90 min after insufflation of carbon dioxide (T4 and T5), in the supine position (T6), after desufflation (T7), and 10 min after an alveolar recruitment maneuver at the end of surgery (T8).

resultsPneumoperitoneum and the Trendelenburg position caused a decline of 15 units in compliance (T7 vs. T1;

conclusionsLung compliance does not return to initial values after performing laparoscopic gynecological procedures. However, after the release of pneumoperitoneum, an alveolar recruitment maneuver is beneficial as it improves compliance and gas exchange.

Indexed as

alveolar recruitment maneuvergas exchangelaparoscopic procedurespneumoperitoneumpulmonary complianceTrendelenburg position

Identifiers

PMID38793032
PMCPMC11122417

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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.