Evidence map›Paper›PMID 39123102›Full record

SynthesisBMC anesthesiology2024

Positive end-expiratory pressure and postoperative pulmonary complications in laparoscopic bariatric surgery: systematic review and meta-analysis.

Chen Chen, Pingping Shang, Yuntai Yao, Evidence in Cardiovascular Anesthesia (EICA) Group

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. 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

4 authors.

Chen ChenDepartment of Anesthesiology, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, Changzhou, 213000, China.
Pingping ShangDepartment of Anesthesiology, the First Affiliated Hospital of Henan University, Kaifeng, 475000, China.
Yuntai YaoDepartment of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 10032, China. yuntaiyao@126.com.
Evidence in Cardiovascular Anesthesia (EICA) Group

Funding

CAMS Innovation Fund for Medical Sciences 2021-I2M-C&T-B-038the Youth Teacher Training Program of Peking Union Medical College 2014zlgc07
6 · The paper itself

Abstract

backgroundThis study compares the effect of positive end-expiratory pressure (PEEP) on postoperative pulmonary complications (PPCs) in patients with obesity undergoing laparoscopic bariatric surgery (LBS) under general anesthesia with mechanical ventilation.

methodsA comprehensive search was conducted in PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, China National Knowledge Internet, Wanfang database, and Google Scholar for studies published up to July 29, 2023, without time or language restrictions. The search terms included "PEEP," "laparoscopic," and "bariatric surgery." Randomized controlled trials comparing different levels of PEEP or PEEP with zero-PEEP (ZEEP) in patients with obesity undergoing LBS were included. The primary outcome was a composite of PPCs, and the secondary outcomes were intraoperative oxygenation, respiratory compliance, and mean arterial pressure (MAP). A fixed-effect or random-effect model was selected for meta-analysis based on the heterogeneity of the included studies.

resultsThirteen randomized controlled trials with a total of 708 participants were included for analysis. No statistically significant difference in PPCs was found between the PEEP and ZEEP groups (risk ratio = 0.27, 95% CI: 0.05-1.60; p = 0.15). However, high PEEP ≥ 10 cm H

conclusionsIn patients with obesity undergoing LBS, high PEEP ≥ 10 cm H REGISTRATION NUMBER: CRD42023391178 in PROSPERO.

Indexed as

Bariatric SurgeryLaparoscopyPositive-Pressure RespirationPostoperative ComplicationsHumansLung DiseasesObesityRandomized Controlled Trials as TopicBariatric surgeryLaparoscopicMeta-analysisObesityPositive end-expiratory pressure; postoperative pulmonary complications

Identifiers

PMID39123102
PMCPMC11311921

What OpenQuestion holds

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Registered trials

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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.