Evidence map›Paper›PMID 39468455›Full record

Trial reportBMC anesthesiology2024

Effect of visual lung recruitment manoeuvres guided by trans-oesophageal lung ultrasound on atelectasis after thoracoscopic lobectomy: a randomised, single-blind, prospective study.

Furong Bai, Mingliang Yi, Min Cai, Cong Zhao, Xujie Jiang, Hong Yin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 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. Review
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

6 authors.

Furong BaiDepartment of Anesthesiology, Chengdu Fifth People's Hospital, 33 Mashi, Road, Wenjiang District, Chengdu, 611130, China.
Mingliang YiDepartment of Anesthesiology, Chengdu Fifth People's Hospital, 33 Mashi, Road, Wenjiang District, Chengdu, 611130, China.
Min CaiDepartment of Anesthesiology, Chengdu Fifth People's Hospital, 33 Mashi, Road, Wenjiang District, Chengdu, 611130, China.
Cong ZhaoDepartment of Anesthesiology, Chengdu Fifth People's Hospital, 33 Mashi, Road, Wenjiang District, Chengdu, 611130, China.
Xujie JiangDepartment of Anesthesiology, Chengdu Fifth People's Hospital, 33 Mashi, Road, Wenjiang District, Chengdu, 611130, China.
Hong YinDepartment of Anesthesiology, Chengdu Fifth People's Hospital, 33 Mashi, Road, Wenjiang District, Chengdu, 611130, China. yinhong0912@cdutcm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the incidence of postoperative atelectasis could be reduced using lung recruitment manoeuvres, it remains high. We hypothesised that intraoperative visual lung recruitment guided by trans-oesophageal lung ultrasound would be more effective than the conventional method for managing postoperative atelectasis.

methodsIn this randomised, controlled, prospective study, 84 patients undergoing thoracoscopic lobectomy were recruited from Affiliated Chengdu Fifth People

methodsLung recruitment was performed after anaesthesia induction, before chest closure and before the endotracheal tube extubation. In Group C, recruitment pressure was controlled at 30 cm H

resultsThe final analysis included 79 patients. The lung ultrasound score was significantly higher in the control group than in the ultrasound-guided group 30 min after extubation (Group C vs. Group G, 8.6 ± 2.6 vs. 6.5 ± 2.0, P < 0.001). No significant difference in the oxygenation indexes 30 min after extubation was observed between the groups (P = 0.074); however, the incidence of atelectasis 30 min after extubation significantly differed between the two groups (Group C vs. Group G, 57% vs. 33%, P = 0.031). The incidence of atelectasis 3 days after surgery did not significantly differ between the two groups (Group C vs. Group G, 45% vs. 28%, P = 0.122).

conclusionsLung recruitment guided by trans-oesophageal lung ultrasound can reduce lung ultrasound scores and the incidence of atelectasis at the post anaesthesia care unit 30 min after extubation. However, it does not significantly reduce the incidence of atelectasis 3 days after surgery. TRIAL REGISTRATION: Registration number: ChiCTR2200062509. Registered on 10 /8/ 2022.

Indexed as

Postoperative ComplicationsPulmonary AtelectasisUltrasonography, InterventionalAgedFemaleHumansLungMaleMiddle AgedPneumonectomyProspective StudiesSingle-Blind MethodThoracoscopyAtelectasisLung ultrasoundRecruitmentThoracoscopic

Identifiers

PMID39468455
PMCPMC11514961

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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.