Evidence map›Paper›PMID 40370687›Full record

ArticleJournal of multidisciplinary healthcare2025

THRIVE Prevent Postoperative Hypoxemia in Elderly Patients Undergoing Laparoscopic Surgery in PACU: A Randomized Controlled Clinical Trial.

Xingxing Chen, Kang Gu, Yunqing Yang, Bingbing Zhou, Yunchang Mo, Yingying Tu

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Xingxing ChenDepartment of Nursing, The First Affiliated Hospital of Wenzhou Medical University, WenZhou, ZheJiang, 325000, People's Republic of China.
Kang GuWenzhou Medical University, WenZhou, ZheJiang, 325000, People's Republic of China.
Yunqing YangWenzhou Medical University, WenZhou, ZheJiang, 325000, People's Republic of China.
Bingbing ZhouDepartment of Nursing, The First Affiliated Hospital of Wenzhou Medical University, WenZhou, ZheJiang, 325000, People's Republic of China.
Yunchang MoDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, WenZhou, ZheJiang, 325000, People's Republic of China.
Yingying TuDepartment of Nursing, The First Affiliated Hospital of Wenzhou Medical University, WenZhou, ZheJiang, 325000, People's Republic of China.ORCID 0000-0003-1470-7392

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative hypoxemia frequently occurs in elderly individuals undergoing laparoscopic procedures, often leading to severe consequences and prolonged stays in the post-anesthesia care unit (PACU). Conventional oxygen therapy methods are not entirely effective in preventing hypoxemia. Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) delivers high-flow oxygen at rates up to 60 L/min, potentially enhancing respiratory function and tolerance to hypoxia. Objective: To assess the effectiveness, safety, and patient tolerance of THRIVE in the early prevention of postoperative hypoxemia in elderly patients following laparoscopic surgery with general anesthesia. Methods: This prospective, multicenter, randomized controlled trial enrolled 200 elderly patients undergoing laparoscopic surgery who were safely extubated after general anesthesia. Participants were randomly allocated to receive either conventional nasal cannula oxygen therapy or THRIVE. Between January 2023 and December 2023, cases were recruited from three participating centers. The main outcome measured was the occurrence of hypoxemia in the PACU. Secondary outcomes encompassed lung ultrasound scores after oxygen therapy, frequency of jaw lifting, reintubation rate, adverse events, and subjective patient comfort. Results: The incidence of hypoxemia was significantly lower in the THRIVE group compared to the standard oxygen therapy group (0% vs 29.2%; χ² = 35.245; Conclusion: THRIVE is an effective strategy for reducing postoperative hypoxemia in elderly individuals undergoing laparoscopic procedures with general anesthesia. It facilitates pulmonary function recovery, enhances patient comfort, and may serve as a valuable intervention in the PACU setting.

Indexed as

elderly patientshypoxemialaparoscopic surgeryTHRIVE

Identifiers

PMID40370687
PMCPMC12077414

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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.