Evidence map›Paper›PMID 40596831›Full record

Trial reportBMC anesthesiology2025

Impact of pneumoperitoneum pressure on cardiac output in laparoscopic surgery.

Fuwei Qi, Bing Wang, Fan Fei, Qiang Guo, Zhong Zheng, Guangyu Yang, Ke Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 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
  2. 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

7 authors.

Fuwei Qi *Department of Anesthesiology, The First People's Hospital of Taicang, Taicang Affiliated Hospital of Soochow Univercity, Suzhou City, Jiangsu Province, 215400, China. qfw2022@163.com.
Bing Wang *Department of Gastrointestinal Surgery, The First People's Hospital of Taicang, Taicang Affiliated Hospital of Soochow Univercity, Suzhou City, Jiangsu Province, 215400, China.
Fan FeiDepartment of Anesthesiology, The First People's Hospital of Taicang, Taicang Affiliated Hospital of Soochow Univercity, Suzhou City, Jiangsu Province, 215400, China.
Qiang GuoDepartment of Anesthesiology, The First People's Hospital of Taicang, Taicang Affiliated Hospital of Soochow Univercity, Suzhou City, Jiangsu Province, 215400, China.
Zhong ZhengDepartment of Anesthesiology, The First People's Hospital of Taicang, Taicang Affiliated Hospital of Soochow Univercity, Suzhou City, Jiangsu Province, 215400, China.
Guangyu YangDepartment of Anesthesiology, The First People's Hospital of Taicang, Taicang Affiliated Hospital of Soochow Univercity, Suzhou City, Jiangsu Province, 215400, China. 115453063@qq.com.
Ke LiDepartment of Anesthesiology, The First People's Hospital of Taicang, Taicang Affiliated Hospital of Soochow Univercity, Suzhou City, Jiangsu Province, 215400, China. 522287965@qq.com.

Funding

2022 Medical Innovation Application Research of Suzhou Science and Technology Bureau SKY2022081Project approved by Taicang Science and Technology Bureau in 2021 TC2021JCYL29
6 · The paper itself

Abstract

objectiveTo assess the impact of pneumoperitoneum pressure on cardiac output (CO) in patients undergoing laparoscopic surgery using transesophageal echocardiography.

methodsFifty patients (26 men, 24 women; age, 55-85 years old) who scheduled for laparoscopic colorectal cancer resection under general anesthesia at the First People's Hospital of Taicang (March 2021-December 2022) were enrolled. Patients were randomly assigned to three groups based on pneumoperitoneum pressure: group A (10 mmHg), group B (12 mmHg), and group C (14 mmHg). Left ventricular outflow tract diameter (LVOT) and velocity time integral (VTI) were measured using transesophageal echocardiography to calculate CO).

resultsBaseline characteristics and intraoperative data were comparable among groups (P > 0.05). Post-anesthesia, heart rate, mean arterial pressure (MAP), systolic blood pressure (SBP), and diastolic blood pressure (DBP) showed no significant differences among groups (P > 0.05). However, CO in all groups was lower than normal reference values after anesthesia induction (P < 0.05) and further declined following pneumoperitoneum establishment (P < 0.05). Group C exhibited significantly lower CO than Groups A and B five minutes after pneumoperitoneum initiation (P < 0.05).

conclusionPneumoperitoneum pressure significantly impacts CO during laparoscopic surgery. Transesophageal echocardiography provides an effective method for monitoring hemodynamic changes and optimizing perioperative management.

Indexed as

Cardiac OutputLaparoscopyPneumoperitoneum, ArtificialAgedAged, 80 and overAnesthesia, GeneralColorectal NeoplasmsEchocardiography, TransesophagealFemaleHumansMaleMiddle AgedCardiac outputHemodynamic changesLaparoscopic surgeryPneumoperitoneum pressureTransesophageal echocardiography

Identifiers

PMID40596831
PMCPMC12211448

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.