Evidence map›Paper›PMID 41493692›Full record

ArticleJA clinical reports2026

Objective evaluation of facial flushing for mesenteric traction syndrome diagnosis during laparotomy: a prospective observational pilot study.

Yutaro Ikki, Takeshi Negita, Kimitoshi Nishiwaki, Takahiro Tamura

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Article in JA clinical reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yutaro IkkiDepartment of Anesthesiology, Chitahanto Medical Center, Handa, Japan.
Takeshi NegitaDepartment of Anesthesiology, Chitahanto Medical Center, Handa, Japan.
Kimitoshi NishiwakiDepartment of Anesthesiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-Ku, Nagoya, 466-8550, Japan.
Takahiro TamuraDepartment of Anesthesiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-Ku, Nagoya, 466-8550, Japan. tamura.takahiro.x5@f.mail.nagoya-u.ac.jp.ORCID http://orcid.org/0000-0001-6916-9988

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to evaluate the concordance between facial flushing assessment using an objective color sensor and subjective visual assessment in patients with mesenteric traction syndrome (MTS), to inform the design of a future large-scale study that incorporates objective diagnostic tools.

methodsIn this prospective pilot study, we enrolled adult patients who underwent pancreatectomy. Anesthesiologists assessed the degree of facial flushing subjectively using a scale of levels 0–2. Simultaneously, the Nix color sensor objectively measured the facial redness (a-value) at four facial points. Heart rate and arterial blood pressure were also recorded. Based on the anesthesiologist’s diagnosis, patients were categorized into either the MTS or non-MTS group. We compared the ratio of changes in a-value, heart rate, and blood pressure between the two groups, and their thresholds were also calculated.

resultsWe included 38 patients: 14 in the MTS group and 24 in the non-MTS group. The MTS group showed significantly higher median change ratio in a-value (0.45 vs. 0.25, P = 0.02) and heart rate (0.45 vs. 0.23, P < 0.01) and a greater decrease in mean arterial pressure (-0.26 vs. -0.14, P = 0.01) than the non-MTS group. Subjective flushing levels correlated with MTS diagnosis (P < 0.01). While the Nix sensor detected flushing in some subjectively undiagnosed cases, one patient in the non-MTS group met all three objective thresholds.

conclusionObjective evaluation of facial flushing using a color sensor is feasible and may enhance conventional assessment methods. To further improve the accuracy of objective evaluation, this pilot study may lead to a larger-scale study including blood tests.

Indexed as

Facial flushingMesenteric traction syndromeMonitoring

Identifiers

PMID41493692
PMCPMC12783494

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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.