Evidence map›Paper›PMID 41877897›Full record

Trial reportTherapeutics and clinical risk management2026

Impact of Individualized Positive End-Expiratory Pressure Guided by Driving Pressure on Postoperative Atelectasis Assessed by Lung Ultrasound in Laparoscopic Surgery Patients: A Randomized Controlled Trial.

Yi Zhang, Jiayu Zhu, Chunhua Xi, Shaofei Su, Yafan Bai, Yue Zhang, Wenjia Shen, Guyan Wang

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Therapeutics and clinical risk management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Yi ZhangDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Jiayu ZhuDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0009-0003-1599-8272
Chunhua XiDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Shaofei SuCentral Laboratory, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, People's Republic of China.
Yafan BaiDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Yue ZhangDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0009-0004-7926-2739
Wenjia ShenDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Guyan WangDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0001-6957-6356

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Pulmonary atelectasis frequently develops during laparoscopic procedures under general anesthesia, often leading to postoperative pulmonary complications (PPCs). Given the connection between high driving pressure and these complications, this study employed ultrasonography to assess whether individualized positive end-expiratory pressure (PEEP) titration by minimum driving pressure reduces postoperative atelectasis. Patients and Methods: Adult patients with medium-to-high-risk PPCs who were scheduled for laparoscopic procedures were allocated to receive either a fixed PEEP of 5 cmH Results: A total of 106 participants were assigned randomly, with 102 included in the final analysis. Individualized PEEP resulted in better intraoperative respiratory mechanics. Compared with Group C, Group D demonstrated a more substantial decrease in the LUS on postoperative day 1 (4[3-6] vs 6[5-8], Conclusion: In adult patients undergoing laparoscopic surgery, compared with a fixed PEEP of 5 cmH

Indexed as

driving pressurelaparoscopypositive-pressure respirationpostoperative complicationspulmonary atelectasisultrasonography

Identifiers

PMID41877897
PMCPMC13007958

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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.