Evidence map›Paper›PMID 42277684›Full record

ReviewBMC cardiovascular disorders2026

Severe hypercapnia and hemodynamic instability following a sudden elevation in end-tidal CO₂ during thoraco-laparoscopic esophagectomy: a case report and literature review.

Yan Xu, Hong Deng, Jie Zhu, Chunling Jiang, Xiaoqiang Li

Abstract readCase ReportsReview
In one paragraph

Review in BMC cardiovascular disorders, 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

5 authors.

Yan Xu *Department of Anaesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Hong Deng *Department of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, China.
Jie ZhuDepartment of Anaesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Chunling JiangDepartment of Anaesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Xiaoqiang LiDepartment of Anaesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, China. 39006900@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEstablishing thoracoscopic pneumothorax in patients with extensive pleural adhesions often increases the risk of trocar-related lung injury, potentially causing abrupt extreme elevations in end-tidal carbon dioxide (ETCO₂) and precipitating life-threatening hemodynamic instability. Given the rarity of such events and complication in recovery, clearer recommendations for early recognition are needed to inform subsequent perioperative management. CASE PRESENTATION: A 61-year-old male undergoing elective thoraco-laparoscopic esophagectomy for esophageal cancer who had an abrupt elevation in P

conclusionsPatients with extensive pleural adhesions are at increased risk of trocar-related lung injury during the establishment of CO₂ pneumothorax. Continuous intraoperative ETCO₂ monitoring can facilitate early detection with cases of this type. Prompt recognition, effective hemodynamic management, and appropriate use of ventilatory support are essential to prevent potentially life-threatening complications.

Indexed as

Carbon DioxideEsophageal NeoplasmsEsophagectomyHemodynamicsHypercapniaLaparoscopyLung InjuryThoracoscopyHumansMaleMiddle AgedSeverity of Illness IndexTreatment OutcomeCarbon DioxideHemodynamic instabilityHypercapniaPleural adhesionsThoracoscopic surgeryTrocar-related lung injury

Identifiers

PMID42277684
PMCPMC13479601

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Registered trials

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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.