Evidence map›Paper›PMID 42443683›Full record

ArticleSurgical endoscopy2026

A pause before connecting insufflation tubing to decrease the risk of air embolism.

Alex I Halpern, Daragh Crowley, Lowell A Lobo, Raj Shekhar, Anthony D Sandler, Timothy D Kane

Abstract read
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In one paragraph

Article in Surgical endoscopy, 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

6 authors.

Alex I HalpernSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, 111 Michigan Avenue NW, Washington, DC, 20010, USA. ahalpern@childrensnational.org.ORCID http://orcid.org/0000-0003-4266-2291
Daragh CrowleySheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, 111 Michigan Avenue NW, Washington, DC, 20010, USA.
Lowell A LoboSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, 111 Michigan Avenue NW, Washington, DC, 20010, USA.
Raj ShekharSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, 111 Michigan Avenue NW, Washington, DC, 20010, USA.
Anthony D SandlerSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, 111 Michigan Avenue NW, Washington, DC, 20010, USA.
Timothy D KaneSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, 111 Michigan Avenue NW, Washington, DC, 20010, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAir embolism is a rare but potentially fatal complication of laparoscopic surgery, especially among pediatric patients. A common theory as to why air embolism occurs during laparoscopy is that ambient air in the insufflation tubing can enter the vascular system when a trocar or Veress needle is inserted into a vessel or highly vascularized tissue. While some laparoscopic surgeons initiate CO

methodsWe connected standard ten-foot laparoscopic insufflation tubing to a STORZ ENDOFLATOR® 50. We then attached the end of the tubing to a three-way stopcock connected to an end-tidal CO

resultsThe average time for CO

conclusionsWe recommend waiting at least ten seconds, regardless of flow rate or pressure, between starting the flow of CO

Indexed as

Embolism, AirInsufflationLaparoscopyPneumoperitoneum, ArtificialCarbon DioxideEquipment DesignHumansCarbon DioxideAir embolismInsufflationLaparoscopyPatient safetyPediatrics

Identifiers

PMID42443683

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.