Evidence map›Paper›PMID 42668283›Full record

ArticlePediatric research2026

Impact of high fraction of inspired oxygen before extubation on incidence of postoperative atelectasis in children: a randomized controlled trial.

Aakriti Gupta, Shephali Shephali, Sandhya Yaddanapudi, Neerja Bhardwaj, Muneer Abbas Malik, Sarath Kumar, Sabina Khanal, Subhasish Patnaik

Abstract read
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In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Aakriti GuptaDepartment of Anesthesia and Intensive Care, fourth floor, PGIMER, Chandigarh, India.
Shephali ShephaliDepartment of Anesthesia and Intensive Care, fourth floor, PGIMER, Chandigarh, India. addusingh22@gmail.com.
Sandhya YaddanapudiDepartment of Anesthesia and Intensive Care, fourth floor, PGIMER, Chandigarh, India.
Neerja BhardwajDepartment of Anesthesia and Intensive Care, fourth floor, PGIMER, Chandigarh, India.
Muneer Abbas MalikDepartment of Pediatric Surgery, 6th floor, PGIMER, Chandigarh, India.
Sarath KumarDepartment of Anesthesia and Intensive Care, fourth floor, PGIMER, Chandigarh, India.
Sabina KhanalDepartment of Anesthesia and Intensive Care, fourth floor, PGIMER, Chandigarh, India.
Subhasish PatnaikDepartment of Anesthesia and Intensive Care, fourth floor, PGIMER, Chandigarh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh fraction of inspired oxygen (FiO

methodTo compare the atelectasis formation in pediatric patients receiving different FiO

resultsA statistically significant difference in incidence of postoperative atelectasis was found between low and high FiO

conclusion100% FiO IMPACT: This study is the first randomized controlled trial in children to evaluate the effect of pre-extubation inspired oxygen concentration on post-extubation atelectasis, using lung ultrasound. Even short-term administration of 100% FiO₂ (10-20 min) before extubation significantly increases the incidence and severity of postoperative atelectasis in children. A lower FiO₂ of 50% before extubation can be safely used, challenging the routine practice of 100% oxygen during emergence. The results refine existing knowledge by identifying extubation as a critical, previously under-studied window for oxygen-induced atelectasis, thereby emphasizing on lung-protective extubation strategies in children.

Identifiers

PMID42668283

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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.