Evidence map›Paper›PMID 42818956›Full record

ArticlePakistan journal of medical sciences2026

Operative hysteroscopy intravascular absorption (OHIA) syndrome presenting with severe hypoxemia and abnormal carboxyhemoglobin elevation.

Dongmiao Cai, Haizhen Wang, Bin Yang, Zhihong Xu

Abstract readCase Reports
In one paragraph

Article in Pakistan journal of medical sciences, 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

4 authors.

Dongmiao CaiDongmiao Cai, Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China, 361000.
Haizhen WangHaizhen Wang, Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China, 361000.
Bin YangBin Yang, Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China, 361000.
Zhihong XuZhihong Xu, Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China, 361000.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 40 years old woman undergoing elective hysteroscopic myomectomy under general anesthesia developed progressive hypoxemia and severe metabolic acidosis. The primary etiology was Operative Hysteroscopy Intravascular Absorption (OHIA) syndrome, resulting from massive normal saline irrigation (approximately 18 L used) leading to dilutional hyperchloremic metabolic acidosis and pulmonary edema. Intraoperatively, a sudden drop in end-tidal carbon dioxide (EtCO

Indexed as

CarboxyhemoglobinHypoxemiaOHIA

Identifiers

PMID42818956
PMCPMC13624449

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.