Evidence map›Paper›PMID 38884875›Full record

Observational studyJournal of clinical monitoring and computing2024

Mechanical power during robotic-assisted laparoscopic prostatectomy: an observational study.

Tommaso Pozzi, Silvia Coppola, Giulia Catozzi, Andrea Colombo, Mara Chioccola, Eleonora Duscio, Fabiano Di Marco, Davide Chiumello

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of clinical monitoring and computing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06625099 (Comparison of the Effects of Different Positive Expiratory Pressure Levels on Patient Oxygenation and Mechanical Power Values in Laparoscopic Surgeries), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT06625099 completednot on this map

Comparison of the Effects of Different Positive Expiratory Pressure Levels on Patient Oxygenation and Mechanical Power Values in Laparoscopic Surgeries

TypeobservationalSponsorKocaeli City HospitalRan2024 to 2025Enrolled101ConditionsMechanical Ventilation, Mechanical Power, Optimum PEEP, Laparoscopic Abdominal SurgeryArmsMechanical Ventilation (MV) with Low PEEP, Mechanical Ventilation (MV) with Optimum PEEP
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. 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.

Tommaso PozziDepartment of Health Sciences, University of Milan, Milan, Italy.
Silvia CoppolaDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital Milan, Milan, Italy.
Giulia CatozziDepartment of Health Sciences, University of Milan, Milan, Italy.
Andrea ColomboDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital Milan, Milan, Italy.
Mara ChioccolaDepartment of Health Sciences, University of Milan, Milan, Italy.
Eleonora DuscioDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital Milan, Milan, Italy.
Fabiano Di MarcoPulmonary Medicine Unit, ASST Papa Giovanni XXIII, 24127, Bergamo, Italy.
Davide ChiumelloDepartment of Health Sciences, University of Milan, Milan, Italy. davide.chiumello@unimi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic-assisted laparoscopic radical prostatectomy (RALP) requires pneumoperitoneum and steep Trendelenburg position. Our aim was to investigate the influence of the combination of pneumoperitoneum and Trendelenburg position on mechanical power and its components during RALP.

methodsSixty-one prospectively enrolled patients scheduled for RALP were studied in supine position before surgery, during pneumoperitoneum and Trendelenburg position and in supine position after surgery at constant ventilatory setting. In a subgroup of 17 patients the response to increasing positive end-expiratory pressure (PEEP) from 5 to 10 cmH

resultsThe application of pneumoperitoneum and Trendelenburg position increased the total mechanical power (13.8 [11.6 - 15.5] vs 9.2 [7.5 - 11.7] J/min, p < 0.001) and its elastic and resistive components compared to supine position before surgery. In supine position after surgery the total mechanical power and its elastic component decreased but remained higher compared to supine position before surgery. Increasing PEEP from 5 to 10 cmH

conclusionMechanical power in healthy patients undergoing RALP significantly increased both during the pneumoperitoneum and Trendelenburg position and in supine position after surgery. PEEP always increased mechanical power without ameliorating the respiratory system elastance.

Indexed as

Head-Down TiltLaparoscopyPneumoperitoneum, ArtificialPositive-Pressure RespirationProstatectomyRobotic Surgical ProceduresAgedHumansMaleMiddle AgedProspective StudiesProstatic NeoplasmsSupine PositionIntraoperative mechanical ventilationMechanical PowerRobotic Surgery

Identifiers

PMID38884875
PMCPMC11427604

What Socratic holds

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LicenceCC BY
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Registered trials

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 Socratic graph.