Evidence map›Paper›PMID 39722113›Full record

Trial reportObesity surgery2025

Effects of Sodium Bicarbonate Ringer's Solution Combined with Positive End-Expiratory Pressure on the Internal Environment of Patients Undergoing Bariatric Surgery: A Randomized 2 × 2 Factorial Design Pilot.

Xinyue Jiang, Rui Wang, Lan Guo, Zhengru Shan, Zhiping Wang

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Obesity surgery, 2025. 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

5 authors.

Xinyue JiangXuzhou Medical University, Xuzhou, China.
Rui WangDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Lan GuoXuzhou Medical University, Xuzhou, China.
Zhengru ShanXuzhou Medical University, Xuzhou, China.
Zhiping WangXuzhou Medical University, Xuzhou, China. zhpsqxt@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the influence of sodium bicarbonate Ringer's solution (BRS) combined with positive end-expiratory pressure (PEEP) on the internal environment in patients who have undergone laparoscopic bariatric surgery.

methodsA total of 128 patients undergoing laparoscopic bariatric surgery were randomly divided into the control group (group C), the PEEP group (group P), the BRS group (group B), and the BRS combined with the PEEP group (group BP). The results of arterial blood gas analysis, including pH value, base excess (BE), concentrations of electrolyte, and lactate (Lac) were documented before intravenous infusion (T0) and 5 min after the surgery (T1). Additional metrics included tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) and were quantified before intravenous infusion and at 30 min post-surgery. The quality of recovery-15 questionnaire (QoR-15) scores were documented preoperatively (D0) and on the first (D1) and third (D3) days, postoperatively.

resultsThere was no significant interaction effect between the two factors of BRS and PEEP (p = 0.659). After the infusion of BRS, the pH level increased significantly at T2 (p < 0.05). Using PEEP during operation can increase PaO2 in patients with obesity (p < 0.05). The level of pH value is increased, and the concentrations of inflammatory factors are reduced due to the combination of BRS and PEEP (p < 0.05). Compared with group C, group BP exhibited an augmentation in QoR-15 (p < 0.05), and the recovery time of group BP was significantly shortened (p < 0.05).

conclusionsBRS combined with PEEP has been demonstrated to improve acid-base balance, reduce the inflammatory response, shorten the recovery time, and substantially enhance the quality of early postoperative recovery.

Indexed as

Bariatric SurgeryObesity, MorbidPositive-Pressure RespirationSodium BicarbonateAdultBlood Gas AnalysisFemaleHumansInfusions, IntravenousInterleukin-6Isotonic SolutionsLaparoscopyMaleMiddle AgedPilot ProjectsTumor Necrosis Factor-alphaInterleukin-6Isotonic SolutionsSodium BicarbonateTumor Necrosis Factor-alphaAcid–base balancePositive end-expiratory pressurePostoperative recovery qualitySodium bicarbonate Ringer’s solution

Identifiers

PMID39722113
PMCPMC11717800

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.