Evidence map›Paper›PMID 23825758›Full record

ArticleJournal of thoracic disease2013

Tramadol combined with fentanyl in awake endotracheal intubation.

Sai-Ying Wang, Yang Mei, Hui Sheng, Yang Li, Rui Han, Cheng-Xuan Quan, Zhong-Hua Hu, Wen Ouyang, Zhao-Qian Liu, Kai-Ming Duan

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Awake tracheal intubation using combination of an AirtraqAmerican journal of nuclear medicine and molecular imaging · 2018
    Article
  5. Cardiac arrest from tramadol and fentanyl combination.Indian journal of anaesthesia · 2015
    Article
  6. Article
  7. 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

10 authors at 1 institution in 1 country.

Sai-Ying WangInstitution of Pharmacology, Central South University, China; ; Department of Anesthesiology, the 3rd Xiangya Hospital of Central South University, China.
Yang Mei
Hui Sheng
Yang Li
Rui Han
Cheng-Xuan Quan
Zhong-Hua Hu
Wen Ouyang
Zhao-Qian Liu
Kai-Ming Duan
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the feasibility and dosage of tramadol combined with fentanyl in awake endotracheal intubation.

methodsUsing Dixon's up-and-down sequential design, the study enrolled patients from each of the 20-49, 50-60 and 70-and-above age groups scheduled for elective surgery under general anesthesia. The feasibility and dosage of tramadol combined with fentanyl in awake endotracheal intubation, guided by fiberoptic bronchoscopy, were verified.

resultsAfter intravenous injection with fentanyl 2.2 μg/kg and tramadol 2.0 mg/kg in the 20-49 age group, fentanyl 1.6 μg/kg and tramadol 1.9 mg/kg in the 50-69 age group and fentanyl 1 μg/kg and tramadol 1.8 mg/kg in those at the age of 70 or above, the patients achieved conscious sedation without obvious respiratory depression. Meanwhile, under these dosages, the patients could easily tolerate the thyrocricocentesis airway surface anesthesia and fiberoptic bronchoscope guided tracheal intubation. Postoperative follow-up showed that most patients had memory of the intubation process but without significant discomfort. No awake endotracheal intubation-related side effect was noted.

conclusionsFiberoptic bronchoscope guided nasotracheal intubation can be successfully completed with background administration of fentanyl and tramadol. However, the specific dosages need to be tailored in different age of patients.

Indexed as

Awake endotracheal intubationfentanylfiberoptic bronchoscopenasotracheal intubationtramadol

Identifiers

PMID23825758
PMCPMC3698251
OpenAlexW1935988561

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.