Evidence map›Paper›PMID 23917892›Full record

ReviewDer Anaesthesist2013

[Dexmedetomidine].

G Gerresheim, U Schwemmer

2 registry-linked trialsOpen access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Der Anaesthesist, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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.

NCT02267538 phase4completednot on this mapstarted 2014, after this paper: background citation

Impact of Dexmedetomidine on the Incidence of Postoperative Delirium in Patients After Cardiac Surgery: a Randomized, Double-blinded, and Placebo-controlled Clinical Trial

TypeinterventionalSponsorPeking University First HospitalRan2014 to 2015Enrolled285ConditionsDelirium, C.Surgical Procedure, Cardiac, Postoperative ComplicationsArmsdexmedetomidine hydrochloride for injection, 0.9% sodium chloride for injection
NCT04111926 phase4completednot on this mapstarted 2019, after this paper: background citation

Impact of Intraoperative Dexmedetomidine on Long-term Outcomes in Elderly Patients After Major Non-cardiac Surgery: 3-year Follow-up of a Randomised Controlled Trial

TypeinterventionalSponsorPeking University First HospitalRan2019 to 2021Enrolled619ConditionsOverall SurvivalArmsDexmedetomidine, Placebo
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
  9. Observational
  10. An αInternational journal of medical sciences · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. 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

2 authors at 1 institution in 1 country.

G GerresheimKlinik für Anästhesiologie und Intensivmedizin, Klinikum Neumarkt i.d. OPf., Nürnberger Str. 12, 92318, Neumarkt i.d. Opf, Deutschland. goetz.gerresheim@klinikum.neumarkt.de
U Schwemmer
Nuremberg Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dexmedetomidine is a highly selective α2-receptor agonist with sedative, analgetic and anxiolytic effects. It is chemically related to clonidine and has been an authorized drug in Europe since September 2011. Dexmedetomidine enables a level of sedation in which mechanically ventilated patients may be woken by verbal stimulation (Richmond agitation sedation scale RASS 0--3). In this respect dexmedetomidine achieves the same desired effect as propofol and midazolam; however, in direct comparison to a sedation regime with benzodiazepines, dexmedetomidine reduces the prevalence, duration and severity of delirium in intensive care. Patients sedated by dexmedetomidine can statistically be extubated earlier and an influence on duration of stay in the intensive care unit (ICU) has not been shown. Daily therapy costs are approximately 5 times higher than those of propofol but an objective standpoint in relation to clinical cost efficiency is unattainable.

Indexed as

Adrenergic alpha-AgonistsAdultAnalgesics, Non-NarcoticBariatric SurgeryChildContraindicationsCost-Benefit AnalysisCritical CareDeliriumDexmedetomidineDrug InteractionsElectroencephalographyHumansHypnotics and SedativesIntubation, IntratrachealMagnetic Resonance ImagingAdrenergic alpha-AgonistsAnalgesics, Non-NarcoticDexmedetomidineHypnotics and Sedatives

Identifiers

PMID23917892
OpenAlexW3190127279

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.