Evidence map›Paper›PMID 24701585›Full record

Trial reportBioMed research international2014

The effects of spinal, inhalation, and total intravenous anesthetic techniques on ischemia-reperfusion injury in arthroscopic knee surgery.

Müge Koşucu, Ilker Coşkun, Ahmet Eroglu, Dilek Kutanis, Ahmet Menteşe, S Caner Karahan, Emre Baki, Servet Kerimoğlu, Murat Topbas

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. 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

9 authors.

Müge KoşucuDepartment of Anesthesiology, KTU Farabi Hospital, Medical School of Karadeniz Technical University, 61080 Trabzon, Turkey.
Ilker CoşkunDepartment of Anesthesiology, KTU Farabi Hospital, Medical School of Karadeniz Technical University, 61080 Trabzon, Turkey.
Ahmet ErogluDepartment of Anesthesiology, KTU Farabi Hospital, Medical School of Karadeniz Technical University, 61080 Trabzon, Turkey.
Dilek KutanisDepartment of Anesthesiology, KTU Farabi Hospital, Medical School of Karadeniz Technical University, 61080 Trabzon, Turkey.
Ahmet MenteşeDepartment of Biochemistry, Medical School of Karadeniz Technical University, 61080 Trabzon, Turkey.
S Caner KarahanDepartment of Biochemistry, Medical School of Karadeniz Technical University, 61080 Trabzon, Turkey.
Emre BakiDepartment of Orthopaedics, Medical School of Karadeniz Technical University, 61080 Trabzon, Turkey.
Servet KerimoğluDepartment of Orthopaedics, Medical School of Karadeniz Technical University, 61080 Trabzon, Turkey.
Murat TopbasDepartment of Public Health, Medical School of Karadeniz Technical University, 61080 Trabzon, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the effects of different anesthesia techniques on tourniquet-related ischemia-reperfusion by measuring the levels of malondialdehyde (MDA), ischemia-modified albumin (IMA) and neuromuscular side effects.

methodsSixty ASAI-II patients undergoing arthroscopic knee surgery were randomised to three groups. In Group S, intrathecal anesthesia was administered using levobupivacaine. Anesthesia was induced and maintained with sevoflurane in Group I and TIVA with propofol in Group T. Blood samples were obtained before the induction of anesthesia (t1), 30 min after tourniquet inflation (t2), immediately before (t3), and 5 min (t4), 15 min (t5), 30 min (t 6), 1 h (t7), 2 h (t8), and 6 h (t9) after tourniquet release.

resultsMDA and IMA levels increased significantly compared with baseline values in Group S at t2-t 9 and t2-t7. MDA levels in Group T and Group I were significantly lower than those in Group S at t2-t8 and t2-t9. IMA levels in Group T were significantly lower than those in Group S at t2-t7. Postoperatively, a temporary 1/5 loss of strength in dorsiflexion of the ankle was observed in 3 patients in Group S and 1 in Group I.

conclusionsTIVA with propofol can make a positive contribution in tourniquet-related ischemia-reperfusion.

Indexed as

Anesthesia, InhalationAnesthesia, IntravenousAnesthesia, SpinalArthroplasty, Replacement, KneeAcetaminophenAdolescentAdultAnesthetics, InhalationAnesthetics, LocalAspirinBupivacaineChlorpheniramineDextropropoxypheneDrug CombinationsFemaleHumansAcetaminophenAnesthetics, InhalationAnesthetics, LocalAspirinBupivacaineChlorpheniramineDextropropoxypheneDrug CombinationsLevobupivacaineMalondialdehydeMethyl EtherspropofanSevoflurane

Identifiers

PMID24701585
PMCPMC3950662

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Registered trials

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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.