Evidence map›Paper›PMID 25237632›Full record

ArticleAnesthesiology and pain medicine2014

The effect of intravenous magnesium sulfate and lidocaine in hemodynamic responses to endotracheal intubation in elective coronary artery bypass grafting: a randomized controlled clinical trial.

Mehrdad Mesbah Kiaee, Saeid Safari, Gholam Reza Movaseghi, Mahmoud Reza Mohaghegh Dolatabadi, Masoud Ghorbanlo, Mehrnoosh Etemadi, Seyed Arash Amiri, Mohammad Mahdi Zamani

Open access · hybridAbstract read
In one paragraph

Article in Anesthesiology and pain medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 27 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Mehrdad Mesbah KiaeeDepartment of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.
Saeid SafariDepartment of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.
Gholam Reza MovaseghiDepartment of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mahmoud Reza Mohaghegh DolatabadiDepartment of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.
Masoud GhorbanloDepartment of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mehrnoosh EtemadiStudents' Scientific Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Arash AmiriDepartment of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Mahdi ZamaniDepartment of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran ; Students' Scientific Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
Iran University of Medical Sciences · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere have been many concerns about alteration in hemodynamic parameters within and shortly after endotracheal intubation (ETI) in patients scheduled for elective coronary artery bypass grafting (CABG).

objectivesWe compared the attenuation effect of magnesium sulfate and lidocaine on hemodynamic responses after ETI, in patients undergoing CABG. PATIENTS AND

methodsIn this randomized controlled trial 150 patients undergoing elective CABG were enrolled. Included patients were randomly allocated to three groups and received lidocaine (1.5 mg/kg), magnesium sulfate (50 mg/kg within five minute), or normal saline, 90 seconds before ETI. Baseline hemodynamic parameters including heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were recorded immediately before anesthesia induction, before intubation, immediately after intubation, and at second and fifth minutes after intubation.

resultsThe baseline hemodynamic variables had no deference among the three groups. HR between intubation and five minute after intubation was significantly lower in two groups received lidocaine or magnesium sulfate in comparison with placebo group. Lidocaine induced more than 20% decrease in HR and MAP immediately after intubation; hence, lidocaine group showed significant MAP reduction in comparison with the two other groups.

conclusionsLidocaine induced hemodynamic instability but premedication of magnesium sulfate maintained hemodynamic stability after intubation. Therefore, in patients undergoing CABG who received high-dose intravenous analgesic for general anesthesia, the administration of magnesium sulfate might result in maintaining hemodynamic stability after ETI in comparison with lidocaine.

Indexed as

Coronary Artery Bypass GraftingEndotracheal IntubationHemodynamicLidocaineMagnesium Sulfate

Identifiers

PMID25237632
PMCPMC4164986
OpenAlexW2144188015

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LicenceCC BY
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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.