Evidence map›Paper›PMID 26221491›Full record

ArticleCaspian journal of internal medicine2015

Sedation with etomidate-fentanyl versus propofol-fentanyl in colonoscopies: A prospective randomized study.

Nadia Banihashem, Ebrahim Alijanpour, Majid Basirat, Javad Shokri Shirvany, Mehrdad Kashifard, Hasan Taheri, Shahriyar Savadkohi, Vahid Hosseini, Seyed Sedigheh Solimanian

Open access · greenAbstract read
In one paragraph

Article in Caspian journal of internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 9 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

9 authors at 1 institution in 1 country.

Nadia BanihashemDepartment of Anesthesiology, Babol University of Medical Sciences, Babol, Iran.
Ebrahim AlijanpourDepartment of Anesthesiology, Babol University of Medical Sciences, Babol, Iran.
Majid BasiratDepartment of Anesthesiology, Babol University of Medical Sciences, Babol, Iran.
Javad Shokri ShirvanyDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Iran.
Mehrdad KashifardDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Iran.
Hasan TaheriDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Iran.
Shahriyar SavadkohiDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Iran.
Vahid HosseiniInflammatory Diseases of Upper GI Tract Research Center , Mazandaran University of Medical Sciences, Sari, Iran.
Seyed Sedigheh SolimanianDepartment of Anesthesiology, Babol University of Medical Sciences, Babol, Iran.
Babol University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe combination of propofol-fentanyl for sedation during colonoscopy is characterized by high prevalence of side effects. Etomidate-fentanyl provides fewer hemodynamic and respiratory complications. The aim of our study was to compare the safety and efficacy of propofol-fentanyl and etomidate-fentanyl for conscious sedation in elective colonoscopy.

methodsThis double-blind clinical trial was conducted on 90 patients aged between 18- 55 years old who were candidates for elective colonoscopy. Patients were randomized to receive sedation with fentanyl plus propofol or etomidate. Two minutes after injecting 1 micro/kg of fentanyl, the patients received 0.5mg/kg propofol by infusion (25 µ/kg/min) or 0.1 mg/kg etmoidate (15 µ/kg/min). Pulse rate, mean arterial blood pressure, respiratory rate, and saturation of peripheral oxygen (SPO2) were monitored. In addition, the patient and colonoscopist satisfaction, the recovery time, sedation and pain score in both groups were assessed.

resultsSedation score in propofol group was higher. Pain score as well as the physician and patient satisfaction showed no significant difference between the two study groups. Hemodynamic changes and arterial saturation were the same in both groups. The duration of recovery was 1.27±0.82 minutes in the etomidate group; versus 2.57±2.46 minutes in the propofol group (P=0.001). Recovery time in the etmoid group was 2.68±3.14 minutes and in the propofol group was 5.53±4.67 minutes (p=0.001).

conclusionThe combination of fentanyl and etomidate provides an acceptable alternative to sedation with fentanyl and propofol with the advantage of significantly faster recovery time, in the outpatient setting.

Indexed as

ColonoscopyEtomidatePropofolSedation

Identifiers

PMID26221491
PMCPMC4478113
OpenAlexW2275561655

What OpenQuestion holds

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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.