Evidence map›Paper›PMID 27586512›Full record

Trial reportWorld journal of surgery2017

The Addition of Dexmedetomidine to Analgesia for Patients After Abdominal Operations: A Prospective Randomized Clinical Trial.

Minhua Cheng, Jialiang Shi, Tao Gao, Juanhong Shen, Chenyan Zhao, Fengchan Xi, Weiqin Li, Qiurong Li, Wenkui Yu

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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 at 2 institutions in 1 country.

Minhua ChengMedical School of Nanjing University, 22 Hankou Road, Nanjing, Jiangsu, People's Republic of China.
Jialiang ShiInstitute of General Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan Road, Nanjing, Jiangsu, People's Republic of China.
Tao GaoMedical School of Nanjing University, 22 Hankou Road, Nanjing, Jiangsu, People's Republic of China.
Juanhong ShenInstitute of General Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan Road, Nanjing, Jiangsu, People's Republic of China.
Chenyan ZhaoInstitute of General Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan Road, Nanjing, Jiangsu, People's Republic of China.
Fengchan XiInstitute of General Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan Road, Nanjing, Jiangsu, People's Republic of China.
Weiqin LiInstitute of General Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan Road, Nanjing, Jiangsu, People's Republic of China.
Qiurong LiInstitute of General Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan Road, Nanjing, Jiangsu, People's Republic of China.
Wenkui YuInstitute of General Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan Road, Nanjing, Jiangsu, People's Republic of China. yudrnj@163.com.ORCID 0000-0002-2636-9207
Nanjing General Hospital of Nanjing Military Command · CNHankou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pain and anxiety are two common factors influencing patient's recovery. Benefits and safety in the use of sedative agents after abdominal operations to improve recovery are not well known. The present study is to evaluate the efficacy and safety of dexmedetomidine use in this population.

methodsA prospective randomized controlled trial of 145 patients undergoing abdominal operations was conducted in the Surgical Intensive Care Unit of Jinling Hospital between October and December 2015. Thirty-two patients were excluded, and 113 were included and divided into the experimental group (59 patients) receiving dexmedetomidine and analgesics for 72 h after abdominal operations, and the control group (54 patients) receiving only analgesics. Postoperative pain, inflammatory response, recovery of gastrointestinal function, adverse events, and sedation level were analyzed.

resultsPain scores, assessed by Prince Henry Pain Scale (PHPS), in the experimental group were significantly lower than in the control group on the first (1.53 vs. 2.07, p ≤ 0.01), second (1.07 vs. 1.63, p ≤ 0.01), and third day (1.08 vs. 1.82, p = 0.01). Time to defecation was 0.60 days shorter in the experimental group than the control group (2.51 vs. 3.11, p = 0.01). There was no significant difference between inflammatory responses in the two groups (p > 0.05). Both groups had similar blood pressure, heart rate, prevalence of bradycardia, and hypotension requiring interventions (p > 0.05).

conclusionsThe addition of dexmedetomidine to analgesia after abdominal operations is safe and could enhance gastrointestinal function recovery and pain control when monitored carefully. The capacity of dexmedetomidine to attenuate inflammatory responses requires further investigation.

Indexed as

AbdomenAdultAgedDexmedetomidineFemaleHumansMaleMiddle AgedPostoperative PainProspective StudiesDexmedetomidine

Identifiers

PMID27586512
OpenAlexW2508053006

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.