Evidence map›Paper›PMID 27746556›Full record

ArticleAnesthesia, essays and researches

A comparison of dexamethasone and clonidine as an adjuvant for caudal blocks in pediatric urogenital surgeries.

Chandni Sinha, Bindey Kumar, Umesh Kumar Bhadani, Ajeet Kumar, Amarjeet Kumar, Alok Ranjan

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Article in Anesthesia, essays and researches. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 10 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

6 authors at 1 institution in 1 country.

Chandni SinhaDepartment of Anesthesia, All India Institute of Medical Sciences, Patna, Bihar, India.
Bindey KumarDepartment of Pediatric Surgery, All India Institute of Medical Sciences, Patna, Bihar, India.
Umesh Kumar BhadaniDepartment of Anesthesia, All India Institute of Medical Sciences, Patna, Bihar, India.
Ajeet KumarDepartment of Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.
Amarjeet KumarDepartment of Anesthesia, All India Institute of Medical Sciences, Patna, Bihar, India.
Alok RanjanDepartment of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCaudal block is a reliable regional analgesic technique for pediatric urogenital surgeries. Various adjuvants have been tried to enhance the duration of action of bupivicaine. Though clonidine is extensively used as an adjuvant in caudal anaesthesia, it can have troublesome adverse effects like bradycardia, hypotension and sedation. Lately dexamethasone has become popular as an adjuvant in paediatric caudals due to its safety profile.

aimThe aim of this study was to compare dexamethasone and clonidine coadministered with bupivicaine caudally in paediatric patients undergoing urogenital surgeries in terms of analgesia and adverse effects. SETTINGS AND

designProspective, double blinded randomised study. SUBJECTS AND

methodSixty American Society of Anesthesiologists physical status I and II children, aged 1-6 years undergoing urogenital surgeries were allocated in 2 groups: Group I: 0.5 mL.kg STATISTICAL ANALYSIS USED: Statistical analysis was carried out using Stata Version 10. After checking for the normality assumption,

resultsPatients in Group II had longer duration of analgesia postoperatively. Patients in this group also had lower heart rate and more sedation scores.

conclusionOur study shows that caudal dexamethasone is a good alternative to clonidine with more stable hemodynamics and lesser sedation scores in the immediate postoperative period. Both the drugs offer good analgesia postoperatively with the duration of analgesia more in clonidine.

Indexed as

Caudalclonidinedexamethasonepediatric

Identifiers

PMID27746556
PMCPMC5062206
OpenAlexW2485569989

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.