Evidence map›Paper›PMID 28120147›Full record

Observational studyObesity surgery2017

Perioperative Analgesia for Fast-Track Laparoscopic Bariatric Surgery.

Olumuyiwa A Bamgbade, Oluwafemi Oluwole, Rong R Khaw

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04836819 (Comparison of Lidocaine, Dexmedetomidine and Ketamine in Multimodal Analgesia Management Following Sleeve Gastrectomy Surgery), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT04836819 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparison of Lidocaine, Dexmedetomidine and Ketamine in Multimodal Analgesia Management Following Sleeve Gastrectomy Surgery: A Randomized Double-Blind Trial

TypeinterventionalSponsorOndokuz Mayıs UniversityRan2021 to 2021Enrolled78ConditionsMorbid Obesity, Bariatric Surgery Candidate, Pain, PostoperativeArmsLidocain, Ketamine, Dexmedetomidine
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

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  16. Enhanced Recovery after Surgery in Bariatric Surgery.Journal of metabolic and bariatric surgery · 2021
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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

3 authors at 3 institutions in 2 countries.

Olumuyiwa A BamgbadeDepartment of Anaesthesia, University of British Columbia, Vancouver, BC, Canada. olu.bamgbade@gmail.com.
Oluwafemi OluwoleDepartment of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, SK, Canada.
Rong R KhawDepartment of Surgery, University of Manchester, Manchester, UK.
University of British Columbia · CAUniversity of Manchester · GBUniversity of Saskatchewan · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pain and analgesia present challenges in bariatric surgery patients. Multimodal analgesia may provide better efficacy, less complications and expedite fast-track bariatric surgical care. There are no studies of the broader topic of perioperative analgesia and the overall impact. This study highlights the impact of multimodal intraoperative analgesia on fast-track bariatric surgery.

methodsThis observational study examined the perioperative outcome data of 412 consecutive laparoscopic bariatric surgery patients over a 6-year period. Perioperative outcome and variables were analysed and compared between different intraoperative analgesia types.

resultsMean BMI was 49, mean age was 42 and male:female ratio was 1:4. About 82% of patients received multimodal intraoperative analgesia, comprising various combinations of bupivacaine infiltration and intravenous acetaminophen, morphine, tramadol, parecoxib or diclofenac. Morphine was administered in 83% of patients and tramadol in 17%. Multimodal intraoperative analgesia provided better postoperative analgesia, shorter postanaesthesia care unit (PACU) duration, lower postoperative opioid requirement, less postoperative vomiting, earlier postoperative oral intake, earlier ambulation and shorter hospital stay compared to unimodal intraoperative morphine analgesia (p = 0.0001). Multimodal analgesia comprising tramadol + acetaminophen + diclofenac provided better postoperative analgesia, shorter PACU duration, lower postoperative opioid requirement, earlier ambulation, shorter hospital stay and less postoperative hypopnoea compared to patients who received morphine (p = 0.0001).

conclusionsMultimodal intraoperative analgesia provides better postoperative analgesia, less complications and better perioperative outcomes and facilitates fast-track bariatric surgical care. Tramadol is suitable, efficacious and safe and associated with the best perioperative outcomes in bariatric surgery patients.

Indexed as

Gastric BypassAdolescentAdultAnalgesia, Patient-ControlledAnalgesicsAnesthetics, LocalClinical ProtocolsDrug Therapy, CombinationFemaleHumansIntraoperative CareLaparoscopyLength of StayMaleMiddle AgedObesity, MorbidAnalgesicsAnesthetics, LocalTramadolEnhanced recoveryFast trackLaparoscopic bariatric surgeryMultimodal analgesiaPerioperative analgesiaTramadol

Identifiers

PMID28120147
OpenAlexW2579956082

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.