Evidence map›Paper›PMID 29515726›Full record

Trial reportThe Pan African medical journal2017

Comparison of two doses of hypobaric bupivacaine in unilateral spinal anesthesia for hip fracture surgery: 5 mg versus 7.5 mg.

Mohamed Kahloul, Mohamed Said Nakhli, Amine Chouchene, Nidhal Chebbi, Salah Mhamdi, Walid Naija

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Pan African medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 78% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. La Tunisie medicale · 2023
    Trial
  3. Observational
  4. Article
  5. Review
  6. Review
  7. Article
  8. 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

6 authors at 1 institution in 1 country.

Mohamed KahloulDepartment of Anesthesia and Intensive Care, Sahloul Teaching Hospital; Faculty of Medicine "Ibn El Jazzar", Sousse, Tunisia.
Mohamed Said NakhliDepartment of Anesthesia and Intensive Care, Sahloul Teaching Hospital; Faculty of Medicine "Ibn El Jazzar", Sousse, Tunisia.
Amine ChoucheneDepartment of Anesthesia and Intensive Care, Sahloul Teaching Hospital; Faculty of Medicine "Ibn El Jazzar", Sousse, Tunisia.
Nidhal ChebbiDepartment of Anesthesia and Intensive Care, Sahloul Teaching Hospital; Faculty of Medicine "Ibn El Jazzar", Sousse, Tunisia.
Salah MhamdiDepartment of Anesthesia and Intensive Care, Sahloul Teaching Hospital; Faculty of Medicine "Ibn El Jazzar", Sousse, Tunisia.
Walid NaijaDepartment of Anesthesia and Intensive Care, Sahloul Teaching Hospital; Faculty of Medicine "Ibn El Jazzar", Sousse, Tunisia.
Hôpital Sahloul · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHip fracture is a frequent and severe disease. Its prognosis depends on the perioperative hemodynamic stability which can be preserved by the unilateral spinal anesthesia especially with low doses of local anesthetics. This study aims to compare the efficacy and hemodynamic stability of two doses of hypobaric bupivacaine (7.5 mg vs 5 mg) in unilateral spinal anesthesia.

methodsIn this prospective, randomized, double-blind study, 108 patients scheduled for hip fracture surgery under unilateral spinal anesthesia were enrolled to receive either 5 mg (group 1) or 7.5 mg (group 2) of hypobaric bupivacaine. Spinal anesthesia was performed in lateral position. Patients' socio-demographic characteristics, hemodynamic profile, sensory and motor blocks parameters were recorded.

resultsBoth groups were comparable regarding to demographic data. Two cases of failure occurred in group 1 and one case in group 2 corresponding to a comparable efficiency rates (96.29% and 98.14% respectively;

conclusionThe dosage of 5mg of hypobaric bupivacaine in unilateral spinal anesthesia is as effective as the dosage of 7.5 mg with lower bilateralization incidence and better hemodynamic stability.

Indexed as

AgedAged, 80 and overAnesthesia, SpinalAnesthetics, LocalBupivacaineDose-Response Relationship, DrugDouble-Blind MethodFemaleHemodynamicsHip FracturesHumansHypotensionMaleProspective StudiesAnesthetics, LocalBupivacainehip fracturehypobaric bupivacainelow dosesUnilateral spinal anesthesia

Identifiers

PMID29515726
PMCPMC5837165
OpenAlexW2763626757

What OpenQuestion holds

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LicenceCC BY
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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.