Evidence map›Paper›PMID 29967332›Full record

Trial reportScientific reports2018

Dexmedetomidine Added to Sufentanil Patient-Controlled Intravenous Analgesia Relieves the Postoperative Pain after Cesarean Delivery: A Prospective Randomized Controlled Multicenter Study.

Yuyan Nie, Weifeng Tu, Xiaofeng Shen, Weifeng Yu, Yonghao Yu, Xingrong Song, Shiduan Wang, Ailin Luo, Minghui Cao, Xinmin Wu and 1 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
5.2field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Trial
  6. Effect of Dexmedetomidine on the EDDrug design, development and therapy · 2025
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Mechanism, Dose, and Administration of Dexmedetomidine in Managing Visceral Pain Associated With Surgery: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  11. Observational
  12. Baseline heart rateFrontiers in pediatrics · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

11 authors at 10 institutions in 1 country.

Yuyan NieDepartment of Anaesthesiology, the Obstetrics and Gynecology Hospital of Fudan University, Shanghai, 200090, China.
Weifeng TuDepartment of Anaesthesiology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, 510010, China.
Xiaofeng ShenDepartment of Anaesthesiology, Nanjing Maternity and Child Care Hospital, Nanjing, 210000, China.
Weifeng YuDepartment of Anaesthesiology, Renji Hospital Shanghai Jiaotong University School of Medicine, Shanghai, 200127, China.
Yonghao YuDepartment of Anaesthesiology, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Xingrong SongDepartment of Anaesthesiology, Guangzhou Women And Children's Medical Center, Guangzhou, 510623, China.
Shiduan WangDepartment of Anaesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, 266071, China.
Ailin LuoDepartment of Anaesthesiology, Tongji Medical College Huazhong University of Science & Technology, Wuhan, 430030, China.
Minghui CaoDepartment of Anaesthesiology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, 510120, China.
Xinmin WuDepartment of Anaesthesiology, Peking University First Hospital, Peking, 100034, China.
Shaoqiang HuangDepartment of Anaesthesiology, the Obstetrics and Gynecology Hospital of Fudan University, Shanghai, 200090, China. timrobbins71@163.com.
Obstetrics and Gynecology Hospital of Fudan University · CNAffiliated Hospital of Qingdao University · CNGeneral Hospital of Guangzhou Military Command · CNGuangzhou Women and Children Medical Center · CNHuazhong University of Science and Technology · CNNanjing Maternity and Child Health Care Hospital · CNPeking University · CNRenji Hospital · CNSun Yat-sen University · CNTianjin Medical University General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluated the efficacy and safety of dexmedetomidine in intravenous patient-controlled analgesia (PCA) after cesarean delivery. This multicenter study enrolled 208 subjects who were scheduled for selective cesarean delivery from 9 research centers. Patients received 0.5 ug/kg dexmedetomidine (study group) or normal saline (control group) after delivery and an intravenous PCA pump after surgery (100 μg sufentanil +300 μg dexmedetomidine for the study group, 100 μg sufentanil for the control group, background infusion: 1 ml/h, bolus dose: 2 ml and lock time: 8 min). The sufentanil consumption, pain scores, rescue analgesia, sedation scores, analgesic satisfaction, the incidence of postoperative nausea and vomiting (PONV) and the first passage of flatus were recorded within 24 h after surgery. The sufentanil consumption in the study group was significantly lower than that in the control group (p = 0.004). Compared with the control group, the study group had lower pain scores (p < 0.01), higher analgesic satisfaction degree [p < 0.001, odd ratio 4.28 and 95% CI (2.46, 7.46)], less requirement of rescue analgesia (p = 0.003), lower incidence of PONV (p = 0.005 and p < 0.001, respectively), and shorter time to first passage of flatus (p = 0.007). Dexmedetomidine added to sufentanil intravenous PCA significantly enhanced the analgesic effects, improved analgesic satisfaction, and had the potential benefits of reducing PONV and the recovery of intestinal functions after cesarean section.

Indexed as

Administration, IntravenousAdultAnalgesia, ObstetricalAnalgesia, Patient-ControlledAnalgesics, Non-NarcoticCesarean SectionDexmedetomidineFemaleHumansNauseaPatient SatisfactionPostoperative ComplicationsPostoperative PainPregnancyProspective StudiesSufentanilAnalgesics, Non-NarcoticDexmedetomidineSufentanil

Identifiers

PMID29967332
PMCPMC6028483
OpenAlexW2811470619

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.