Evidence map›Paper›PMID 30140501›Full record

ArticleTurkish journal of anaesthesiology and reanimation2018

Comparative Evaluation of Dexmedetomidine and Propofol Along With Scalp Block on Haemodynamic and Postoperative Recovery for Chronic Subdural Haematoma Evacuation Under Monitored Anaesthesia Care.

Vinit Kumar Srivastava, Sanjay Agrawal, Sanjay Kumar, Saima Khan, Sunil Sharma, Raj Kumar

Open access · diamondAbstract read
In one paragraph

Article in Turkish journal of anaesthesiology and reanimation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 20% 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, 16 citations in OpenAlex.

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  6. Yet Another Tool in the Armamentarium of Neuroanesthesiologist.Journal of neurosciences in rural practice · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Vinit Kumar SrivastavaDepartment of Anaesthesia, Apollo Hospitals Bilaspur (CG), India.ORCID 0000-0002-8430-7290
Sanjay AgrawalDepartment of Anaesthesia, Himalayan Institute of Medical Sciences, Dehradun (UK), India.ORCID 0000-0002-2806-1943
Sanjay KumarDepartment of Anaesthesia, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow (UP), India.ORCID 0000-0003-2875-5838
Saima KhanDepartment of Anaesthesia, Apollo Hospitals Bilaspur (CG), India.ORCID 0000-0001-9139-9093
Sunil SharmaDepartment of Neurosurgery, Apollo Hospitals Bilaspur (CG), India.ORCID 0000-0003-2070-8631
Raj KumarDepartment of Neurosurgery, Apollo Hospitals Bilaspur (CG), India.ORCID 0000-0002-4896-5229
Apollo Hospitals · INSanjay Gandhi Post Graduate Institute of Medical Sciences · INSwami Rama Himalayan University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChronic subdural haematoma (CSDH) is a common neurosurgical problem, and treatment includes evacuation of the haematoma by burr hole drainage. Commonly, these procedures are performed under local anaesthesia, general anaesthesia or, recently, with monitored anaesthesia care (MAC). We compared dexmedetomidine- and propofol-based sedation along with scalp nerve block for burr hole evacuation of CSDH.

methodsIn this prospective randomised study, 62 patients were divided into the following two groups of 31 patients each: Group D and Group P. Group D received dexmedetomidine 1 μg kg

resultsThere were no significant differences noted in the demographic profile. A significant decrease in HR compared to preoperative value was seen in Group D compared to Group P. Blood pressure values were statistically significantly lower in both study groups, compared to preoperative values during the whole procedure and after surgery (p<0.05). Time to achieve modified Aldrete score of 9-10 was not significantly different between the groups (p=0.354). Surgeon satisfaction was significantly better in Group D compared to Group P (p<0.05), but patient satisfaction was similar between the groups (p=0.364).

conclusionDexmedetomidine-based sedation compared to propofol, along with scalp block for MAC in patients undergoing burr hole evacuation of CSDH is associated with haemodynamic stability and greater surgeon satisfaction.

Indexed as

chronic subdural haematomaDexmedetomidinemonitored anaesthesia carepropofol

Identifiers

PMID30140501
PMCPMC5858890
OpenAlexW2803450453

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.