Evidence map›Paper›PMID 30482552›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

[Combination of clonidine-bupivacaine in caudal epidural anesthesia for hypospadias surgery in children: prospective, randomized, blind study].

Ana Cláudia Mota Bonisson, Magda Lourenço Fernandes, Guilherme Freitas Araújo, Fabrício Eduardo Vieira, Luíza Melo Noronha, Renato Santiago Gomez

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
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 2 institutions in 1 country.

Ana Cláudia Mota BonissonFundação Benjamin Guimarães, Hospital da Baleia, Belo Horizonte, MG, Brasil; Universidade Federal de Minas Gerais (UFMG), Hospital das Clínicas, Belo Horizonte, MG, Brasil.
Magda Lourenço FernandesUniversidade Federal de Minas Gerais (UFMG), Hospital das Clínicas, Belo Horizonte, MG, Brasil.
Guilherme Freitas AraújoFundação Benjamin Guimarães, Hospital da Baleia, Belo Horizonte, MG, Brasil.
Fabrício Eduardo VieiraFundação Benjamin Guimarães, Hospital da Baleia, Belo Horizonte, MG, Brasil.
Luíza Melo NoronhaFundação Benjamin Guimarães, Hospital da Baleia, Belo Horizonte, MG, Brasil.
Renato Santiago GomezUniversidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Belo Horizonte, MG, Brasil; Faculdade de Minas (Faminas), Belo Horizonte, MG, Brasil. Electronic address: renatogomez2000@yahoo.com.br.
Hospital das Clínicas da Universidade Federal de Minas Gerais · BRUniversidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe combination of clonidine with local anesthetic administered for epidural anesthesia via caudal route seems to improve the quality of postoperative analgesia, but with conflicting results. This study compared the postoperative analgesia of three different doses of clonidine combined with bupivacaine in caudal epidural anesthesia in children undergoing hypospadias repair.

methodsEighty children aged 1 to 10 years, candidates for surgical repair of hypospadias, were randomly divided into four groups of 20 patients to receive general anesthesia combined with caudal epidural anesthesia with bupivacaine 0.165% alone or in combination with 1, 2 or 3μg.kg

resultsIntraoperatively, there was no difference between groups regarding mean arterial pressure, heart rate, end-tidal concentration of sevoflurane, and time to awakening. Postoperative morphine consumption and pain severity were similar between groups, but the group receiving clonidine (3μg.kg

conclusionsThe combination of clonidine at doses of 1, 2 or 3μg.kg

Indexed as

AnalgesicsAnesthesia, EpiduralAnesthetics, LocalBupivacaineChildChild, PreschoolClonidineDrug CombinationsHumansHypospadiasInfantMaleProspective StudiesSingle-Blind MethodAnalgesicsAnesthetics, LocalBupivacaineClonidineDrug CombinationsAnalgesiaAnestesia peridural caudalBupivacaínaBupivacaineCaudal epidural anesthesiaClonidinaClonidineDor pós‐operatóriaPost‐operative pain

Identifiers

PMID30482552
PMCPMC9391797
OpenAlexW2898129213

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.