Evidence map›Paper›PMID 30558006›Full record

Trial reportMedicine2018

The influence of high-dose intraoperative remifentanil on postoperative sore throat: a prospective randomized study: A CONSORT compliant article.

Ji-Hoon Park, Yong-Cheol Lee, Jiwon Lee, Hyunjae Kim, Hyun-Chang Kim

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03173339 (Influence of Remifentanil on Postoperative Sore Throat in Patients Undergoing General Anesthesia), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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.

NCT03173339 nacompletednot on this map

Influence of Remifentanil on Postoperative Sore Throat in Patients Undergoing General Anesthesia

TypeinterventionalSponsorKeimyung University Dongsan Medical CenterRan2017 to 2017Enrolled92ConditionsHip ArthroplastyArmsEndotracheal intubation using laryngoscope, High remifentanil, Low remifentanil, High sevoflurane, Low sevoflurane
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Trial
  5. Review
  6. Comparison between I-gelAmerican journal of translational research · 2022
    Article
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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

5 authors at 2 institutions in 1 country.

Ji-Hoon ParkDepartment of Anesthesiology and Pain Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.
Yong-Cheol Lee
Jiwon Lee
Hyunjae Kim
Hyun-Chang Kim
Keimyung University Dongsan Medical Center · KRKeimyung University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndotracheal intubation for general anesthesia causes postoperative sore throat (POST). This study is designed to evaluate the effect of high-dose remifentanil on the incidence of POST in patients after general anesthesia.

methodsNinety-two patients scheduled for orthopedic lower extremity surgery under general anesthesia were randomly assigned into 1 of 2 groups. In the high-dose remifentanil (HR) group (n = 46), remifentanil was infused at a rate of 0.25 μg/kg/min and subsequently increased or decreased by 0.05 μg/kg/min per clinical demand. In the low-dose remifentanil (LR) group (n = 46), remifentanil was infused at a rate of 0.05 μg/kg/min. The incidence of POST was monitored at 0, 2, 4, and 24 hours postoperatively. Complications regarding opioids were compared between groups.

resultsThe overall incidence of POST was higher in the HR group compared with that in the LR group [33 (72%) vs 18 (39%), P = .022]. The incidence of POST at 0, 2, and 24 hours after surgery was higher in the HR group compared with that in the LR group (P < .001, P = .001, and P = .001, respectively). The incidence of postoperative nausea, vomiting, drowsiness, and headache was similar between the groups. The incidence of postoperative shivering was higher in the HR group than in the LR group [10 (22%) vs 2 (4%), difference 17%, 95% CI 2%-33%, P = .027].

conclusionA relatively large dose of intraoperative remifentanil increased the incidence of POST in patients for orthopedic surgery under general anesthesia.

trial registrationClinicaltrials.gov Identifier: NCT03173339.

Indexed as

AgedAnalgesics, OpioidAnesthesia, GeneralDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansIncidenceIntraoperative CareIntubation, IntratrachealLower ExtremityMaleMiddle AgedOrthopedic ProceduresPharyngitisPostoperative ComplicationsAnalgesics, OpioidRemifentanil

Identifiers

PMID30558006
PMCPMC6320118
OpenAlexW2981578497

What OpenQuestion holds

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LicenceCC BY-NC
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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.