Evidence map›Paper›PMID 30616597›Full record

ArticleTrials2019

Effect of ultrasound-guided lumbar plexus block on emergence agitation in children undergoing hip surgery: study protocol for a randomized controlled trial.

Hui Zhang, Qing Fan, Junfeng Zhang, Bin Wu, Xiaofeng Wang, Yu Zhang, Aizhong Wang

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Reduced Concentrations of NSE, S100Genetics research · 2022
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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

7 authors at 2 institutions in 1 country.

Hui ZhangDepartment of Anesthesiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, No. 600, Yishan Road, Shanghai, 200233, China.
Qing FanDepartment of Pediatric Orthopedics, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.
Junfeng ZhangDepartment of Anesthesiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, No. 600, Yishan Road, Shanghai, 200233, China.
Bin WuDepartment of Anesthesiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, No. 600, Yishan Road, Shanghai, 200233, China.
Xiaofeng WangDepartment of Anesthesiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, No. 600, Yishan Road, Shanghai, 200233, China.
Yu ZhangDepartment of Anesthesiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, No. 600, Yishan Road, Shanghai, 200233, China.
Aizhong WangDepartment of Anesthesiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, No. 600, Yishan Road, Shanghai, 200233, China. w19680420@126.com.
Shanghai Jiao Tong University · CNShanghai Sixth People's Hospital · CN

Funding

Advanced Research Foundation of Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University LYNYLC-0040
6 · The paper itself

Abstract

backgroundEmergence agitation (EA) is a common postoperative issue in children that causes self-injury, increases stress on healthcare team members, and even leads to postoperative maladaptive behavioral changes in children. Clear answers regarding a 'gold standard' for prevention of EA are not available. Pain is regarded as an important causative factor of EA, and ultrasound-guided lumbar plexus block is a safe and efficient anesthetic method that can provide satisfactory pain relief in pediatric hip surgery. The purpose of our study is to determine whether ultrasound-guided lumbar plexus block can reduce the incidence of EA in children undergoing hip surgery. METHODS/

designWe designed a prospective, randomized, controlled, blinded trial to determine the effect of ultrasound-guided lumbar plexus block on EA. A total of 100 American Society of Anesthesiologists class I-II children (1-6 years old) scheduled for elective hip surgery will be recruited for this study. Participants will be randomized at a 1:1 ratio to receive either ultrasound-guided lumbar plexus block or fentanyl after the induction of general anesthesia. The primary outcome is the incidence of EA 30 min after emergence from anesthesia using the Pediatric Anesthesia Emergence Delirium (PAED) score. The secondary outcomes are the severity and duration of EA 30 min after emergence from anesthesia using the PAED score, postoperative pain evaluated by the Children's Hospital of Eastern Ontario Pain Scale, and the incidence of postoperative adverse events. Randomization will be conducted using a computer-generated randomization schedule. Outcome assessors and data collectors will be blinded to the group allocations. Assessments will be performed before surgery, intraoperatively, and postoperatively at every time point. DISCUSSION: Our hypothesis in this trial is that ultrasound-guided lumbar plexus block can decrease the incidence of EA in children undergoing elective hip surgery. This trial will provide clinical answers to verify our hypothesis. If our hypothesis is confirmed, the results could provide a safe method to prevent EA.

trial registrationChinese Clinical Trial Registry, ChiCTR-INR-17011525 . Registered on 30 May 2017.

Indexed as

Lumbosacral PlexusRandomized Controlled Trials as TopicUltrasonography, InterventionalChildChild, PreschoolData Interpretation, StatisticalEmergence DeliriumHipHumansInfantNerve BlockProspective StudiesResearch DesignEmergence agitationHip surgeryLumbar plexus blockPediatricsRandomized controlled trialUltrasound

Identifiers

PMID30616597
PMCPMC6323822
OpenAlexW2916721911

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.