Evidence map›Paper›PMID 31055640›Full record

Trial reportEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2019

Low-dose preoperative pregabalin improves postoperative pain management in septorhinoplasty surgery: a double-blind randomized clinical trial.

Pejman Pourfakhr, Mohammad Reza Khajavi, Ali Jalali, Faramarz Memari, Farhad Etezadi, Mehrnoush Momeni Roochi, Reza Shariat Moharari, Atabak Najafi

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. The analgesic efficacy of ketamine for septorhinoplasty: a meta-analysis study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. No Opioids after Septorhinoplasty: A Multimodal Analgesic Protocol.Plastic and reconstructive surgery. Global open · 2020
    Article
  6. Article
  7. 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

8 authors at 1 institution in 1 country.

Pejman PourfakhrDepartment of Anesthesiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Reza KhajaviDepartment of Anesthesiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Ali JalaliDepartment of Anesthesiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. a.jalali.md@gmail.com.ORCID http://orcid.org/0000-0002-0428-1992
Faramarz MemariDepartment of Otology/Neurotology, Erfan Hospital, Tehran, Iran.
Farhad EtezadiDepartment of Anesthesiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mehrnoush Momeni RoochiDepartment of Oral and Maxillofacial Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Reza Shariat MoharariDepartment of Anesthesiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Atabak NajafiDepartment of Anesthesiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Sina Hospital · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy of single low dose (75 mg) preoperative pregabalin in reducing post-operative pain of septorhinoplasty.

methodsA double blind single center Randomized controlled trial based on block randomization. In the pregabalin group (PG) 34 participants received 75 mg pregabalin orally one hour before anesthesia induction while in control group (CG) 34 participants received a placebo. Pain and sedation were repeatedly measured with Visual Analouge Scale (VAS) and Riker Sedation-Agitation Scale (RSAS) respectively, 0.5, 1, 2, 6, 24 hours postextubation. Cumulative doses of fentanyl and ibuprofen received in both groups were compared.

resultsThirty-two of the participants in PG and 33 of the participants in CG completed the study. The Mean VAS pain score was less in PG versus CG 30 min postoperatively (2.30 ± 1.30 vs. 4.85 ± 1.17), one hour (2.28 ± 0.92 vs. 4.27 ± 0.78), two hours (2.11 ± 0.88 vs. 3.60 ± 0.61) and six hours (1.47 0.62 vs. 2.76 ± 0.91) but not 24-hours postoperatively (0.84 ± 0.62 vs. 1.09 ± 0.92). Participants in the PG were less agitated during early post-extubation period (at 10 min: RSAS 3.93 ± 0.43 vs. 4.42 ± 0.50) and more alert during the first hour post-extubation (at 60 min: RSAS 3.90 ± 0.29 vs. 3.36 ± 0.69). The total dose of rescue fentanyl and ibuprofen was lower in the PG compared to the CG.

conclusionsA single dose of 75 mg pregabalin is very effective for pain control after septorhinoplasty procedure when administered one hour before anesthesia induction. Side effects are rare and opioid sparing was noted.

trial registrationClinical trial number: IRCT2017043033706N1.

Indexed as

Postoperative PainRhinoplastyAnalgesicsAnalgesics, OpioidDouble-Blind MethodFemaleFentanylHumansIbuprofenMaleMiddle AgedPain MeasurementPregabalinTime FactorsTreatment OutcomeAnalgesicsAnalgesics, OpioidFentanylIbuprofenPregabalinAgitationOpioid sparingPainPregabalinRemifentanilSeptorhinoplasty

Identifiers

PMID31055640
OpenAlexW2944105049

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.