Evidence map›Paper›PMID 31096728›Full record

Trial reportKorean journal of anesthesiology2019

The effect of anesthetic techniques on neutrophil to lymphocyte ratio in patients undergoing infraumbilical surgeries.

Nethra Surhonne, Chaithali Hebri, Sudheesh Kannan, Devika Rani Duggappa, Raghavendra Rao Rs, Chethana G Mapari

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Korean journal of anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05840406 (Effect of a Transversus Abdominis Plane Block on Operative Wound Healing, Stress, and Immune Response After a Cesarean Delivery), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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.

NCT05840406 nacompletednot on this mapstarted 2024, after this paper: background citation

Effect of a Transversus Abdominis Plane Block on Operative Wound Healing, Stress, and Immune Response After a Cesarean Delivery

TypeinterventionalSponsorUniversity Hospital Sestre MilosrdniceRan2024 to 2025Enrolled105ConditionsPostoperative Pain, Cesarean Section, Wound HealArmsPostoperative pain management with acetaminophen, Bilateral TAP Block with levobupivacaine, Bilateral TAP Block with levobupivacaine and dexmedetomidine, Postoperative pain management with tramadol, Postoperative pain management with ketoprofen
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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  3. The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) levels following erector spinae plane block (ESPB) in posterior lumbar decompression: a randomized, controlled trial.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
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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

6 authors.

Nethra SurhonneDepartment of Anesthesiology, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, India.
Chaithali HebriDepartment of Anesthesiology, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, India.
Sudheesh KannanDepartment of Anesthesiology, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, India.
Devika Rani DuggappaDepartment of Anesthesiology, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, India.
Raghavendra Rao RsDepartment of Anesthesiology, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, India.
Chethana G MapariDepartment of Anesthesiology, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeutrophil to lymphocyte ratio (NLR) is a simple marker in peripheral blood and is used to assess inflammatory response and physiological stress during the peri-operative period. Anesthetic technique may influence NLR, thereby modulating the inflammatory response and surgical outcomes. The study aimed to evaluate the relationship between blood NLR and anesthetic techniques in patients undergoing infraumbilical surgeries.

methodsInstitutional ethical committee approval and patient consent were obtained. A prospective randomized double- blinded study was conducted between July 2017 and November 2017, involving 80 patients classified as the American Society of Anesthesiologists grade 1 and 2, aged 18-60 years, and scheduled for elective infraumbilical surgeries. Unwilling and those with infections were excluded. The patients were randomly divided into two groups: Group G (general anesthesia) and Group S (spinal anesthesia) as per the standardized protocol. Differential counts of leukocytes and NLR in the peripheral blood were obtained pre-operatively on the morning of surgery and at 2 h and 24 h after surgery in both the groups. The data were analyzed using appropriate statistical tests.

resultsThe demographic parameters, basal total leukocyte count (TLC), and NLR were comparable between the groups. TLC and NLR were significantly higher in Group G as compared to that in Group S post-operatively. The post-operative rise in TLC and NLR from the basal values was significantly higher in Group G as compared to that in Group S.

conclusionsGeneral anesthesia was associated with a greater increase in TLC and NLR when compared with spinal anesthesia.

Indexed as

AdolescentAdultAnesthesia, GeneralAnesthesia, SpinalAnestheticsDouble-Blind MethodFemaleHumansLeukocyte CountLymphocyte CountLymphocytesMaleMiddle AgedNeutrophilsProspective StudiesYoung AdultAnestheticsGeneral anesthesiaLymphocytesNeutrophil lymphocyte ratioNeutrophilsSpinal anesthesia

Identifiers

PMID31096728
PMCPMC6781208

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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.