Evidence map›Paper›PMID 31646475›Full record

Trial reportObesity surgery2020

Role of Preoperative Dexamethasone Nebulization in Reducing Bougie Complications Encountered After Sleeve Gastrectomy: a Prospective Double-Blind Control Interventional Study.

Mahmoud Almustafa, Firas Obeidat, Ayman Mismar, Mohammad Rashdan, Khaled Jabaiti, Saif Aldeen Alryalat, Dalia Al-Hardan, Aiman Suleiman

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. 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.

Mahmoud AlmustafaFaculty of Medicine, Department of Anesthesia, The University of Jordan, P.O. BOX 13046, Amman, Jordan. m.al-mustafa@ju.edu.jo.ORCID 0000-0003-2835-0777
Firas ObeidatFaculty of Medicine, Department of General Surgery, The University of Jordan, Amman, Jordan.
Ayman MismarFaculty of Medicine, Department of General Surgery, The University of Jordan, Amman, Jordan.
Mohammad RashdanFaculty of Medicine, Department of General Surgery, The University of Jordan, Amman, Jordan.
Khaled JabaitiFaculty of Medicine, Department of General Surgery, The University of Jordan, Amman, Jordan.
Saif Aldeen AlryalatFaculty of Medicine, Department of Special Surgery, The University of Jordan, Amman, Jordan.
Dalia Al-HardanFaculty of Medicine, Department of Anesthesia, The University of Jordan, P.O. BOX 13046, Amman, Jordan.
Aiman SuleimanFaculty of Medicine, Department of Anesthesia, The University of Jordan, P.O. BOX 13046, Amman, Jordan.
University of Jordan · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe usage of bougie devices in guiding the extent of sleeve gastrectomies has been associated with several laryngeal and pharyngeal complications. Despite these being distressing for patients, they draw little attention in current literature.

objectivesTo study the role of preoperative nebulized dexamethasone in relieving the symptoms related to bougie insertion during laparoscopic sleeve gastrectomy postoperatively. MATERIALS AND

methodsA prospective interventional study that included 80 patients. The patients were assigned to two groups, 40 patients in each group: the dexamethasone group (D) which received nebulized dexamethasone 8 mg 1 h before surgery and the control group (S) which received saline nebulizer instead. Assessment of postoperative sore throat, nausea and vomiting, odynophagia, and change of voice was used as an outcome comparative tool.

resultsThe patient's age ranged from 17 to 61 years, and the mean age of patients was 34.51 (± 9.5) years. Patients were composed of 13 (16.3%) males and 67 (83.8%) females. The study found a significant preference of outcome values in the dexamethasone group. Sore throat mean and medians were less at all-time intervals: 0 h (p < 0.001), 1 h (p < 0.001), 6 h (p < 0.004), and 24 h (p < 0.001). Nineteen patients of the saline group suffered from a change of voice (p < 0.001), compared to only 4 patients in the dexamethasone group. On the contrary, no significant differences are noted in the incidences of PONV and odynophagia.

conclusionPreoperative nebulized dexamethasone was found to be an effective measure in reducing bougie insertion complications in laparoscopic sleeve gastrectomy.

Indexed as

Obesity, MorbidAdministration, InhalationAdolescentAdultDexamethasoneDouble-Blind MethodDrug Administration ScheduleFemaleGastrectomyHumansLarynxMaleMiddle AgedNauseaNebulizers and VaporizersPostoperative ComplicationsDexamethasoneBougieDexamethasoneLaryngotracheal symptomsSleeve gastrectomy

Identifiers

PMID31646475
OpenAlexW2981355847

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.