Evidence map›Paper›PMID 31725655›Full record

Trial reportMedicine2019

Comparison of the effect of propofol and desflurane on S-100β and GFAP levels during controlled hypotension for functional endoscopic sinus surgery: A randomized controlled trial.

Ji Su Jang, Youngsuk Kwon, Sung Mi Hwang, Jae Jun Lee, Jun Suck Lee, Soo Kyoung Lee, Ho Seok Lee

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
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 3 institutions in 1 country.

Ji Su JangDepartment of Anesthesiology and Pain medicine, Hallym University School of Medicine, Chuncheon Sacred Heart Hospital.
Youngsuk KwonDepartment of Anesthesiology and Pain medicine, College of Medicine, Kangwon National University, Chuncheon.
Sung Mi HwangDepartment of Anesthesiology and Pain medicine, Hallym University School of Medicine, Chuncheon Sacred Heart Hospital.
Jae Jun LeeDepartment of Anesthesiology and Pain medicine, Hallym University School of Medicine, Chuncheon Sacred Heart Hospital.
Jun Suck LeeDepartment of Anesthesiology and Pain medicine, Hallym University Sacred Heart Hospital, Anyang, South Korea.
Soo Kyoung LeeDepartment of Anesthesiology and Pain medicine, Hallym University Sacred Heart Hospital, Anyang, South Korea.
Ho Seok LeeDepartment of Anesthesiology and Pain medicine, Hallym University School of Medicine, Chuncheon Sacred Heart Hospital.
Hallym University Chuncheon Sacred Heart Hospital · KRHallym University · KRKangwon National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough surgical field visualization is important in functional endoscopic sinus surgery (FESS), the complications associated with controlled hypotension for surgery should be considered. Intraoperative hypotension is associated with postoperative stroke, leading to subsequent hypoxia with potential neurologic injury. We investigated the effect of propofol and desflurane anesthesia on S-100β and glial fibrillary acidic protein (GFAP) levels which are early biomarkers for cerebral ischemic change during controlled hypotension for FESS.

methodsFor controlled hypotension during FESS, anesthesia was maintained with propofol/remifentanil in propofol group (n = 30) and with desflurane/remifentanil in desflurane group (n = 30). For S-100β and GFAP assay, blood samples were taken at base, 20 and 60 minutes after achieving the target range of mean arterial pressure, and at 60 minutes after surgery.

resultsThe base levels of S-100β were 98.04 ± 78.57 and 112.61 ± 66.38 pg/mL in the propofol and desflurane groups, respectively. The base levels of GFAP were 0.997 ± 0.486 and 0.898 ± 0.472 ng/mL in the propofol and desflurane groups, respectively. The S-100β and GFAP levels were significantly increased in the study period compared to the base levels in both groups (P ≤ .001). There was no significant difference at each time point between the 2 groups.

conclusionOn comparing the effects of propofol and desflurane anesthesia for controlled hypotension on the levels of S-100β and GFAP, we noted that there was no significant difference in S-100β and GFAP levels between the 2 study groups. CLINICAL

trial registrationAvailable at: http://cris.nih.go.kr, KCT0002698.

Indexed as

AdultAnesthetics, IntravenousArterial PressureCarbon DioxideChronic DiseaseDesfluraneEndoscopyFemaleGlial Fibrillary Acidic ProteinHumansHypotension, ControlledMaleMiddle AgedPropofolProspective StudiesRemifentanilAnesthetics, IntravenousCarbon DioxideDesfluraneGlial Fibrillary Acidic ProteinPropofolRemifentanilS100 Calcium Binding Protein beta Subunit

Identifiers

PMID31725655
PMCPMC6867762
OpenAlexW2989393069

What OpenQuestion holds

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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.