Evidence map›Paper›PMID 31997087›Full record

Trial reportCanadian journal of anaesthesia = Journal canadien d'anesthesie2020

Postoperative hunger after outpatient surgery in patients anesthetized with propofol vs sevoflurane: a randomized-controlled trial.

Emmanuel Besnier, Anne Perdrix, André Gillibert, Jean Selim, Benoit Froëmer, Antoine Ghemired, Benoit Berby, Nathalie Rives, Bertrand Dureuil, Thomas Clavier and 1 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02272166 (Effects of Propofol on Early Recovery of Hunger After Ambulatory Surgery Compared With Sevoflurane), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT02272166 phase4completednot on this map

Effects of Propofol on Early Recovery of Hunger After Ambulatory Surgery Compared With Sevoflurane

TypeinterventionalSponsorUniversity Hospital, RouenRan2014 to 2016Enrolled116ConditionsAmbulatory Surgery, Anesthesia, Energy Expenditure, Food IntakeArmspropofol, Sevoflurane
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Emmanuel BesnierDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76031, Rouen Cedex, France. Emmanuel.besnier@chu-rouen.fr.ORCID http://orcid.org/0000-0002-0267-0986
Anne PerdrixDepartment of Biopathology, Clinical Laboratory, Henri Becquerel Centre, Rouen, France.
André GillibertDepartment of Biostatistics, Rouen University Hospital, Rouen, France.
Jean SelimDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76031, Rouen Cedex, France.
Benoit FroëmerDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76031, Rouen Cedex, France.
Antoine GhemiredDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76031, Rouen Cedex, France.
Benoit BerbyGametogénèse et Qualité du Gamète, Rouen University Hospital, Rouen, France.
Nathalie RivesGametogénèse et Qualité du Gamète, Rouen University Hospital, Rouen, France.
Bertrand DureuilDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76031, Rouen Cedex, France.
Thomas ClavierDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76031, Rouen Cedex, France.
Vincent CompèreDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76031, Rouen Cedex, France.
Université de Rouen Normandie · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrevious preclinical and preliminary clinical data suggest an appetite-stimulating effect of propofol compared with halogenated drugs. This study compared the effects of propofol with those of sevoflurane on recovery of hunger during the postoperative period.

methodsPatients undergoing outpatient transvaginal oocyte retrieval were randomized to propofol-remifentanil (propofol group) or sevoflurane-remifentanil (sevoflurane group) anesthesia. The primary endpoint was the time before feeling hungry (≥ 50/100 mm on a visual analogue scale). Secondary endpoints included plasma levels of ghrelin, leptin, and insulin (ten minutes, one hour, and two hours after anesthesia), caloric intake at first feed, and discharge readiness time.

resultsIn the 58 patients allocated to either the propofol or sevoflurane group, there was no difference in the median [interquartile range] recovery time of hunger (97 [75-138] vs 97 [80-140] min, respectively; median difference, 1; 95% confidence interval [CI], - 15 to 14; P = 0.91); caloric intake (245 [200-343] vs 260 [171-314] kcal; P = 0.39); or discharge readiness time (125 [85-153] vs 125 [95-174] min, P = 0.29). The groups showed no difference in crude plasma levels of ghrelin, leptin, and insulin at any time-point. When peptide plasma levels were expressed as a % change from baseline, there was a higher insulin plasma level one hour after anesthesia in the sevoflurane group (median difference, 4.9%; 95% CI, - 16.2 to 43.4) compared with the propofol group (median difference, - 21.2%; 95% CI, - 35.7 to 9.1; adjusted P = 0.01).

conclusionPropofol did not accelerate the recovery of hunger compared with sevoflurane after outpatient minor surgery. Moreover, propofol did not have distinguishable effects on other clinical or biological parameters associated with food intake.

trial registrationwww.ClinicalTrials.gov (NCT02272166); registered 22 October, 2014.

Indexed as

HungerAmbulatory Surgical ProceduresAnesthesia, InhalationAnesthesia, IntravenousAnesthesia Recovery PeriodAnesthetics, InhalationAnesthetics, IntravenousHumansPostoperative PeriodPropofolSevofluraneAnesthetics, InhalationAnesthetics, IntravenousPropofolSevoflurane

Identifiers

PMID31997087
OpenAlexW3003236995

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.