Evidence map›Paper›PMID 32792716›Full record

ArticleIndian journal of anaesthesia2020

Comparison of transversus abdominis plane block and intrathecal morphine for laparoscopic donor nephrectomy: Randomised controlled trial.

Sathianarayanan Srinivasan, Rajeshwari Subramaniam, Anjolie Chhabra, Dalim K Baidya, Mahesh K Arora, Souvik Maitra, Virender K Bansal, Hemanga K Bhattacharjee

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of anaesthesia, 2020. 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
0.6field-weighted citation impact, top 32% 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, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Fascial plane blocks: Will they flourish or perish with time?Journal of anaesthesiology, clinical pharmacology
    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 2 institutions in 1 country.

Sathianarayanan SrinivasanDepartment of Anesthesiology, Pain Medicine and Critical Care, New Delhi, India.
Rajeshwari SubramaniamDepartment of Anesthesiology, Pain Medicine and Critical Care, New Delhi, India.
Anjolie ChhabraDepartment of Anesthesiology, Pain Medicine and Critical Care, New Delhi, India.
Dalim K BaidyaDepartment of Anesthesiology, Pain Medicine and Critical Care, New Delhi, India.
Mahesh K AroraDepartment of Anesthesiology, Pain Medicine and Critical Care, New Delhi, India.
Souvik MaitraDepartment of Anesthesiology, Pain Medicine and Critical Care, New Delhi, India.
Virender K BansalSurgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
Hemanga K BhattacharjeeSurgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
Care India · INAll India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsPostoperative pain following laparoscopic donor nephrectomy (LDN) is significant and no suitable analgesic technique is described. Opioid analgesia in standard doses is often suboptimal and associated with numerous adverse effects. Transversus abdominis plane (TAP) block has been evaluated in various laparoscopic procedures. Intrathecal morphine (ITM) has been seen to provide long-lasting analgesia of superior quality in laparoscopic colorectal procedures.

methodsThe present study was undertaken to evaluate the analgesic efficacy of single-dose ITM 5 μg/kg for LDN. After ethics approval, 60 adult patients scheduled for LDN were randomised to receive intravenous fentanyl, ultrasound-guided TAP block or ITM for postoperative analgesia. Postoperative 24-h patient-controlled analgesia (PCA) fentanyl consumption, visual analogue scale (VAS) score and intraoperative fentanyl and muscle relaxant requirements were compared. Statistical analysis was performed using appropriate statistical tests by using Stata 11.1 software.

resultsHaemodynamic stability at pneumoperitoneum and in the post anaesthesia care unit was significantly better in patients receiving ITM. Intraoperative rescue fentanyl requirement (

conclusionITM 5 μg/kg provides better intraoperative and postoperative analgesia and reduces postoperative PCA fentanyl requirement in laparoscopic donor nephrectomy compared to TAP block or intravenous fentanyl.

Indexed as

Donor nephrectomyintrathecal morphinelaparoscopy

Identifiers

PMID32792716
PMCPMC7398014
OpenAlexW3033001828

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.