Evidence map›Paper›PMID 32802051›Full record

ArticleAnesthesiology research and practice2020

Dose Comparison of Dexmedetomidine Sedation following Spinal Anesthesia: Parturient versus Nonpregnant Women-A Randomized Trial.

Ming Xiong, Biyun Chen, Zurong Hu, Somdatta Gupta, Zhitao Li, Jiping Liu, Jing He, Shivani Patel, Jean Daniel Eloy, Bo Xu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Anesthesiology research and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02111421 (Optimal Dose of Dexmedetomidine Sedation Following Spinal Anesthesia), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% 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.

NCT02111421 phase4completednot on this map

Optimal Dose of Dexmedetomidine Sedation Following Spinal Anesthesia: Postpartum Versus Nonpregnant Women

TypeinterventionalSponsorGuangzhou General Hospital of Guangzhou Military CommandRan2015 to 2016Enrolled60ConditionsCesarean SectionArmsDexmedetomidine 01, Dexmetomidine 02
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

10 authors at 2 institutions in 2 countries.

Ming XiongDepartment of Anesthesiology, General Hospital of Southern Theatre Command of PLA, Guangzhou, China.
Biyun ChenDepartment of Anesthesiology, General Hospital of Southern Theatre Command of PLA, Guangzhou, China.
Zurong HuDepartment of Anesthesiology, General Hospital of Southern Theatre Command of PLA, Guangzhou, China.
Somdatta GuptaDepartment of Anesthesiology and Preoperative Medicine, Rutgers-NJMS, Newark, NJ 07101, USA.
Zhitao LiDepartment of Anesthesiology, General Hospital of Southern Theatre Command of PLA, Guangzhou, China.
Jiping LiuDepartment of Anesthesiology, General Hospital of Southern Theatre Command of PLA, Guangzhou, China.
Jing HeDepartment of Anesthesiology, General Hospital of Southern Theatre Command of PLA, Guangzhou, China.
Shivani PatelDepartment of Anesthesiology and Preoperative Medicine, Rutgers-NJMS, Newark, NJ 07101, USA.ORCID https://orcid.org/0000-0003-0220-4800
Jean Daniel EloyDepartment of Anesthesiology and Preoperative Medicine, Rutgers-NJMS, Newark, NJ 07101, USA.ORCID https://orcid.org/0000-0002-3555-9432
Bo XuDepartment of Anesthesiology, General Hospital of Southern Theatre Command of PLA, Guangzhou, China.ORCID https://orcid.org/0000-0003-2159-0575
Third Affiliated Hospital of Southern Medical University · CNRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was designed to investigate and compare the effective doses of dexmedetomidine for sedation in parturient patients who underwent Cesarean section (CS) and nonpregnant women who underwent elective gynecologic surgery.

methodsThe study comprised 60 females aged between 25 and 35. They were divided into two groups. The parturient group received a bolus dose of dexmedetomidine over 15 min after the delivery of the fetus and placenta. In the nonpregnant women group, a bolus of dexmedetomidine was administered intravenously upon the completion of spinal anesthesia. The subsequent dose required by patients in each group was then determined through a modified two-stage Dixon up-and-down sequential method. Probit analysis was used to calculate the ED50 and the ED95 of dexmedetomidine for adequate sedation.

resultsThe ED50 of dexmedetomidine for adequate sedation in parturient patients was 1.58

conclusionThe ED50 of dexmedetomidine for target sedation in parturients who received spinal anesthesia for CS is greater than 1.5 times that in nonpregnant women who received spinal anesthesia for lower abdominal gynecologic surgery. This study postulates that the dose of dexmedetomidine required to achieve optimal sedation following spinal anesthesia is much higher in parturients than in nonpregnant women undergoing gynecologic surgeries. This trial is registered with NCT02111421.

Identifiers

PMID32802051
PMCPMC7403942
OpenAlexW3044607377

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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.