Evidence map›Paper›PMID 32943005›Full record

ArticleBMC anesthesiology2020

How does intraarticular dexmedetomidine injection effect articular cartilage and synovium? An animal study.

Başak Akça, Aysun Ankay Yılbaş, Filiz Üzümcügil, Berkem Büyükakkuş, Elham Bahador Zırh, Dilara Zeybek, Fatma Sarıcaoğlu

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2020. 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
0.8field-weighted citation impact, top 26% 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, 6 citations in OpenAlex.

  1. Trial
  2. 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

7 authors at 1 institution in 1 country.

Başak AkçaDepartment of Anesthesiology and Reanimation, Hacettepe University School of Medicine, Sıhhiye, 06230, Ankara, Turkey. drbasakakca@gmail.com.ORCID 0000-0003-4069-2462
Aysun Ankay YılbaşDepartment of Anesthesiology and Reanimation, Hacettepe University School of Medicine, Sıhhiye, 06230, Ankara, Turkey.
Filiz ÜzümcügilDepartment of Anesthesiology and Reanimation, Hacettepe University School of Medicine, Sıhhiye, 06230, Ankara, Turkey.
Berkem BüyükakkuşDepartment of Anesthesiology and Reanimation, Hacettepe University School of Medicine, Sıhhiye, 06230, Ankara, Turkey.
Elham Bahador ZırhDepartment of Histology and Embryology, Hacettepe University School of Medicine, Ankara, Turkey.
Dilara ZeybekDepartment of Histology and Embryology, Hacettepe University School of Medicine, Ankara, Turkey.
Fatma SarıcaoğluDepartment of Anesthesiology and Reanimation, Hacettepe University School of Medicine, Sıhhiye, 06230, Ankara, Turkey.
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraarticular injections are widely used to provide pain relief after arthroscopic procedures and minimize the use of opioids. Dexmedetomidine has been proven to potentiate pain relief and postpone the demand for the first analgesic drug when it is used intraarticularly following arthroscopic knee procedures. However, the effects of dexmedetomidine on articular structures have not yet been evaluated. Our aim was to determine the effects of intraarticular dexmedetomidine injection on articular structures such as cartilage and synovium.

designAnimal study.

methodsTwenty adult rats (Sprague-Dawley) were enrolled in the study. Following appropriate aseptic and anesthetic conditions, dexmedetomidine (100 mcg/ml) (0.25 ml) was injected into the right knee joint (the study group) and normal saline solution (0.25 ml) into the left knee joint (the control group) of the rats. Four rats were sacrificed from each group on days 1, 2, 7, 14, and 21, and knee joint samples were obtained. Histologists evaluated the articular and periarticular regions and the synovium using histological sections, and a five-point scale was used to grade the inflammatory changes in a blinded manner.

resultsThe groups were found to be similar in terms of median congestion scores, edema and inflammation scores, subintimal fibrosis, neutrophil activation and cartilage structure at each of the time intervals.

conclusionIn our placebo-controlled, in vivo trial, the intraarticular use of dexmedetomidine seemed to be safe with respect to the studied histopathological parameters. However, complementary studies investigating the histopathological effects, analgesic dosage and adverse effects of dexmedetomidine on damaged articular structure models are needed.

Indexed as

Analgesics, Non-NarcoticAnimalsCartilage, ArticularDexmedetomidineDisease Models, AnimalEdemaFibrosisInflammationInjections, Intra-ArticularMalePostoperative PainRatsRats, Sprague-DawleySynovial MembraneAnalgesics, Non-NarcoticDexmedetomidineDexmedetomidineInjectionIntraarticularJointKneeLocal anestheticsRats

Identifiers

PMID32943005
PMCPMC7496211
OpenAlexW3087375199

What OpenQuestion holds

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Registered trials

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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.