Evidence map›Paper›PMID 32949009›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2020

Sugammadex use in patients with end-stage renal disease: a historical cohort study.

Stephania Paredes, Steven B Porter, Ivan E Porter, J Ross Renew

Open access · bronzeAbstract read
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In one paragraph

Article 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. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Stephania ParedesDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine, 4500 San Pablo Road, Jacksonville, FL, USA.
Steven B PorterDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine, 4500 San Pablo Road, Jacksonville, FL, USA.
Ivan E PorterDivision of Nephrology & Hypertension, Mayo Clinic College of Medicine, Jacksonville, FL, USA.
J Ross RenewDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine, 4500 San Pablo Road, Jacksonville, FL, USA. renew.j@mayo.edu.ORCID http://orcid.org/0000-0001-9389-6413
Jacksonville College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile sugammadex (SGX) is not approved for use in patients with end-stage renal disease (ESRD), its administration in this patient population has been reported. We designed the current study to review all instances of patients with ESRD receiving SGX and to describe their clinical outcomes.

methodsThis is a historical cohort study of 219 patients with chronic kidney disease stage 5 who received SGX in one of three hospital locations within the same academic health system. Data were collected between 7 March 2016 and 1 August 2019 and included demographics, notable events from the anesthesia records, and postoperative complications. The primary outcome included any complication possibly related to SGX such as hypersensitivity reactions, need for reintubation, hypoxemia, pneumonia, and residual neuromuscular blockade. Secondary outcomes included any other complication not included in the primary outcome and/or patient mortality within 30 days after the procedure.

resultsNo patient experienced a hypersensitivity reaction. Three patients required reintubation while two patients developed hypoxemia that did not require reintubation. One patient developed hospital-acquired pneumonia. Fifty (23%) patients developed other postoperative complications (different from our primary outcome) and nine patients (4%) died during the subsequent 30 postoperative days. None of the primary or secondary outcomes appeared to be related to SGX use.

conclusionsWe provide incremental evidence that SGX could be considered as an alternative neuromuscular blockade reversal agent in patients with ESRD.

Indexed as

Kidney Failure, ChronicNeuromuscular BlockadeCohort StudiesHumansNeostigmineSugammadexNeostigmineSugammadexchronic kidney diseaseend-stage renal diseaseneuromuscular blockadepatient safetysugammadex

Identifiers

PMID32949009
OpenAlexW3087587850

What OpenQuestion holds

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Read underepoch 390

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.