Evidence map›Paper›PMID 33767013›Full record

ArticleJournal of chest surgery2021

Fentanyl versus Remifentanil for Cough Suppression and Recovery after Video-Assisted Thoracic Surgery.

Hee Won Son, Ji Min Lee, Se Hun Park, Yong Jic Lee, Ji Mi Oh, Su Kyung Hwang

Open access · diamondAbstract read
In one paragraph

Article in Journal of chest surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 9 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

6 authors at 1 institution in 1 country.

Hee Won SonDepartment of Anesthesiology and Pain Medicine, Ulsan University Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0002-8035-062X
Ji Min LeeDepartment of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0001-9317-0313
Se Hun ParkDepartment of Anesthesiology and Pain Medicine, Ulsan University Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0003-2264-4627
Yong Jic LeeDepartment of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0002-0837-4336
Ji Mi OhDepartment of Anesthesiology and Pain Medicine, Ulsan University Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0002-2365-0642
Su Kyung HwangDepartment of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0003-2759-2774
Ulsan University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious methods have been used to reduce postoperative pain after thoracic surgery. However, these methods may affect the patient's respiratory response and delay recovery from anesthesia. We aimed to evaluate the effects of fentanyl and remifentanil during extubation after video-assisted thoracic surgery (VATS).

methodsThis study included 45 randomly-selected male patients who underwent VATS for pneumothorax between July 2011 and August 2012. We divided the participants into 3 groups: the F group, which received a bolus injection of 1.0 μg/kg of fentanyl; the R1 group, which received a 0.04 μg/kg/min remifentanil infusion; and the R2 group, which received a 0.08 μg/kg/min remifentanil infusion. Hemodynamics, pain, cough, consciousness level, and nausea were assessed for each group.

resultsThe number and severity of coughs were lower in the R1 and R2 groups than in the F group, and there were no differences between the R1 and R2 groups. Respiratory depression and loss of consciousness were not observed in any of the patients, and there were no differences in hemodynamics.

conclusionIn comparison with fentanyl, remifentanil did not result in a wide fluctuation of blood pressure and heart rate upon emergence from general anesthesia. Moreover, remifentanil contributed to cough suppression and postoperative pain control. Remifentanil seems to be a safe and effective analgesic after VATS.

Indexed as

AnesthesiaCoughFentanylRemifentanilThoracic surgery

Identifiers

PMID33767013
PMCPMC8181691
OpenAlexW3133521997

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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.