Evidence map›Paper›PMID 34049564›Full record

ArticleJournal of medical case reports2021

Opioid-free anesthesia-dexmedetomidine as adjuvant in erector spinae plane block: a case series.

Antonio Coviello, Danilo Esposito, Roberta Galletta, Alfredo Maresca, Giuseppe Servillo

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 15 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

5 authors at 1 institution in 1 country.

Antonio CovielloDepartment of Anesthesiology and Intensive Care Medicine, Policlinico - Federico II University Hospital, 80100, Naples, Italy. antonio_coviello@live.it.ORCID http://orcid.org/0000-0002-2298-566X
Danilo EspositoDepartment of Anesthesiology and Intensive Care Medicine, Policlinico - Federico II University Hospital, 80100, Naples, Italy.
Roberta GallettaDepartment of Anesthesiology and Intensive Care Medicine, Policlinico - Federico II University Hospital, 80100, Naples, Italy.
Alfredo MarescaDepartment of Anesthesiology and Intensive Care Medicine, Policlinico - Federico II University Hospital, 80100, Naples, Italy.
Giuseppe ServilloDepartment of Anesthesiology and Intensive Care Medicine, Policlinico - Federico II University Hospital, 80100, Naples, Italy.
Federico II University Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic pain is related to the stretching of the peritoneum and peritoneal irritation caused by insufflation of the parietal peritoneum with carbon dioxide. In 2017, erector spinae plane block (ESPB) was described for management of postoperative pain following open and laparoscopic abdominal surgery. The use of multimodal anesthesia reduces both intraoperative and postoperative opioid use and improves analgesia. The addition of dexmedetomidine to the anesthetic mixture significantly prolongs analgesia, without clinically significant side effects. CASE PRESENTATION: We describe a series of three Caucasian women cases that illustrate the efficacy of bilateral ESPB performed at the level of the T7 transverse process to provide intraoperative and postoperative analgesia for laparoscopic gynecological surgery.

conclusionFurther investigation is recommended to establish the potential for ESPB with dexmedetomidine as adjuvant as an opioid-free anesthetic modality in laparoscopic gynecological surgery.

Indexed as

DexmedetomidineNerve BlockAnalgesics, OpioidFemaleHumansParaspinal MusclesPostoperative PainAnalgesics, OpioidDexmedetomidineCase reportDexmedetomidineMultimodal analgesiaOpioid-free anesthesiaUS-ESPB

Identifiers

PMID34049564
PMCPMC8164224
OpenAlexW3164139671

What OpenQuestion holds

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LicenceCC BY
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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.