Evidence map›Paper›PMID 34213494›Full record

Trial reportMedical gas research

A randomized parallel design trial of the efficacy and safety of tranexamic acid, dexmedetomidine and nitroglycerin in controlling intraoperative bleeding and improving surgical field quality during septorhinoplasty under general anesthesia.

Hesameddin Modir, Esmail Moshiri, Narges Naseri, Fatemeh Faraji, Amir Almasi-Hashiani

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Medical gas research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06587620 (Tranexamic Acid Versus Dexmedetomidine for Improving Surgical Field Quality During Spine Surgeries), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT06587620 nacompletednot on this map

Tranexamic Acid Versus Dexmedetomidine for Improving Surgical Field Quality During Spine Surgeries

TypeinterventionalSponsorZagazig UniversityRan2023 to 2024Enrolled78ConditionsSurgical Field Quality Improvement in Spine SurgeriesArmsTranexamic acid, Dexmedetomidine, Saline (NaCl 0,9 %) (placebo)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. The efficacy of local tranexamic acid injection in reducing intraoperative bleeding and improving surgical field quality in septoplasty: a randomized controlled trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  4. Article
  5. Article
  6. Article
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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.

Hesameddin ModirDepartments of Anesthesiology and Critical Care, Arak University of Medical Sciences, Arak, Iran.
Esmail MoshiriDepartments of Anesthesiology and Critical Care, Arak University of Medical Sciences, Arak, Iran.
Narges NaseriDepartment of Otorhinolaryngology, Arak University of Medical Sciences, Arak, Iran.
Fatemeh FarajiStudents Research Committee, Arak University of Medical Sciences, Arak, Iran.
Amir Almasi-HashianiDepartment of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran.
Arak University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this blinded clinical trial, we attempted to compare the efficacy and safety of administering tranexamic acid, dexmedetomidine and nitroglycerin in preventing intraoperative bleeding and improving the quality of the surgical field during septorhinoplasty under general anesthesia. A total of 105 patients scheduled for septorhinoplasty were enrolled and randomly assigned into three groups based on the balanced-block randomization method. First group received 1 μg/kg intravenous injection dexmedetomidine, second group received 10 mg/kg intravenous injection tranexamic acid and third group received 0.5 μg/kg nitroglycerin, intravenously. The study sample was composed of 105 participants with the total mean age of 25.85 ± 6.52 years, and 59.05% of participants were female and the mean of body mass index was 24.34 ± 2.57 kg/m

Indexed as

DexmedetomidineTranexamic AcidAdultAnesthesia, GeneralDouble-Blind MethodFemaleHumansIranNitroglycerinYoung AdultDexmedetomidineNitroglycerinTranexamic Acidarterial oxygen saturationbleedingdexmedetomidinegeneral anesthesiaheart ratemean arterial pressurenitroglycerinseptorhinoplastytranexamic acid

Identifiers

PMID34213494
PMCPMC8374462
OpenAlexW3176264128

What OpenQuestion holds

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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.