Evidence map›Paper›PMID 34537125›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

Analgesic effect of magnesium sulfate during total intravenous anesthesia: randomized clinical study.

Sebastião E Silva Filho, Carlson S Sandes, Joaquim E Vieira, Ismar L Cavalcanti

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Effect ofDrug design, development and therapy · 2024
    Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Magnesium: the underestimated ion.Brazilian journal of anesthesiology (Elsevier)
    Article
  13. Perioperative analgesia in the elderly.Saudi journal of anaesthesia
    Review
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

4 authors at 3 institutions in 1 country.

Sebastião E Silva FilhoHospital Santos Dumont, São José dos Campos, SP, Brazil; Sociedade de Beneficência Portuguesa de Santos - ANGIOCORPORE, Programa de Residência em Anestesiologia, Santos, SP, Brazil. Electronic address: sebasernesto@gmail.com.
Carlson S SandesHospital Santos Dumont, São José dos Campos, SP, Brazil.
Joaquim E VieiraUniversidade de São Paulo, Faculdade de Medicina, São Paulo, SP, Brazil.
Ismar L CavalcantiUniversidade Federal Fluminense, Niterói, RJ, Brazil.
Beneficência Portuguesa de São Paulo · BRUniversidade de São Paulo · BRUniversidade Federal Fluminense · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

objectiveOpioids have usually been used as intraoperative analgesic components, regardless of the many adverse effects they are associated with, such as nausea, vomiting, respiratory depression, and hyperalgesia. Several approaches have been investigated to reduce doses used, and magnesium sulfate has been shown to be a valuable analgesic adjunct. The main objective of the present trial was to evaluate the effectiveness of magnesium sulfate as the chief intraoperative analgesic, and the secondary objectives were to assess propofol consumption, postoperative analgesia, and intraoperative hemodynamic stability.

methodsIn this prospective, double-blind trial, 50 patients scheduled to undergo post-bariatric abdominoplasty under general intravenous anesthesia were divided into two groups, to receive remifentanil or magnesium sulfate as intraoperative analgesic. Fentanyl 1 µg kg

resultsAmong the patients in the group receiving Magnesium Sulfate (MSG), 64% did not need supplemental analgesia and none of the patients in the Remifentanil Group (RG) required fentanyl. MSG patients showed propofol consumption 36.6% higher (guided by the Bispectral Index - BIS). MSG patients consumed significantly less ephedrine (mean ± SD) than RG patients, respectively 1.52 ± 4.38 mg and 10 ± 10.39 mg, p < 0.001. Mean values of blood concentrations of magnesium were comparable to values previously described in the literature.

conclusionMagnesium sulfate is a safe and effective option for intraoperative analgesia, when avoiding or decreasing opioid use is required.

Indexed as

Anesthesia, IntravenousMagnesium SulfateAnalgesicsAnalgesics, OpioidDouble-Blind MethodFentanylHumansPostoperative PainProspective StudiesAnalgesicsAnalgesics, OpioidFentanylMagnesium SulfateAnalgesiaMagnesium sulfatePostoperative pain

Identifiers

PMID34537125
PMCPMC9373246
OpenAlexW3128000569

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.