Evidence map›Paper›PMID 34956516›Full record

ArticleAmerican journal of translational research2021

Glycopyrrolate versus atropine for preventing bradycardia induced by neostigmine injection after general anesthesia surgery: a randomized open, parallel-controlled multicenter clinical trial.

Yue Yun, Dianqing Cao, Xiaoqing Zhang, Wen Ouyang, Su Min, Jianrui Lv, Lin Li, Furong Huang

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
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

8 authors at 8 institutions in 1 country.

Yue YunDepartment of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University Beijing 100000, China.
Dianqing CaoDepartment of Anesthesiology, Affiliated Hospital of Guangdong Medical University Zhanjiang 524000, Guangdong, China.
Xiaoqing ZhangDepartment of Anesthesiology, Shanghai Tongji Hospital Shanghai 200000, China.
Wen OuyangDepartment of Anesthesiology, The Third Xiangya Hospital, Central South University Changsha 410000, Hunan, China.
Su MinDepartment of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University Chongqing 400000, China.
Jianrui LvDepartment of Anesthesiology, The Second Affiliated Hospital of Xi'an Jiaotong University Xi'an 710000, Shaanxi, China.
Lin LiDepartment of Anesthesiology, General Hospital of Shenyang Military Region of PLA Shenyang 110000, Liaoning, China.
Furong HuangDepartment of Anesthesiology, The First People's Hospital of Changde Changde 415000, Hunan, China.
Beijing Chao-Yang Hospital · CNCentral South University · CNGeneral Hospital of Shenyang Military Region · CNGuangdong Medical College · CNSecond Affiliated Hospital of Xi'an Jiaotong University · CNThe Affiliated Yongchuan Hospital of Chongqing Medical University · CNThe First People's Hospital of Changde · CNTongji Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWith atropine as a positive control, randomized controlled clinical trials were conducted to verify the efficacy of glycopyrrolate injection in preventing bradycardia caused by neostigmine.

methodPatients undergoing elective general anesthesia and non-cardiac surgery were randomly divided into an experimental group (129 cases) and control group (127 cases) (ChiCTR2100046022, http://www.chictr.org.cn/showproj.aspx?proj=126075). At the end of the operation, the test group was given glycopyrrolate 6 ug/kg + neostigmine 0.04 mg/kg, and the control group was given atropine 0.016 mg/kg + neostigmine 0.04 mg/kg, bolus time 1 min, to antagonize muscle residual effects of relaxants. We compared the area under the time curve (AUC) of the difference between heart rate and baseline heart rate within 15 minutes of administration, the measured value of heart rate per minute, and the change in heart rate compared with baseline. We verified the safety of glycopyrrolate injection through laboratory tests, clinical symptoms, signs, and adverse events/serious adverse events.

resultsThe AUC of the experimental group's heart rate within 15 minutes after the administration was lower than the baseline heart rate change value, (

conclusionGlycopyrrolate and atropine are safe to prevent heart rate slowing induced by the non-depolarizing muscle relaxant antagonist neostigmine, and glycopyrrolate is more conducive to maintaining a stable heart rate in patients.

Indexed as

atropinebradycardiageneral anesthesia surgeryGlycopyrrolateneostigmine injection

Identifiers

PMID34956516
PMCPMC8661237
OpenAlexW4206883059

What OpenQuestion holds

Textmetadata
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.