Evidence map›Paper›PMID 34966972›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2022

The safety of high-dose dexmedetomidine after cardiac surgery: a historical cohort study.

Leo Leung, Lik Hang N Lee, Bobby Lee, Anthony Chau, Erica H Z Wang

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05674253 (Combined Use of Dexmedetomidine and Hydrocortisone to Prevent New Onset Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 36% 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.

NCT05674253 early_phase1unknown statusnot on this map

Combined Use of Dexmedetomidine and Hydrocortisone to Prevent New Onset Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery

TypeinterventionalSponsorAin Shams UniversityRan2022 to 2023Enrolled248ConditionsAtrial Fibrillation New OnsetArmsDexmedetomidine + Hydrocortisone
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Multifaceted role of ferroptosis in cardiovascular disease.Acta biochimica et biophysica Sinica · 2023
    Review
  5. Article
  6. 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

5 authors at 3 institutions in 1 country.

Leo LeungDepartment of Pharmacy, Vancouver General Hospital, Vancouver, BC, Canada.
Lik Hang N LeeFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Bobby LeeDepartment of Anesthesia, St. Paul's Hospital, Vancouver, BC, Canada.
Anthony ChauDepartment of Anesthesia, St. Paul's Hospital, Vancouver, BC, Canada.
Erica H Z WangFaculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, BC, Canada. ewang@providencehealth.bc.ca.ORCID http://orcid.org/0000-0002-8065-2556
University of British Columbia · CAProvidence Health Care · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe off-label use of dexmedetomidine beyond the monograph-recommended maximum dose of 0.7 µg·kg

methodsIn this historical cohort study, we reviewed all patients who received dexmedetomidine infusion after cardiac surgery between June 2013 and July 2017 at a single centre. Regardless of the duration of exposure at the peak infusion dose, patients were categorized into high- or standard-dose groups using 0.7 µg·kg

resultsThe median [interquartile range (IQR)] peak infusion dose was 1.0 [1.0-1.4] µg·kg

conclusionThere was a high overall rate of hypotension or bradycardia in patients receiving dexmedetomidine after cardiac surgery; infusion rates below or above 0.7 µg·kg

Indexed as

Cardiac Surgical ProceduresDexmedetomidineHypotensionCohort StudiesHumansHypnotics and SedativesDexmedetomidineHypnotics and SedativesAdverse effectsCardiac surgeryCritically illDexmedetomidineHigh dose

Identifiers

PMID34966972
OpenAlexW4200504079

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.