Evidence map›Paper›PMID 35392153›Full record

Trial reportJournal of healthcare engineering2022

Opioid-Free Labor Analgesia: Dexmedetomidine as an Adjuvant Combined with Ropivacaine.

Wei Gao, Jie Wang, Zhiguo Zhang, Haiying He, Huiwen Li, Ruili Hou, Liping Zhao, Daniel Muthee Gaichu

RetractedOpen access · hybridAbstract readRandomized Controlled TrialRetracted Publication
In one paragraph

Trial report in Journal of healthcare engineering, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Wei GaoDepartment of Anesthesiology, Baotou Obstetrics and Gynecology Hospital, Inner Mongolia (the Third Hospital of Inner Mongolia Baotou Iron and Steel Group), Gaotou 014010, China.
Jie WangDepartment of Anesthesiology, Baotou Obstetrics and Gynecology Hospital, Inner Mongolia (the Third Hospital of Inner Mongolia Baotou Iron and Steel Group), Gaotou 014010, China.
Zhiguo ZhangDepartment of Anesthesiology, Baotou Obstetrics and Gynecology Hospital, Inner Mongolia (the Third Hospital of Inner Mongolia Baotou Iron and Steel Group), Gaotou 014010, China.
Haiying HeDepartment of Neonatal Pediatrics, Baotou Obstetrics and Gynecology Hospital, Inner Mongolia (the Third Hospital of Inner Mongolia Baotou Iron and Steel Group), Gaotou 014010, China.
Huiwen LiDepartment of Anesthesiology, Baotou Obstetrics and Gynecology Hospital, Inner Mongolia (the Third Hospital of Inner Mongolia Baotou Iron and Steel Group), Gaotou 014010, China.
Ruili HouSchool of Public Health Baotou Medical College, Gaotou 014010, China.
Liping ZhaoDepartment of Gynecology and Obstetrics, Baotou Obstetrics and Gynecology Hospital, Inner Mongolia (the Third Hospital of Inner Mongolia Baotou Iron and Steel Group), Gaotou 014010, China.ORCID 0000-0001-9690-0350
Daniel Muthee GaichuChuka University, Chuka 60400, Kenya.ORCID 0000-0002-5535-6800
Baogang Group (China) · CNBaotou Medical College · CNChuka University · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Side effects of the use of opioid analgesics during painless delivery are the main factors that affect rapid postpartum recovery. Opioid use can result in dangerous respiratory depression in the patient. Opioids can also disrupt the baby's breathing and heart rate. The nonopioid analgesic dexmedetomidine, a new a2-adrenergic agonist, possesses higher selectivity, greater analgesic effects, and fewer side effects. Moreover, epidural administration of dexmedetomidine also reduces local anesthetic consumption. Objective: Our study aims to compare the analgesic effects as well as the side effects of ropivacaine with dexmedetomidine against sufentanyl as an epidural labor analgesia. Methods: This study is a randomized, double-blinded, controlled trial (registration no. ChiCTR2200055360) involving 120 primiparous (a woman who has given birth once), singleton pregnancy women who are greater than 38 weeks into gestation and have requested epidural labor analgesia. The participants were randomized to receive 0.1% ropivacaine with sufentanyl (0.4 Results: Of the 120 subjects who consented, 91 parturient women (women in the condition of labor) had complete data for analysis. Demographics and VAS, as well as maternal and fetal outcomes, were similar between the groups. The duration of first epidural infusions in dexmedetomidine was significantly longer than sufentanyl (median value: 115 vs 68 min, Conclusions: Dexmedetomidine, a nonopioid, is superior to the opioid analgesic sufentanyl in providing a prolonged analgesic effect as an epidural during labor. It also reduces local anesthetic consumption and has fewer side effects. The trial is registered with ChiCTR2200055360.

Indexed as

Analgesia, ObstetricalDexmedetomidineAnalgesicsAnalgesics, OpioidAnesthetics, LocalFemaleHumansPregnancyRopivacaineSufentanilAnalgesicsAnalgesics, OpioidAnesthetics, LocalDexmedetomidineRopivacaineSufentanil

Identifiers

PMID35392153
PMCPMC8983222
OpenAlexW4220831107

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.