Evidence map›Paper›PMID 35983671›Full record

SynthesisThe Journal of international medical research2022

Appropriate dosing of sugammadex for reversal of rocuronium-/vecuronium-induced muscle relaxation in morbidly obese patients: a meta-analysis of randomized controlled trials.

Jian-Qiang Liao, Darrell Shih, Tzu-Yu Lin, Meng Lee, Cheng-Wei Lu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in The Journal of international medical research, 2022. 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
2.3field-weighted citation impact, top 11% 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, 9 citations in OpenAlex.

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

5 authors at 2 institutions in 1 country.

Jian-Qiang LiaoDepartment of Anaesthesiology, Far Eastern Memorial Hospital, New Taipei City.ORCID https://orcid.org/0000-0002-9123-3074
Darrell ShihDepartment of Anaesthesiology, Far Eastern Memorial Hospital, New Taipei City.
Tzu-Yu LinDepartment of Anaesthesiology, Far Eastern Memorial Hospital, New Taipei City.
Meng LeeDepartment of Neurology, Chiayi Chang Gung Memorial Hospital, Puzi City.
Cheng-Wei LuDepartment of Anaesthesiology, Far Eastern Memorial Hospital, New Taipei City.ORCID https://orcid.org/0000-0002-2217-3231
Far Eastern Memorial Hospital · TWChiayi Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo conduct a meta-analysis to compare different dosing scalars of sugammadex in a morbidly obese population for reversal of neuromuscular blockade (NMB).

methodsPubMed®, ClinicalTrials.gov, Cochrane Central Register of Controlled Trials (CENTRAL) and Google Scholar were searched for relevant randomized controlled trials (RCTs) comparing lower-dose sugammadex using ideal body weight (IBW) or corrected body weight (CBW) as dosing scalars with standard-dose sugammadex based on total body weight (TBW) among morbidly obese people after NMB. Mean difference with SD was used to estimate the results.

resultsThe analysis included five RCT with a total of 444 morbidly obese patients. The reversal time was significantly longer in patients receiving sugammadex with dosing scalar based on IBW than in patients receiving sugammadex with dosing scalar based on TBW (mean difference 55.77 s, 95% confidence interval [CI] 32.01, 79.53 s), but it was not significantly different between patients receiving sugammadex with dosing scalars based on CBW versus TBW (mean difference 2.28 s, 95% CI -10.34, 14.89 s).

conclusionCompared with standard-dose sugammadex based on TBW, lower-dose sugammadex based on IBW had 56 s longer reversal time whereas lower-dose sugammadex based on CBW had a comparable reversal time.

Indexed as

gamma-CyclodextrinsNeuromuscular BlockadeNeuromuscular Nondepolarizing AgentsAndrostanolsBody WeightHumansMuscle RelaxationObesityRandomized Controlled Trials as TopicRocuroniumSugammadexVecuronium BromideAndrostanolsgamma-CyclodextrinsNeuromuscular Nondepolarizing AgentsRocuroniumSugammadexVecuronium Bromidecorrected body weightideal body weightlean body weightmorbidly obeseSugammadextotal body weight

Identifiers

PMID35983671
PMCPMC9393676
OpenAlexW4292335363

What OpenQuestion holds

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LicenceCC BY-NC
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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.