Evidence map›Paper›PMID 36793000›Full record

Trial reportBMC anesthesiology2023

The role of dexmedetomidine as an adjuvant for high-thoracic erector spinae plane block for analgesia in shoulder arthroscopy; a randomized controlled study.

Mohamed Ahmed Hamed, Omar Sayed Fargaly, Rana Ahmed Abdelghaffar, Mohammed Ahmed Moussa, Mohammad Fouad Algyar

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% 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.

NCT05165836 nacompletednot on this map

Role of Dexmedetomidine as Adjuvant With Bupivacaine in Ultrasound-Guided Erector Spinae Plane Block for Postoperative Analgesia After Shoulder Arthroscopy: A Randomized Controlled Study

TypeinterventionalSponsorKafrelsheikh UniversityRan2021 to 2022Enrolled60ConditionsArthroscopy, Erector Spinae Plane Block, AnalgesiaArmsErector Spinae Plane block without Dexmedetomidine group, Erector Spinae Plane block with Dexmedetomidine group
NCT05843344 naunknown statusnot on this map

Dexmedetomidine and Morphine as Adjuvants to US Guided Erector Spinae Plane Blocks in Elective Thoracic Surgeries

TypeinterventionalSponsorDr Kassiani TheodorakiRan2023 to 2025Enrolled90ConditionsPain, Postoperative, Pain, Acute, Pain, Chronic, MorphineArmserector spinae plane block with a combination of ropivacaine and morphine, erector spinae plane block with a combination of ropivacaine and dexmedetomidine, erector spinae plane block with ropivacaine only
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. 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.

Mohamed Ahmed HamedDepartment of Anesthesiology, Faculty of Medicine, Fayoum University, Fayoum, 63511, Egypt. mah07@fayoum.edu.eg.
Omar Sayed FargalyDepartment of Anesthesiology, Faculty of Medicine, Fayoum University, Fayoum, 63511, Egypt.
Rana Ahmed AbdelghaffarDepartment of Anesthesiology, Faculty of Medicine, Fayoum University, Fayoum, 63511, Egypt.
Mohammed Ahmed MoussaDepartment of Orthopedics, Faculty of Medicine, Fayoum University, Faiyum, Egypt.
Mohammad Fouad AlgyarDepartment of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Kafrelsheikh University, Kafr el-Sheikh, Egypt.
Fayoum University · EGKafrelsheikh University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of postoperative pain after shoulder arthroscopy is an important issue. Dexmedetomidine, as an adjuvant, improves nerve block efficacy and decreases postoperative consumption of opioids. As a result, we designed this study to determine if adding dexmedetomidine to an erector spinae plane block (ESPB) that is guided by ultrasound (US) is beneficial for treating immediate postoperative pain following shoulder arthroscopy.

methodsThis randomized controlled double-blind trial recruited 60 cases 18-65 years old of both sexes, American Society of Anesthesiologists (ASA) physical status I-II, scheduled for elective shoulder arthroscopy. Random allocation of 60 cases was done equally into two groups according to the solution injected in US-guided ESPB at T2 before general anesthetic induction. Group (ESPB): 20 ml 0.25% bupivacaine. Group (ESPB + DEX): 19 ml bupivacaine 0.25% + 1 mL dexmedetomidine 0.5 µg/kg. The primary outcome was The total rescue morphine consumption in the first 24 postoperative hours.

resultsThe mean intraoperative fentanyl consumption was significantly lower in the group (ESPB + DEX) compared to the group (ESPB) (82.86 ± 13.57 versus 100.74 ± 35.07, respectively, P = 0.015). The median (IQR) time of the 1

conclusionThe dexmedetomidine as an adjuvant to bupivacaine in ESPB produced adequate analgesia by reducing the intraoperative and postoperative opioid requirements in shoulder arthroscopy.

trial registrationThis study is registered on ClinicalTrials.gov (NCT05165836; principal investigator: Mohammad Fouad Algyar; registration date: 21/12/ 2021).

Indexed as

AnalgesiaDexmedetomidineNerve BlockAdolescentAdultAgedAnalgesics, OpioidArthroscopyBupivacaineFemaleHumansMaleMiddle AgedMorphinePostoperative PainShoulderAnalgesics, OpioidBupivacaineDexmedetomidineMorphineDexmedetomidineErector spinae plane blockShoulder arthroscopy

Identifiers

PMID36793000
PMCPMC9930274
OpenAlexW4321004506

What OpenQuestion holds

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LicenceCC BY
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.