Evidence map›Paper›PMID 37250239›Full record

ArticleJournal of anaesthesiology, clinical pharmacology

Analgesic effect of ketorolac as an adjuvant to bupivacaine in ultrasound-guided pectoral nerve block (I + II) for patients undergoing modified radical mastectomy: A randomized controlled clinical trial.

Shimaa A Al-Touny, Amira G Abd Elnasser, Ezzat M Al-Taher, Ahmed A El-Lilly

Open access · diamondAbstract read
In one paragraph

Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 2 countries.

Shimaa A Al-TounyDepartment of Anesthesia, Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Amira G Abd ElnasserDepartment of Anesthesia, Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Ezzat M Al-TaherDepartment of Anesthesia, Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Ahmed A El-LillyDepartment of Anesthesia, Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Suez Canal University · EGCreative Commons · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Many drugs have been tried as adjuvant to local anesthetic in different nerve blocks. Ketorolac is one of them, but it has never been used in pectoral nerve block. In this study, we evaluated its adjuvant effect with local anesthetic on postoperative analgesia in ultrasound (US)-guided pectoral nerve (PECS) blocks. The aim was to assess the quality and the duration of analgesia by the addition of ketorolac in the PECS block. Material and Methods: 46 patients who underwent modified radical mastectomies under general anesthesia were randomized into two groups: control group, where pectoral nerve block was given with bupivacaine 0.25% only; and ketorolac group, where the block was given with bupivacaine 0.25% and ketorolac 30 mg. Results: Patients who needed postoperative supplemental analgesia were significantly less in the ketorolac group (9 vs 21 patients, Conclusion: Adding ketorolac to bupivacaine in pectoral nerve block safely increases postoperative duration of analgesia.

Indexed as

Breast cancerketorolacmastectomypectoral nerve

Identifiers

PMID37250239
PMCPMC10220180
OpenAlexW4327884499

What OpenQuestion holds

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Registered trials

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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.