Evidence map›Paper›PMID 37601957›Full record

ArticleAnesthesiology and pain medicine2023

Management of Incidental Uncontrolled Elevation of Intraoperative Blood Pressure: A Comparative Study on Nitroglycerine Versus Dexmedetomidine Infusion.

Walaa Y Elsabeeny, Nahla N Shehab, Mostafa A Ibrahim, Eman D El Desouky, Sayed M Abed

Open access · diamondAbstract read
In one paragraph

Article in Anesthesiology and pain medicine, 2023. 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
0.7field-weighted citation impact, top 30% 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, 2 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

5 authors at 1 institution in 1 country.

Walaa Y ElsabeenyDepartment of Anesthesia, Critical Care and Pain Management, National Cancer Institute, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-3047-6926
Nahla N ShehabDepartment of Anesthesia, Critical Care and Pain Management, National Cancer Institute, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-3211-5147
Mostafa A IbrahimDepartment of Anesthesia, Critical Care and Pain Management, National Cancer Institute, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0001-5131-0971
Eman D El DesoukyDepartment of Epidemiology and Biostatistics, National Cancer Institute, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-4517-4181
Sayed M AbedDepartment of Anesthesia, Critical Care and Pain Management, National Cancer Institute, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-2362-5508
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Uncontrolled elevation of intraoperative blood pressure can result in deleterious effects with increased risk of morbidity and mortality. Objectives: We aimed to compare nitroglycerine infusion with dexmedetomidine infusion in controlling accidental intraoperative uncontrolled hypertension. Methods: This comparative study was conducted on 73 hypertensive patients undergoing cancer surgeries who experienced uncontrolled intraoperative hypertension. The data of 38 patients were retrieved from the medical records for the nitroglycerine group and 35 patients were prospectively enrolled for the dexmedetomidine group. Group N received nitroglycerine infusion (0.3 - 1 µg/kg/min), while group D received dexmedetomidine infusion (0.2 - 0.7 µg/kg/h). Results: Both groups were comparable regarding their demographic data and clinical characteristics. Systolic, diastolic, and mean arterial pressure (MAP) values were significantly lower in group N compared to group D during the period between 60 and 120 minutes intraoperatively (P < 0.001). Heart rate values were significantly lower in group D than in group N (P < 0.001). Postoperative sedation scores were better for group D with lower analgesic requirements (P < 0.001). Conclusions: Dexmedetomidine infusion can be used to manage the uncontrolled intraoperative elevation of blood pressure in selected patient population.

Indexed as

DexmedetomidineHypertensionNitroglycerineSurgery

Identifiers

PMID37601957
PMCPMC10439692
OpenAlexW4323866417

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.