Evidence map›Paper›PMID 38496110›Full record

ArticleCureus2024

Comparison of Opioid-Based Versus Opioid-Sparing Anesthesia in Patients Undergoing Glioma Surgery.

Anupama A S, Ashutosh Kaushal, Vaishali Waindeskar, Saurabh Saigal, Anuj Jain, Harish Kumar, Pranita Mandal, Sandeep Kumar, Sweta Kumari, Anjan K Sahoo

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 1 institution in 1 country.

Anupama A SAnaesthesiology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Ashutosh KaushalAnaesthesiology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Vaishali WaindeskarAnaesthesiology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Saurabh SaigalAnaesthesiology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Anuj JainAnaesthesiology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Harish KumarAnaesthesiology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Pranita MandalAnaesthesiology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Sandeep KumarAnaesthesiology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Sweta KumariMicrobiology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Anjan K SahooOtolaryngology - Head and Neck Surgery, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
All India Institute of Medical Sciences Bhopal · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background In the neurosurgical population, opioids may cause respiratory depression, leading to hypercapnia, increased cerebral blood flow (CBF), and ultimately increased intracranial pressure (ICP), which can mask early signs of intracranial complications and delayed emergence. This study was designed to compare perioperative hemodynamic stability, analgesia, and recovery parameters in opioid-based (fentanyl) general anesthesia versus opioid-sparing (dexmedetomidine) general anesthesia in patients undergoing glioma surgeries. Methodology This prospective observational comparative study compared 52 patients in two groups. Twenty-six (50%) patients in group F received Inj. fentanyl IV (intravenous; bolus 2 mcg/kg 10 minutes before induction and then infusion 1 mcg/kg/hour till 30 minutes before skin closure), whereas 26 (50%) patients in group D received Inj. dexmedetomidine IV (0.5 mcg/kg infusion 10 minutes before induction and then maintenance with a 0.5 mcg/kg/hour infusion till 30 minutes before skin closure). Perioperative heart rate (HR), mean arterial pressure (MAP), Numerical Rating Scale for Pain (NRS) assessment and postoperative emergence time, modified Aldrete score, patient satisfaction, and surgeon satisfaction score were estimated and compared in both groups. Results The mean HR was less in group D compared to group F at following time points - 10 minutes after infusion (

Indexed as

dexmedetomidinefentanylheart ratemean arterial pressureopioid free anesthesia

Identifiers

PMID38496110
PMCPMC10940869
OpenAlexW4391820211

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.