Evidence map›Paper›PMID 38517531›Full record

ArticleJournal of anesthesia2024

Protocolized oxytocin infusion for elective cesarean delivery: a retrospective before-and-after study.

Azusa Nagai, Yuki Shiko, Shohei Noguchi, Yusuke Ikeda, Yohei Kawasaki, Yusuke Mazda

Open access · hybridAbstract read
In one paragraph

Article in Journal of anesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.4field-weighted citation impact, top 7% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Factors influencing abdominal compliance.Journal of anesthesia · 2024
    Article
  3. 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

6 authors at 3 institutions in 1 country.

Azusa NagaiDepartment of Obstetric Anesthesiology, Center for Maternal-Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan.
Yuki ShikoDepartment of Anesthesiology, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan.
Shohei NoguchiDepartment of Obstetric Anesthesiology, Center for Maternal-Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan.
Yusuke IkedaDepartment of Obstetric Anesthesiology, Center for Maternal-Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan.
Yohei KawasakiDepartment of Anesthesiology, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan.
Yusuke MazdaDepartment of Obstetric Anesthesiology, Center for Maternal-Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan. mazda@saitama-med.ac.jp.ORCID http://orcid.org/0000-0003-0344-4400
Social Insurance Saitama Chuo Hospital · JPChiba University Hospital · JPJapanese Red Cross College of Nursing · JP

Funding

Saitama Medical University 03-F-1-21
6 · The paper itself

Abstract

purposeTo elucidate the clinical impact of the novel oxytocin protocol using a syringe pump with a stratified dose compared with the conventional practice of putting oxytocin into the bag.

methodsThis is a retrospective cohort study. We collected the data of the patients who underwent elective cesarean delivery under neuraxial anesthesia between June 2019 and May 2020. The patients were allocated to two groups according to oxytocin administration methods; the control group (the attending anesthesiologist put oxytocin 5-10 units in the infusion bag and adjusted manually after childbirth) and the protocol group (the oxytocin protocol gave oxytocin bolus 1 or 3 units depending on the PPH risk, followed by 5 or 10 unit h

resultsDuring the study period, 262 parturients were included. Oxytocin doses of intraoperative and postoperative were significantly lower in the protocol group (9.7 vs. 11.7 units, intraoperative, 15.9 vs. 18 units, postoperative). The subgroup analyses showed that the impact was more remarkable in the low PPH risk than in the high PPH risk. The multivariate linear regression analyses also confirmed the difference. The groups had no significant difference in blood loss, requirement of additional uterotonics, and other adverse events.

conclusionsOur oxytocin infusion protocol significantly reduced oxytocin requirements in elective cesarean delivery under neuraxial anesthesia without increasing blood loss. However, we could not find other clinical benefits of the novel protocol.

Indexed as

Cesarean SectionElective Surgical ProceduresOxytocicsOxytocinPostpartum HemorrhageAdultAnesthesia, ObstetricalControlled Before-After StudiesFemaleHumansInfusions, IntravenousPregnancyRetrospective StudiesOxytocicsOxytocinAnesthesiaCesarean deliveryOxytocinPostpartum hemorrhageProtocol

Identifiers

PMID38517531
PMCPMC11284190
OpenAlexW4393095424

What OpenQuestion holds

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LicenceCC BY
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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.