Evidence map›Paper›PMID 38573471›Full record

Trial reportCNS drugs2024

Observation on the Analgesic Effect of Different Doses of a Combination of Esketamine and Dexmedetomidine Administered for Percutaneous Endoscopic Transforaminal Discectomy: A Randomized, Double-Blind Controlled Trial.

Jian-Shun Zhou, Zhen Chen, Ying-Ying Liu, Mao-Lin Zhong, Qiong Zhong, Jun Wei, Qian Hu, Jia-Sheng Wang, Li-Feng Wang

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in CNS drugs, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Article
  7. 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

9 authors at 3 institutions in 1 country.

Jian-Shun ZhouThe First Clinical Medical College of Gannan Medical University, Ganzhou, China.ORCID 0009-0009-7506-044X
Zhen ChenThe First Clinical Medical College of Gannan Medical University, Ganzhou, China.
Ying-Ying LiuThe First Clinical Medical College of Gannan Medical University, Ganzhou, China.
Mao-Lin ZhongDepartment of Anesthesiology, First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
Qiong ZhongPain Management, First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
Jun WeiPain Management, First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
Qian HuThe First Clinical Medical College of Gannan Medical University, Ganzhou, China.
Jia-Sheng WangThe First Clinical Medical College of Gannan Medical University, Ganzhou, China.
Li-Feng WangDepartment of Anesthesiology, First Affiliated Hospital of Gannan Medical University, Ganzhou, China. wwwanglifeng@126.com.
Gannan Medical University · CNFirst Affiliated Hospital of Gannan Medical University · CNGanzhou People's Hospital · CN

Funding

Health Commission of Jiangxi Province 202410355
6 · The paper itself

Abstract

backgroundPercutaneous endoscopic transforaminal discectomy (PETD) is an effective method for treating lumbar disc herniation, and is typically performed under local anesthesia. However, inadequate analgesia during the procedure remains a concern, prompting the search for a medication that can provide optimal pain control with minimal impact on the respiratory and circulatory systems.

objectivesThe aim of this study was to observe the effects of different doses of esketamine combined with dexmedetomidine on reducing visual analog scale (VAS) scores during surgical interventions.

methodsOne hundred two patients who underwent PETD were randomly divided into a control group (group C: normal saline + dexmedetomidine), an E1 group (0.1 mg kg

resultsCompared with those in group C, the VAS scores of patients in groups E1 and E2 were lower at T

conclusionThe combination of esketamine and dexmedetomidine can reduce VAS scores during certain stages of this type of surgery; it has minimal impact on respiration and circulation. However, this approach is associated with increased incidences of postoperative dizziness and psychiatric side effects, which may also affect patients' compliance with surgical instructions from medical staff. Patient satisfaction was not greater with dexmedetomidine combined with esketamine than with dexmedetomidine alone.

trial registrationhttp://www.chictr.org.cn . Identifier: ChiCTR2300068206. Date of registration: 10 February 2023.

Indexed as

DexmedetomidineDiskectomy, PercutaneousIntervertebral Disc DisplacementKetamineAdultAnalgesicsDose-Response Relationship, DrugDouble-Blind MethodDrug Therapy, CombinationEndoscopyFemaleHumansLumbar VertebraeMaleMiddle AgedPain MeasurementAnalgesicsDexmedetomidineEsketamineKetamine

Identifiers

PMID38573471
OpenAlexW4393944816

What OpenQuestion holds

Textmetadata
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.