Evidence map›Paper›PMID 38627668›Full record

Trial reportBMC anesthesiology2024

The potentiating effect of intravenous dexamethasone upon preemptive pudendal block analgesia for hypospadias surgery in children managed with Snodgrass technique: a randomized controlled study : Dexamethasone for pain management in children.

Sonia Ben Khalifa, Ahmed Ben Slimene, Hajer Blaiti, Refka Kaddour, Amjed Fekih Hassen, Pierre Pardessus, Christopher Brasher, Souhayl Dahmani

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03902249 (Effect of Intravenous Dexamethasone in Combination With Pudendal Nerve Block on Postoperative Pain Control in Pediatric Hypospadias Repair), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 24% 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.

NCT03902249 phase4completednot on this map

Effect of Intravenous Dexamethasone in Combination With Pudendal Nerve Block on Postoperative Pain Control in Pediatric Hypospadias Repair

TypeinterventionalSponsorDr Sonia ben khalifa (PhD)Ran2017 to 2018Enrolled70ConditionsPostoperative Pain, HypospadiasArmsDexamethasone
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

8 authors at 4 institutions in 3 countries.

Sonia Ben KhalifaDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, 1 boulevard Robert Ballanger, Aulnay-Sous-Bois, 93602, France.
Ahmed Ben SlimeneDepartment of Anesthesia and Intensive Care, Children Hospital, Boulevard 9 avril, Baab Saadoun, Tunis, Tunisia.
Hajer BlaitiDepartment of Anesthesia and Intensive Care, Children Hospital, Boulevard 9 avril, Baab Saadoun, Tunis, Tunisia.
Refka KaddourDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, 1 boulevard Robert Ballanger, Aulnay-Sous-Bois, 93602, France.
Amjed Fekih HassenDepartment of Anesthesia and Intensive Care, Children Hospital, Boulevard 9 avril, Baab Saadoun, Tunis, Tunisia.
Pierre PardessusUniversité de Paris-Cité, Paris, France.
Christopher BrasherDepartment of Anesthesia & Pain Management, Royal Children's Hospital, Melbourne, Australia.
Souhayl DahmaniDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, 1 boulevard Robert Ballanger, Aulnay-Sous-Bois, 93602, France. souhayl.dahmani@aphp.fr.
Children's Hospital · TNCentre hospitalier Robert-Ballanger · FRUniversité Paris Cité · FRRoyal Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEvidence regarding the potentiating effects of intravenous dexamethasone on peripheral regional anesthesia in children is sparse. The objective of the current study was to investigate the potentiating effect of intravenous dexamethasone upon pudendal block during surgical correction of hypospadias using Snodgrass technique.

methodsThe study consisted of a monocentric, randomized controlled, double-blinded study. Patients were randomized to receive either intravenous dexamethasone 0.15 mg.kg

resultsOverall, 70 patients were included in the study. Age were 24 [24; 36] and 26 [24; 38] months in the D and C groups, respectively (p = 0.4). Durations of surgery were similar in both groups (60 [30; 60], p = 1). The proportion of patients requiring rescue analgesia was decreased in the D group (23% versus 49%, in D and C groups respectively, p = 0.02). The first administration of rescue analgesia was significantly delayed in the D group. Postoperative pain was improved in the D group between 6 and 24 h after surgery. Opioid requirements and the incidence of vomiting did not significantly differ between groups.

conclusionAssociating intravenous dexamethasone (0.15 mg.kg CLINICALTRIALS: GOV IDENTIFIER: NCT03902249. A. WHAT IS ALREADY KNOWN: dexamethasone has been found to potentiate analgesia obtained with regional anesthesia in children. B. WHAT THIS ARTICLE ADDS: intravenous dexamethasone was found to improve analgesia with a preemptive pudendal block during hypospadias surgery. C. IMPLICATIONS FOR TRANSLATION: results of this study indicate that intravenous dexamethasone could be used as an adjunct to pudendal block.

Indexed as

AnalgesiaHypospadiasNerve BlockChildDexamethasoneDouble-Blind MethodHumansMalePain ManagementPostoperative PainDexamethasoneChildrenDexamethasoneHypospadiasPudendal block

Identifiers

PMID38627668
PMCPMC11020812
OpenAlexW4394849865

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.