Evidence map›Paper›PMID 38848810›Full record

SynthesisBrazilian journal of anesthesiology (Elsevier)

Unravelling the analgesic effects of perioperative magnesium in general abdominal surgery: a systematic review and meta-analysis of randomized controlled trials.

Yasin Avci, Manikandan Rajarathinam, Neha Kalsekar, Qutaiba Tawfic, Sarah Krause, Derek Nguyen, Eric Liu, Mahesh Nagappa, Yamini Subramani

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
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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.

Yasin AvciWestern University, Schulich School of Medicine and Dentistry, London Health Sciences Centre and St Joseph Health Care, Department of Anesthesia and Perioperative Medicine, London, Ontario, Canada.
Manikandan RajarathinamWestern University, Schulich School of Medicine and Dentistry, London Health Sciences Centre and St Joseph Health Care, Department of Anesthesia and Perioperative Medicine, London, Ontario, Canada.
Neha KalsekarWestern University, Schulich School of Medicine and Dentistry, London Health Sciences Centre and St Joseph Health Care, Department of Anesthesia and Perioperative Medicine, London, Ontario, Canada.
Qutaiba TawficWestern University, Schulich School of Medicine and Dentistry, London Health Sciences Centre and St Joseph Health Care, Department of Anesthesia and Perioperative Medicine, London, Ontario, Canada.
Sarah KrauseWestern University, Schulich School of Medicine and Dentistry, London Health Sciences Centre and St Joseph Health Care, Department of Anesthesia and Perioperative Medicine, London, Ontario, Canada.
Derek NguyenWestern University, Schulich School of Medicine and Dentistry, London Health Sciences Centre and St Joseph Health Care, Department of Anesthesia and Perioperative Medicine, London, Ontario, Canada.
Eric LiuWestern University, Schulich School of Medicine and Dentistry, London Health Sciences Centre and St Joseph Health Care, Department of Anesthesia and Perioperative Medicine, London, Ontario, Canada.
Mahesh NagappaWestern University, Schulich School of Medicine and Dentistry, London Health Sciences Centre and St Joseph Health Care, Department of Anesthesia and Perioperative Medicine, London, Ontario, Canada.
Yamini SubramaniWestern University, Schulich School of Medicine and Dentistry, London Health Sciences Centre and St Joseph Health Care, Department of Anesthesia and Perioperative Medicine, London, Ontario, Canada. Electronic address: Yamini.Subramani@lhsc.on.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrior research has established the effectiveness of magnesium in relieving postoperative pain. This article aims to evaluate magnesium sulfate for perioperative analgesia in adults undergoing general abdominal surgery under general anesthesia.

objectiveThe primary aim was to assess pain scores at 6 and 24 hours postoperatively in patients receiving magnesium sulfate vs. the control group. Secondary outcomes were postoperative opioid consumption, perioperative complications, and time to rescue analgesia.

methodsA comprehensive database search identified studies comparing magnesium sulfate with control in adults undergoing general anesthesia for general abdominal surgery. Using random-effects models, data were presented as mean ± Standard Deviation (SD) or Odds Ratios (OR) with corresponding 95% Confidence Intervals (95% CI). A two-sided p-value < 0.05 was considered statistically significant.

resultsIn total, 31 studies involving 1762 participants met the inclusion criteria. The magnesium group showed significantly lower postoperative pain scores at both early (within six hours) and late (up to 24 hours) time points compared to the control group. The early mean score was 3.1 ± 1.4 vs. 4.2 ± 2.3, and the late mean score was 2.3 ± 1.1 vs. 2.7 ± 1.5, resulting in an overall Mean Difference (MD) of -0.72; 95% CI -0.99, -0.44; p < 0.00001. The magnesium group was associated with lower rates of postoperative opioid consumption and shivering and had a longer time to first analgesia administration compared to the saline control group.

conclusionMagnesium sulfate administration was linked to reduced postoperative pain and opioid consumption following general abdominal surgery.

Indexed as

AbdomenAnalgesicsMagnesium SulfatePostoperative PainRandomized Controlled Trials as TopicAnalgesics, OpioidAnesthesia, GeneralHumansPerioperative CareAnalgesicsAnalgesics, OpioidMagnesium SulfateAbdominal surgeryAcute painAnalgesiaAnesthesiaMagnesium sulphatePostoperative pain

Identifiers

PMID38848810
PMCPMC11233871

What OpenQuestion holds

Textmetadata
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.