Evidence map›Paper›PMID 38890239›Full record

ArticlePain and therapy2024

Transcutaneous Electrical Acupoint Stimulation Combined with Moderate Sedation of Remimazolam Tosilate in Gastrointestinal Endoscopy: A Prospective, Randomized, Double-Blind, Placebo-Controlled Clinical Trial.

Jian-Han Xu, Hai-Ling Tan, Li-Na Zhang, Zan-Gong Zhou, Li Yuan, Ling-Xin Kong, Ming-Quan Song, Li-Jie Qi, Xiang-Yu Ji

Registry-linked trialAbstract read
In one paragraph

Article in Pain and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05485064 (Moderate Sedation Combined With Acupuncture Anesthesia in Gastroscopy and Colonoscopy on Screening Research), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT05485064 nacompletednot on this map

Moderate Sedation Combined With Acupuncture Anesthesia in Gastroscopy and Colonoscopy on Screening Research

TypeinterventionalSponsorThe Affiliated Hospital of Qingdao UniversityRan2022 to 2022Enrolled108ConditionsGastrointestinal EndoscopyArmsfentanyl, eletroacupuncture(transcutaneous electrical acupuncture point stimulation ), placebo needle, remimazolam
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

9 authors.

Jian-Han XuDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Hai-Ling TanDepartment of Pharmacy, Qingdao Municipal Hospital, Qingdao, 266071, China.
Li-Na ZhangDepartment of Anesthesiology, Qingdao Municipal Hospital, Qingdao, 266071, China. davidjxy@sina.com.
Zan-Gong ZhouDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Li YuanDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Ling-Xin KongDepartment of Rehabilitation Physiotherapy, The Affiliated Hospital of Qingdao University, Qingdao, China.
Ming-Quan SongDepartment of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Li-Jie QiDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Xiang-Yu JiDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, China. jixiangyu@qdu.edu.cn.

Funding

Qingdao Traditional Chinese Medicine Research Program Project 2020-zyy061
6 · The paper itself

Abstract

introductionFurther clinical validation is required to determine whether transcutaneous electrical acupoint stimulation (TEAS) can replace opioids and be used in combination with remimazolam for sedation during gastrointestinal endoscopy.

methodsA total of 108 outpatients who underwent diagnostic gastrointestinal endoscopy were randomly divided into three groups: fentanyl plus remimazolam group (group C), TEAS plus remimazolam group (group E), and placebo-TEAS plus remimazolam group (group P). The assessments of patient satisfaction, physician satisfaction, and pain scale score during the examination constituted the primary endpoints of the study. The secondary endpoints were the time of recovery, recovery of normal behavioral function and discharge, incidence of adverse reactions, and dose of remimazolam.

resultsCompared with group C, group E had a greater median score for patient satisfaction at follow-up and a slightly lower median score for physician satisfaction. The pain score of group E was slightly greater than that of group C, but the difference was not significant. However, in group C, the incidence of hypoxemia, the rate of nausea and the severity of vertigo were greater, and the number of patients discharged and resuming normal behavioral function was greater than those in the other two groups. The dose of remimazolam in group C and group E was less than that in group P.

conclusionsTEAS combined with moderate sedation of remimazolam can provide an ideal sedative effect, which preferably suppresses discomfort caused by gastrointestinal endoscopy and has fewer sedation-related complications.

trial registrationID: NCT05485064; First registration (29/07/2022); Last registration (02/11/2022) (Clinical Trials.gov).

Indexed as

Gastrointestinal endoscopyModerate sedationPatient satisfactionRemimazolam tosilateTranscutaneous electrical acupoint stimulation

Identifiers

PMID38890239
PMCPMC11254895

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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.