Evidence map›Paper›PMID 39032931›Full record

ArticleBMJ open2024

Effects of hydromorphone-based patient-controlled intravenous analgesia on postoperative hypoxaemia: a randomised controlled non-inferiority clinical trial.

Yumei Ma, Xiangying Feng, Nong Yan, Zhuomin Deng, Jialin Luo, Jingjing Lin, Ziyu Zheng, Xiaoxiao Mu, Xuan Yang, Jiejuan Du and 3 more

Abstract readEquivalence Trial
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Trial
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

13 authors.

Yumei Ma *Department of Anesthesiology and Perioprative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.ORCID 0000-0001-9814-2952
Xiangying Feng *Department of General Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Nong YanMindray Medical International Ltd, Shenzhen, Guangdong, China.
Zhuomin DengMindray Medical International Ltd, Shenzhen, Guangdong, China.
Jialin LuoDepartment of General Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Jingjing LinDepartment of Anesthesiology and Perioprative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Ziyu ZhengDepartment of Anesthesiology and Perioprative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.ORCID 0000-0001-8221-3541
Xiaoxiao MuDepartment of Anesthesiology and Perioprative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Xuan YangDepartment of Anesthesiology and Perioprative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Jiejuan DuDepartment of Anesthesiology and Perioprative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Yang MengDepartment of Anesthesiology and Perioprative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Hailong DongDepartment of Anesthesiology and Perioprative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China niehuang@163.com hldong6@hotmail.com.
Huang NieDepartment of Anesthesiology and Perioprative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China niehuang@163.com hldong6@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to compare the effects of patient-controlled intravenous analgesia (PCIA) with and without low-basal infusion on postoperative hypoxaemia.

designA randomised parallel-group non-inferiority trial.

settingThe trial was conducted at a grade-A tertiary hospital from December 2021 to August 2022.

participants160 adults undergoing gastrointestinal tumour surgery and receiving postoperative PCIA.

interventionsParticipants randomly received a low-basal (0.1 mg/hour of hydromorphone) or no-basal infusion PCIA for postoperative 48 hours. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was area under curve (AUC) per hour for hypoxaemia, defined as pulse oxygen saturation (SpO

resultsAmong 160 randomised patients, 159 completed the trial. An intention-to-treat analysis showed that AUC per hour (SpO

conclusionsAmong the patients receiving hydromorphone PCIA after gastrointestinal tumour resection, low-basal infusion was inferior to no-basal infusion PCIA for postoperative hypoxaemia at SpO TRIAL REGISTRATION NUMBER: ChiCTR2100054317.

Indexed as

Analgesia, Patient-ControlledAnalgesics, OpioidHydromorphoneHypoxiaPostoperative PainAdultAgedFemaleGastrointestinal NeoplasmsHumansInfusions, IntravenousMaleMiddle AgedAnalgesics, OpioidHydromorphoneadult anaesthesiagastrointestinal tumourspain management

Identifiers

PMID39032931
PMCPMC11261671

What OpenQuestion holds

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Registered trials

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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.