Evidence map›Paper›PMID 39166871›Full record

ReviewPain management2024

Perioperative N-acetylcysteine: evidence and indications.

Phillip Ryan Wilson, Kathryn H Bridges, Michael Scofield, Sylvia H Wilson

Abstract readReview
In one paragraph

Review in Pain management, 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. 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

4 authors.

Phillip Ryan WilsonDepartment of Anesthesia & Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0009-0005-5206-0632
Kathryn H BridgesDepartment of Anesthesia & Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0002-7467-277X
Michael ScofieldDepartment of Anesthesia & Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0002-2330-6999
Sylvia H WilsonDepartment of Anesthesia & Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0003-4747-6009

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonopioid analgesics serve to improve analgesia and limit side effects and risks of perioperative opioids. N-acetylcysteine (NAC), the primary treatment of acetaminophen toxicity, may have perioperative indications, including analgesia. NAC impacts glutathione synthesis, oxidant scavenging, glutamate receptor modulation and neuroinflammation. Potential perioperative benefits include arrhythmia prevention after cardiac surgery, decreased contrast-induced nephropathy, improved post-transplant liver function and superior pulmonary outcomes with general anesthesia. NAC may improve perioperative analgesia, with some studies displaying a reduction in postoperative opioid use. NAC is generally well tolerated with an established safety profile. NAC administration may predispose to gastrointestinal effects, while parenteral administration may carry a risk of anaphylactoid reactions, including bronchospasm. Larger randomized trials may clarify the impact of NAC on perioperative analgesic outcomes.

Indexed as

AcetylcysteinePerioperative CareAnalgesics, Non-NarcoticHumansPostoperative PainAcetylcysteineAnalgesics, Non-Narcoticacetylcysteineanalgesiaanti-inflammatory agentspain managementperioperative

Identifiers

PMID39166871
PMCPMC11486111

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.