Evidence map›Paper›PMID 39386403›Full record

ArticleIndian journal of anaesthesia2024

Comparison of intravenous dexmedetomidine versus ketamine-dexmedetomidine combination on spinal block characteristics in patients undergoing lower limb orthopaedic surgery - A randomised clinical trial.

Annapureddy Sai Krishna, Jyotsna Agarwal, Samiksha Khanuja, Sandeep Kumar, Adam Khan, Khairat Mohammad Butt

Registry-linked trialAbstract read
In one paragraph

Article in Indian journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07330375 (The Effect of Intravenous Combination Dexmedetomidine - Ketamine Versus Dexmedetomidine on Post-Operative Analgesia in Patients Undergoing Vaginal Hysterectomy Under Spinal Anesthesia), 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
–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.

NCT07330375 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effect of Intravenous Combination Dexmedetomidine - Ketamine Versus Dexmedetomidine on Post-Operative Analgesia in Patients Undergoing Vaginal Hysterectomy Under Spinal Anesthesia

TypeinterventionalSponsorZagazig UniversityRan2026 to 2026Enrolled50ConditionsPostoperative Analgesia, Postoperative Pain ManagementArmsDexmedetomidine, Ketamine, Saline (0.9% NaCl)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  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

6 authors.

Annapureddy Sai KrishnaDepartment of Anaesthesia, Yashodha Hospital, Bijapur, Karnataka, India.ORCID https://orcid.org/0009-0006-2089-7689
Jyotsna AgarwalDepartment of Anaesthesia, Hamdard Institute of Medical Sciences and Research, New Delhi, India.ORCID https://orcid.org/0000-0003-1203-7233
Samiksha KhanujaDepartment of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India.ORCID https://orcid.org/0000-0002-4447-2988
Sandeep KumarDepartment of Anaesthesia, Hamdard Institute of Medical Sciences and Research, New Delhi, India.ORCID https://orcid.org/0000-0003-0469-4807
Adam KhanDepartment of Anaesthesia, Hamdard Institute of Medical Sciences and Research, New Delhi, India.ORCID https://orcid.org/0009-0001-4026-9317
Khairat Mohammad ButtDepartment of Anaesthesia, Hamdard Institute of Medical Sciences and Research, New Delhi, India.ORCID https://orcid.org/0000-0002-0412-1235

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: One major limitation of the spinal block remains the inability to extend the duration of the block intraoperatively unless planned before with spinal or epidural catheters and/or intrathecal additives. This study was designed to compare the effects of intravenous dexmedetomidine versus low-dose ketamine-dexmedetomidine combination infusion on spinal anaesthesia in lower limb orthopaedic surgeries. Methods: This randomised study was conducted in 60 patients scheduled for unilateral lower limb surgeries under spinal anaesthesia. Patients were randomised into Group D ( Results: The mean sacral segment 1 (S1) regression time was 390.3 [standard deviation (SD):84.38] [95% confidence interval (CI): 360.13, 420.53] versus 393.23 (SD: 93.01) (95% CI: 363.04, 423.43) min in Group D versus Group LKD respectively (( Conclusion: The duration of S1 regression was similar between group dexmedetomidine (Group D) and group low-dose ketamine and dexmedetomidine (Group LKD).

Indexed as

Dexmedetomidinehaemodynamichypotensionketaminemotor regressionpostoperative periodsensory blockadespinal anaesthesia

Identifiers

PMID39386403
PMCPMC11460815

What OpenQuestion holds

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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.