Evidence map›Paper›PMID 39390494›Full record

Trial reportBMC pulmonary medicine2024

Effect of dexmedetomidine on postoperative high-sensitivity cardiac troponin T in patients undergoing video-assisted thoracoscopic surgery: a prospective, randomised controlled trial.

Cheng-Yun Xu, Ming-Zi An, Yue-Ru Hou, Qing-He Zhou

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. 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

4 authors.

Cheng-Yun XuDepartment of Anesthesiology and Pain Medicine, Affiliated Hospital of Jiaxing University, No.1882, South Central Road, Jiaxing City, Zhejiang Province, China.
Ming-Zi AnDepartment of Anesthesiology and Pain Medicine, Affiliated Hospital of Jiaxing University, No.1882, South Central Road, Jiaxing City, Zhejiang Province, China.
Yue-Ru HouDepartment of Anesthesiology and Pain Medicine, Affiliated Hospital of Jiaxing University, No.1882, South Central Road, Jiaxing City, Zhejiang Province, China.
Qing-He ZhouDepartment of Anesthesiology and Pain Medicine, Affiliated Hospital of Jiaxing University, No.1882, South Central Road, Jiaxing City, Zhejiang Province, China. zqh10980@zjxu.edu.cn.ORCID http://orcid.org/0000-0002-0731-6302

Funding

Key Discipline Established with Zhejiang Provincial Traditional Chinese Medical Innovation Team No. 2022-19Zhejiang Medical and Health Science and Technology Plan Project 2023KY341
6 · The paper itself

Abstract

backgroundOne-lung ventilation and intrathoracic operations during thoracoscopic surgery often result in intraoperative hypoxaemia and haemodynamic fluctuations, resulting in perioperative myocardial injury. Dexmedetomidine, an alpha-2 (α-2) agonist, has demonstrated myocardial protection. We hypothesize that the routine intravenous administration of dexmedetomidine could reduce the extent of myocardial injury during video-assisted thoracoscopic surgery (VATS).

methodsThe study included patients aged ≥ 45 years, classified as American Society of Anesthesiologists physical status I-III, who underwent general anesthesia for video-assisted thoracoscopic surgery. The patients were randomly assigned to either the intervention group, receiving general anesthesia with dexmedetomidine, or the control group, receiving general anesthesia without dexmedetomidine. Patients in the intervention group received a loading dose of dexmedetomidine (0.5 µg·kg

resultsA total of 110 participants completed this study. The median [interquartile range (IQR)] concentration of hs-cTnT on postoperative day 1 was lower in the intervention group compared with the control group (7 [6-9] vs. 8 [7-11] pg·ml

conclusionThe administration of perioperative dexmedetomidine in patients ≥ 45 years undergoing video-assisted thoracoscopic surgery could lower the release of postoperative hs-cTnT without reducing incidence of myocardial injury.

trial registrationchictr.org.cn (ChiCTR2200063193); prospectively registered 1 September 2022.

Indexed as

DexmedetomidineThoracic Surgery, Video-AssistedTroponin TAdrenergic alpha-2 Receptor AgonistsAgedAnesthesia, GeneralDouble-Blind MethodFemaleHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesAdrenergic alpha-2 Receptor AgonistsDexmedetomidineTroponin TDexmedetomidineGeneral anesthesiaHigh-sensitivity cardiac troponin TMyocardial injury after noncardiac surgeryVideo-assisted thoracoscopic surgery

Identifiers

PMID39390494
PMCPMC11465541

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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.