Evidence map›Paper›PMID 39478341›Full record

ArticleTurkish journal of anaesthesiology and reanimation2024

Dexmedetomidine Versus Fentanyl in Intraoperative Neuromuscular Monitoring Using A Propofol-based Total Intravenous Anaesthesia Regimen in Spine Surgeries.

Medha Bhardwaj, Vijay Mathur, Ravindra Singh Sisodia, Sunita Sharma, Akash Mishra

Abstract read
In one paragraph

Article in Turkish journal of anaesthesiology and reanimation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Medha BhardwajMahatma Gandhi Medical College & Hospital, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur, Clinic of Neuroanaesthesia, Jaipur, India.ORCID 0009-0001-8634-989X
Vijay MathurMahatma Gandhi Medical College & Hospital, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur, Clinic of Neuroanaesthesia, Jaipur, India.
Ravindra Singh SisodiaMahatma Gandhi Medical College & Hospital, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur, Clinic of Neuroanaesthesia, Jaipur, India.
Sunita SharmaMahatma Gandhi Medical College & Hospital, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur, Clinic of Neuroanaesthesia, Jaipur, India.ORCID 0000-0001-5969-2118
Akash MishraMahatma Gandhi Medical College & Hospital, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur, Clinic of Community Medicine, Division of Biostatistics, Jaipur, India.ORCID 0000-0001-8383-8316

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This prospective, double-blind, randomized study aimed to compare the effects of dexmedetomidine and fentanyl on the latency and amplitude of transcranial motor evoked potentials (TcMEPs) under propofol-based total intravenous anaesthesia (TIVA) in spine surgery. Secondarily, intraoperative hemodynamics, total propofol consumption, recovery profile, and surgical field quality were compared. Methods: TcMEP amplitude and latency recordings of bilateral abductor pollicis brevis and abductor hallucis muscles posted for elective lumbar spine surgery under TcMEP monitoring randomly divided into two study groups. Throughout the surgery, TIVA was administered using intravenous propofol (100-150 μg kg Results: Latency and amplitude were comparable between the groups. Time to extubation was significantly longer in group D, but the mean (standard deviation) duration of stay in recovery was shorter in group D [47.55 (7.51) 95% confidence interval (CI) (44.863-50.237)] ( Conclusions: Dexmedetomidine and fentanyl do not have any effect on TcMEP amplitude and latency. However, dexmedetomidine provides the additional advantage of reduced total propofol consumption, shorter stay in recovery, and better surgical field quality.

Indexed as

Dexmedetomidineevoked potentialsfentanylhemodynamicspropofol

Identifiers

PMID39478341
PMCPMC11589335

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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.