Evidence map›Paper›PMID 39802094›Full record

ArticleBJA open2025

Noradrenergic suppression to reduce electroencephalographic arousal after intubation: a randomised, placebo-controlled trial.

Kaitlin Kramer, Thomas Payne, Mitchell Brooks, Jessica Barry, Neha Mahajan, Samantha Malcolm, Hannah Braithwaite, Alex Wang, Chris Thompson, Keith Liyanagama and 1 more

Abstract read
In one paragraph

Article in BJA open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Kaitlin KramerDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Thomas PayneFaculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Mitchell BrooksDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Jessica BarryDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Neha MahajanDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Samantha MalcolmDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Hannah BraithwaiteDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Alex WangDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Chris ThompsonDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Keith LiyanagamaDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Robert D SandersDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intraoperative awareness, without explicit recall, occurs after induction of anaesthesia in approximately 10% of persons under 40 yr of age. Most anaesthetic agents minimally suppress the noradrenergic system. We hypothesised that addition of dexmedetomidine, which suppresses noradrenergic activity, may reduce encephalographic (EEG) arousal in response to tracheal intubation; such an effect would lay the foundation for future studies of dexmedetomidine in reducing intraoperative awareness. Methods: A single-site randomised, placebo-controlled trial with sex-based stratification was conducted. Participants, aged 18-40 yr old, undergoing intubation for general anaesthesia were eligible for recruitment and randomly allocated to receive dexmedetomidine or placebo. Dexmedetomidine (0.5 μg kg Results: A total of 51 patients were recruited and included in the primary analysis. We did not observe an effect of dexmedetomidine on changes in BIS after tracheal intubation (mean difference -1.13, 95% confidence interval [CI] -4.87 to 2.62; Conclusions: Dexmedetomidine demonstrated an anaesthetic-sparing effect at induction of anaesthesia but did not prevent EEG arousal after tracheal intubation, as defined by an increase in the BIS value. Clinical Trial Registration: Australia and New Zealand Clinical Trials Registry (Trial ID: ACTRN12622000754741).

Indexed as

accidental awareness under general anaesthesiaanaesthesiaconnected consciousnessdexmedetomidinesurgery

Identifiers

PMID39802094
PMCPMC11711814

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.