Evidence map›Paper›PMID 40026739›Full record

ArticleJournal of anaesthesiology, clinical pharmacology

The effect of intraoperative low-dose ketamine versus dexmedetomidine infusion on postoperative bowel recovery in patients undergoing gastrointestinal malignancy surgeries: Placebo-controlled, randomized trial.

Sabari K Kumar, Satyajeet Misra, Bikram K Behera, Neha Singh, Dillip K Muduly, Anand Srinivasan

Abstract read
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Article in Journal of anaesthesiology, clinical pharmacology. 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

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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

6 authors.

Sabari K KumarDepartment of Anaesthesiology, Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Salem, Tamil Nadu, India.
Satyajeet MisraDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Bikram K BeheraDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Neha SinghDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Dillip K MudulyDepartment of Surgical Oncology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Anand SrinivasanDepartment of Pharmacology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: No studies have compared the effects of ketamine and dexmedetomidine on bowel recovery. We evaluated the effects of intraoperative low-dose ketamine or dexmedetomidine infusion on postoperative bowel recovery in patients undergoing gastrointestinal (GI) malignancy surgeries. Material and Methods: This placebo-controlled, randomized study was carried out in 84 American Society of Anesthesiologists II patients, aged 18-70 years, of either gender, undergoing elective open GI malignancy surgeries. Patients received intraoperative infusion of ketamine @ 0.1 mg kg Results: Median time to passage of flatus and/or stool was 3 [interquartile range (IQR) 2-3] days in the KET group, 2 [IQR 2-3] days in the DEX group, and 2 [IQR 2-3] days in the placebo group ( Conclusion: Low-dose ketamine or dexmedetomidine did not result in early bowel recovery despite lower pain scores and opioid consumption in patients undergoing open GI malignancy surgeries.

Indexed as

a. What is known: Ketamine and dexmedetomidine may promote bowel recovery by improving analgesia and decreasing opioid usage.b. Main findings: This randomized controlled trial found no evidence of earlier bowel recovery with ketamine or dexmedetomidine versus placebo despite lower pain scores and analgesic consumption in the ketamine and dexmedetomidine groups.Bowel recoverydexmedetomidinegastrointestinalketamineKey Message:malignancysurgery

Identifiers

PMID40026739
PMCPMC11867358

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