Evidence map›Paper›PMID 40099090›Full record

ArticleCureus2025

Prospective Comparative Study Between Subarachnoid Chloroprocaine and General Anesthesia for Short Daycare Surgeries.

Manju, Bhavna Agarwal, Usha Choudhary, Mukesh Choudhary, Yogendra D Singh, Vijay P Nehra

Abstract read
In one paragraph

Article in Cureus, 2025. 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

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. Observational
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.

ManjuAnesthesiology, University College of Medical Sciences, Delhi, IND.
Bhavna AgarwalAnesthesiology, Mahatama Gandhi Medical College, Jaipur, IND.
Usha ChoudharyAnesthesiology, Government Medical College, Pali, IND.
Mukesh ChoudharyAnesthesiology, Government Medical College, Barmer, IND.
Yogendra D SinghAnesthesiology, District Hospital, Kekri, IND.
Vijay P NehraAnesthesiology, Government Community Health Centre, Sikar, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDaycare surgeries are increasingly possible due to advancements in anesthetic techniques, the availability of newer drugs, and newer surgical techniques. The anesthetic technique has to be modified and titrated to a level so as to provide optimal anesthesia with minimal side effects that will enable the patients to resume their daily activities. General anesthesia and newer airway adjuncts have completely changed non-invasive airway management in daycare surgeries. Chloroprocaine (CP) is an amino-ester local anesthetic with a very short half-life and is the recommended local anesthetic agent for spinal anesthesia in patients undergoing ambulatory surgeries because of its low incidences of adverse side effects, superior recovery profile, and raised operating room efficiency.

methodA prospective, comparative, randomized, double-blinded study was performed on 60 patients. These patients were divided into two groups: Group C (CP) with 30 patients and Group G (general anesthesia) with 30 patients. The groups were compared for early postoperative recovery and discharge.

resultThe mean time of the first analgesic (min) was lower in Group G (15.2±3.0) than in Group C (26.3±3.04), and the difference was statistically significant. In our study, the maximum number of patients in Group C had a score of 12 compared to Group G, with a highly significant difference of 0.001, denoting that patients in Group C had more stable hemodynamic and ventilatory parameters and were ready to be discharged earlier than Group G patients. The mean time of discharge from PACU (min) was higher in Group G (49.5±6.4) than in Group C (22.7±4.5), and the difference was statistically significant.

conclusionSpinal anesthesia with CP is significantly superior to general anesthesia because patients who receive it have a longer initial rescue analgesic requirement duration, stable ventilatory and hemodynamic parameters, and an early mean time of PACU discharge.

Indexed as

chloroprocaineday care surgeryearly postoperative dischargegeneral anesthesiaspinal anesthesia

Identifiers

PMID40099090
PMCPMC11913398

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