Evidence map›Paper›PMID 40124555›Full record

Trial reportDrug design, development and therapy2025

Effect of Esketamine-Based Opioid-Sparing Anesthesia Protocol on the Quality of Early Recovery After Urological Surgery: A Randomized Clinical Trial.

Yu Qi, Weihua Li, Ying Ren, Jia Sun, Yangzi Zhu, Long Wang, Meiyan Zhou, Liwei Wang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. 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

8 authors.

Yu Qi *The Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.ORCID 0000-0001-8029-2207
Weihua Li *The Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.ORCID 0009-0006-8639-5657
Ying Ren *The Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.ORCID 0009-0003-9633-6632
Jia SunThe Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Yangzi ZhuThe Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.ORCID 0000-0002-4709-4652
Long WangThe Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Meiyan ZhouThe Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Liwei WangThe Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The quality of postoperative recovery under enhanced recovery after surgery protocols has always been the focus of anesthesiologists. It has been proven that esketamine application during the perioperative period can reduce the use of opioid drugs and improve the quality of postoperative recovery. The present study explored the effect of the esketamine-based opioid-sparing anesthesia protocol on the quality of postoperative recovery in patients undergoing elective urological surgery. Patients and Methods: A randomized, double-blind, controlled clinical trial was adopted. Patients aged 18-65 years, with American Society of Anesthesiologists physical status grades I-III, scheduled for elective laparoscopic partial nephrectomy or unilateral nephrectomy in urological surgery, were randomly divided into the OSA group and the control group. The OSA group received 0.25 mg/kg of esketamine for anesthesia induction during the operation, and maintenance was carried out at a rate of 0.125 mg·kg⁻¹·h⁻¹. The primary outcome measure was the Quality of Recovery Scale-15 score 24 hours after the operation. Results: The total Quality of Recovery Scale-15 score was significantly higher in the OSA than in control groups 24 hours after the operation (114 [108, 116] vs 106 [102, 109], Conclusion: The esketamine-based opioid-sparing anesthesia protocol can improve the quality of early postoperative recovery and the level of anesthesia recovery, and accelerate rehabilitation in patients undergoing elective urological surgery.

Indexed as

Analgesics, OpioidAnesthesia Recovery PeriodKetamineUrologic Surgical ProceduresAdolescentAdultAgedDouble-Blind MethodFemaleHumansLaparoscopyMaleMiddle AgedNephrectomyPostoperative PainYoung AdultAnalgesics, OpioidEsketamineKetamineesketaminenephrectomyopioid-sparing anesthesiapostoperative painquality of recovery

Identifiers

PMID40124555
PMCPMC11927495

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.