Evidence map›Paper›PMID 40186322›Full record

Trial reportEuropean journal of medical research2025

Dexmedetomidine for modified electroconvulsive therapy: a dose-optimized treatment study.

Jun Shen, Min Zhou, Guangliang Zhu, Yu Zhang, Jinzhi Ma, Dekui Li, Lei Chen, Kejun Qi, Anjiang Wang, Yang Jiang and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of medical research, 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. 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

12 authors.

Jun ShenDepartment of Anesthesiology, Affiliated Hospital of West Anhui Health Vocational College, Lu'an, Anhui, 237000, People's Republic of China.
Min ZhouDepartment of Anesthesiology, Affiliated Hospital of West Anhui Health Vocational College, Lu'an, Anhui, 237000, People's Republic of China.
Guangliang ZhuDepartment of Anesthesiology, Affiliated Hospital of West Anhui Health Vocational College, Lu'an, Anhui, 237000, People's Republic of China.
Yu ZhangDepartment of Anesthesiology, Affiliated Hospital of West Anhui Health Vocational College, Lu'an, Anhui, 237000, People's Republic of China.
Jinzhi MaDepartment of Anesthesiology, Affiliated Hospital of West Anhui Health Vocational College, Lu'an, Anhui, 237000, People's Republic of China.
Dekui LiDepartment of Anesthesiology, Affiliated Hospital of West Anhui Health Vocational College, Lu'an, Anhui, 237000, People's Republic of China.
Lei ChenDepartment of Psychiatry, Lu'an Mental Health Center, Lu'an, Anhui, 237000, People's Republic of China.
Kejun QiDepartment of Psychiatry, Lu'an Mental Health Center, Lu'an, Anhui, 237000, People's Republic of China.
Anjiang WangDepartment of Psychiatry, Lu'an Mental Health Center, Lu'an, Anhui, 237000, People's Republic of China.
Yang JiangDepartment of Psychiatry, Lu'an Mental Health Center, Lu'an, Anhui, 237000, People's Republic of China.
Zhiming DaiDepartment of Anesthesiology, The First People's Hospital of Xianyang, Xianyang, 712009, People's Republic of China. daizhiming@stu.xjtu.edu.cn.
Xiaoming LiDepartment of Anesthesiology, Affiliated Hospital of West Anhui Health Vocational College, Lu'an, Anhui, 237000, People's Republic of China. 15055233399@163.com.

Funding

Innovation Capability Support Plan of Xianyang L2024-CXNL-KJRCTD-KJRC-0016Key Project of Natural Science Research in Anhui Province's Universities KJ2021A1368Key Research and Development Projects of Shaanxi Province 2024SF-YBXM-009
6 · The paper itself

Abstract

objectivesTo determine the optimal dexmedetomidine dose for hemodynamic stability and recovery quality in modified electroconvulsive therapy (MECT).

methodsIn this randomized trial, 252 patients receiving MECT were allocated to six groups (placebo, D1-D5; 42/group). Groups D1-D5 received dexmedetomidine (0.2-1.0 μg/kg) 10 min pre-anesthesia, while controls received saline. Hemodynamic parameters heart rate (HR), mean arterial pressure (MAP), seizure duration, propofol requirements, recovery times, and adverse events were analyzed.

resultsDoses ≥ 0.4 μg/kg (D2-D5) significantly reduced HR and MAP versus control (P < 0.05), with prolonged recovery in D4-D5 (P < 0.05). Seizure duration remained unchanged across groups. Propofol use decreased dose-dependently (D2-D5, P < 0.05). The D2 group (0.4 μg/kg) achieved optimal hemodynamic stability without excessive recovery delays.

conclusionsDexmedetomidine pretreatment at 0.4 μg/kg optimizes MECT anesthesia by balancing hemodynamic control, reduced propofol use, and rapid recovery, establishing it as the recommended dose.

Indexed as

DexmedetomidineElectroconvulsive TherapyHypnotics and SedativesAdultAgedDose-Response Relationship, DrugFemaleHeart RateHemodynamicsHumansMaleMiddle AgedPropofolDexmedetomidineHypnotics and SedativesPropofolAnesthesiaDexmedetomidineModified electroconvulsive therapyOptimal dosePreconditioning

Identifiers

PMID40186322
PMCPMC11969942

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.