Evidence map›Paper›PMID 40375067›Full record

Trial reportBMC anesthesiology2025

Effects of different doses of remifentanil combined with sevoflurane anesthesia on postoperative analgesia and hemodynamics in pediatric patients undergoing laparoscopic inguinal hernia repair.

Jinben Ma, Yu Wang, Zhifei Liu, Shaoxian Han

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

4 authors.

Jinben MaDepartment of Anesthesiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No.324, Jingwuwei 7th Road, Jinan, 250021, China.
Yu WangDepartment of Anesthesiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No.324, Jingwuwei 7th Road, Jinan, 250021, China.
Zhifei LiuDepartment of Anesthesiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No.324, Jingwuwei 7th Road, Jinan, 250021, China.
Shaoxian HanDepartment of Surgery, Shandong Public Health Clinical Center, Shandong University, No.11, Lieshishan East Road, Jinan, 250021, China. shsd11_jn@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic inguinal hernia repair (LIHR) has the characteristics of a clear surgical field and short operation time, but it has high requirements for anesthesia. We investigated the impacts of different doses of remifentanil combined with sevoflurane anesthesia on postoperative analgesia and hemodynamics of pediatric LIHR.

methodsThis randomized, double-blind and controlled study included 310 pediatric patients accepting LIHR. Excluding those failed to meet the inclusion or met the exclusion criteria, 280 patients were enrolled and randomized into the control group (sevoflurane) and the low-dose remifentanil & sevoflurane (LRS), medium-dose remifentanil & sevoflurane (MRS) and high-dose remifentanil & sevoflurane (HRS) groups (0.10, 0.20 and 0.25 µg/kg). The Behavior Pain Scale (BPS) (main observation index), Ramsay Sedation Scale (RSS), and Paediatric Anaesthesia Emergence Delirium (PAED) scores were evaluated at 1 h (T4), 3 h (T5), 6 h (T6), 8 h (T7) and 12 h (T8) postoperatively. The dynamic process of BPS, RSS and PAED scores over time was evaluated by analyzing the changes in the area under the curve (AUC) of each score during T4-T8. The changes in mean arterial pressure (MAP), heart rate (HR) and oxygen saturation (SpO

resultsRemifentanil & sevoflurane reduced postoperative BPS and PAED scores and increased RSS score in pediatric patients during T4-T8. The AUC

conclusionsRemifentanil & sevoflurane may have better effects on postoperative pain, sedation and agitation, and may be more conducive to stabilizing hemodynamics. Especially, 0.25 mg/kg remifentanil & sevoflurane have the best anesthetic effect and a low adverse reaction incidence.

Indexed as

Anesthetics, InhalationHemodynamicsHernia, InguinalHerniorrhaphyLaparoscopyPostoperative PainRemifentanilSevofluraneAnalgesics, OpioidChildChild, PreschoolDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleAnalgesics, OpioidAnesthetics, InhalationRemifentanilSevofluraneBehavior pain scaleHemodynamicsLaparoscopic inguinal hernia repairPostoperative analgesiaRemifentanilSevoflurane

Identifiers

PMID40375067
PMCPMC12079937

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.