Evidence map›Paper›PMID 40452956›Full record

ArticleAnesthesiology and pain medicine2025

Additive Effects of Clonidine Used in Propofol Sedation in Colonoscopy.

Rabab Mohamed Mohamed, Ashraf Elsayed Elgahrib Abdalla, Mohsen M Eissa, Reda Khalil Abdelrahman, Mohamed Galal Flefel, Asmaa Abdelbadie, Jehan Mohammad Ezzat Hamed Darwish

Abstract read
In one paragraph

Article in Anesthesiology and pain medicine, 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

7 authors.

Rabab Mohamed MohamedDepartment of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Ashraf Elsayed Elgahrib AbdallaDepartment of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0001-5743-9549
Mohsen M EissaDepartment of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0009-0007-9061-1399
Reda Khalil AbdelrahmanDepartment of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.ORCID https://orcid.org/0009-0006-7137-7421
Mohamed Galal FlefelDepartment of Internal Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.ORCID https://orcid.org/0000-0002-0124-730X
Asmaa AbdelbadieDepartment of Clinical Pharmacy, Faculty of Pharmacy, Nahda University, Beni-Suef, Egypt.
Jehan Mohammad Ezzat Hamed DarwishDepartment of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Propofol is commonly used for sedation during colonoscopy but often requires high doses. Objectives: This study aimed to compare the outcomes of propofol alone versus propofol combined with clonidine for colonoscopy sedation. Methods: In this randomized, double-blind controlled trial, 60 adult patients scheduled for elective colonoscopy were enrolled. Patients were divided into two groups: Group 1 (G1) received propofol alone, while group 2 (G2) received propofol plus 2 μg/kg clonidine intravenously over 10 minutes. Propofol infusion was initiated at 25 - 75 μg/kg/min IV for the first 10 - 15 minutes, then titrated to 25 - 50 μg/kg/min based on clinical response. Results: Sedation onset was significantly faster in G2 than in G1 (P = 0.001). The total propofol requirement was 22% lower in G2 (P = 0.001). Heart rate (HR) and mean arterial pressure (MAP) were significantly lower in G2 at induction and at the end of the procedure (P < 0.05). Patient satisfaction scores were higher in G2 (P = 0.042). The observer's assessment of alertness/sedation (OAA/S) score after induction was lower in G2 (P = 0.015), indicating deeper sedation. However, Aldrete scores in the post-anesthesia care unit (PACU) were lower in G2 (P = 0.001), suggesting a slower recovery. Conclusions: The addition of clonidine to propofol for colonoscopy sedation led to faster sedation onset, reduced propofol requirements, improved patient satisfaction, and deeper sedation, but with potentially prolonged recovery times.

Indexed as

ClonidineColonoscopyPatient SatisfactionPropofolSedation

Identifiers

PMID40452956
PMCPMC12125656

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.