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Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

An observational study on comparison of dexmedetomidine and magnesium sulphate as adjuvants to bupivacaine for adductor canal block for postoperative analgesia in total knee replacement patients.

Rayapati Geethika, Valluri Mounika, Afroze Sultana Mohamed, Tulasi Ram Naik Menavath, Srinivasa Babu Puttagunta, Karthik C Yalavarthy, Naga Lakshmi Jada

Abstract readComparative StudyObservational Study
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In one paragraph

Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Trial
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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.

Rayapati GeethikaJawaharlal Nehru Technological University, Kakinada, Kakinada, India. geethikarayapati2102@gmail.com.
Valluri MounikaJawaharlal Nehru Technological University, Kakinada, Kakinada, India.
Afroze Sultana MohamedJawaharlal Nehru Technological University, Kakinada, Kakinada, India.
Tulasi Ram Naik MenavathJawaharlal Nehru Technological University, Kakinada, Kakinada, India.
Srinivasa Babu PuttaguntaJawaharlal Nehru Technological University, Kakinada, Kakinada, India.
Karthik C YalavarthyJawaharlal Nehru Technological University, Kakinada, Kakinada, India.
Naga Lakshmi JadaJawaharlal Nehru Technological University, Kakinada, Kakinada, India. drjnlpharmacology@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain is the major concern of human kind since our beginning, and it has been the object of ubiquitous efforts to understand and control it. To reliving and prevent the pain sensation during surgeries, anaesthesia is widely used. It also reliving postoperative analgesia and improves the quality of life of patient as result in fast recovery and hence reduction in the medication cost for treatment. Current study is to compare the analgesic effect of dexmedetomidine and magnesium sulphate as adjuvants to bupivacaine and lignocaine for adductor canal block for postoperative analgesia in Total Knee Replacement patients.

resultsWe collected 50 cases prospectively, as per criteria of American society of Anaesthesiology I & American Society of Anaesthesiology II both men and women undergoing lower limb surgeries Total Knee Replacement over a period of 3 months in the department of anaesthesiology, collecting informed consent form, patients randomly allocated to one of the two groups-Group A & Group B.

conclusionOnset of block, duration of block was compared in two groups along with vital parameters. We found that administration of bupivacaine with dexmedetomidine shows rapid onset of action & prolonged duration of action when compared to the patients treated with bupivacaine with magnesium sulphate. Both the combinations show similar haemodynamic stability however slight variations were observed.

Indexed as

Anesthetics, LocalArthroplasty, Replacement, KneeBupivacaineDexmedetomidineMagnesium SulfateNerve BlockPostoperative PainAgedFemaleHumansLidocaineMaleMiddle AgedProspective StudiesAnesthetics, LocalBupivacaineDexmedetomidineLidocaineMagnesium SulfateDuration of blockOnset of blockTotal knee replacement

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Registered trials

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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.