Evidence map›Paper›PMID 40605606›Full record

Trial reportAnnals of medicine2025

Effect of different doses of intravenous dexmedetomidine as an adjunct to the serratus anterior plane block in patients undergoing modified radical mastectomy: a randomized controlled trial.

Lvdan Huang, Shishi Zhao, Weijuan Zhu, Xiaona Zhu, Linmin Pan, Quanguang Wang, Kejian Shi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of medicine, 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. Article
  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

7 authors.

Lvdan HuangDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.ORCID 0000-0002-1211-9733
Shishi ZhaoDepartment of Anesthesiology, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Weijuan ZhuDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xiaona ZhuDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Linmin PanDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Quanguang WangDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Kejian ShiDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to observe the effect of different doses of intravenous dexmedetomidine as an adjunct to the serratus anterior plane block (SAPB) on postoperative analgesia in patients undergoing modified radical mastectomy. PATIENTS AND

methodsEighty-five patients scheduled for modified radical mastectomy were recruited and randomly divided into R, RD 0.5, and RD 1.0 groups. All three groups underwent preoperative SAPB. During surgery, intravenous infusion of saline (50 mL) or saline with dexmedetomidine (50 mL) was administered (no dexmedetomidine in Group R, 0.5 μg/kg dexmedetomidine in Group RD 0.5, and 1.0 μg/kg dexmedetomidine in Group RD 1.0). The primary outcome of the trial was the area under the curve (AUC) of the Numerical Rating Scale (NRS) pain intensity scores upon movement within 24 h. Secondary outcomes included the AUC of the NRS pain intensity scores at rest within 24 h, postoperative oral morphine equivalents (OME), Quality of Recovery-15 (QoR-15), and incidence of adverse events.

resultsAt rest and upon movement, the 24-h AUC of NRS pain scores in the RD 1.0 group was significantly lower than that in the R group (

conclusionAdministration of 1.0 µg/kg intravenous dexmedetomidine as an adjunct to SAPB significantly reduces the postoperative pain intensity in patients undergoing modified radical mastectomy and decreases the postoperative consumption of analgesics.

trial registrationThe trial was registered at the Chinese Clinical Trial Registry (ChiCTR2300071444, date of registration: May 16, 2023); pre-results.

Indexed as

Analgesics, Non-NarcoticDexmedetomidineMastectomy, Modified RadicalNerve BlockPostoperative PainAdultBreast NeoplasmsDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansInfusions, IntravenousMiddle AgedPain MeasurementTreatment OutcomeAnalgesics, Non-NarcoticDexmedetomidineadjuvantdexmedetomidineintravenousmodified radical mastectomyRegional anesthesia

Identifiers

PMID40605606
PMCPMC12231293

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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.