Evidence map›Paper›PMID 40862167›Full record

ArticleAdvanced biomedical research2025

The Effect of Dexmedetomidine and Magnesium Sulfate Administration in Controlling Intraoperative Bleeding in Lumbar Laminectomy Surgery: A Randomized Clinical Trial.

Zahra Rahimi, Behzad Nazemroaya, Azim Honarmand, Negar Meshkin, Asieh Maghami Mehr

Abstract read
In one paragraph

Article in Advanced biomedical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Zahra RahimiDepartment of Anesthesiology, Isfahan University of Medical Sciences, Isfahan, Iran.
Behzad NazemroayaDepartment of Anesthesiology, Isfahan University of Medical Sciences, Isfahan, Iran.
Azim HonarmandDepartment of Anesthesiology, Isfahan University of Medical Sciences, Isfahan, Iran.
Negar MeshkinDepartment of Anesthesiology, Isfahan University of Medical Sciences, Isfahan, Iran.
Asieh Maghami MehrDepartment of Statistics, School of Mathematics, Yazd University, Yazd, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Reducing bleeding in lumbar vertebrae fusion surgery is essential to maintain the patient's hemodynamic stability and create a favorable view. This study aims to compare and contrast the effects of dexmedetomidine and magnesium sulfate on lumbar laminectomy surgery. Materials and Methods: This double-blind randomized clinical trial was conducted on 70 patient underwent lumbar fusion surgery. They were randomly divided into two groups of 35. After inducing general anesthesia with an infusion pump, the first group (MgSO4 group) received an intravenous injection of 60 mg/kg of 50% magnesium sulfate, diluted in 100 cc of normal saline, for 15 minutes. In the second group (DEX group), a dexmedetomidine infusion was started before anesthesia with a dose of 1 μg/kg every 10 minutes. Dexmedetomidine infusion at a rate of 0.5 μg/kg/hour was continued until the end of the surgical procedure. Systolic and diastolic pressure (SBP, DBP), mean atrial pressure (MAP), heart rate (HR), and SPO2, was recorded before surgery and every 30 minutes during surgery. Also, the intraoperative bleeding and side effect were recorded. Results: The results of this study showed that SBP and MAP of the DEX group at 30 and 60 minutes were significantly lower than the MgSO4 group. The DBP of the DEX group was significantly lower than the MgSO4 group only in the 30 Conclusions: Considering that the administration of DEX has been more effective in controlling intraoperative bleeding and better quality of surgical field, it seems that the administration of DEX is more preferable than MgSO4.

Indexed as

Dexmedetomidineintraoperative bleedinglumbar laminectomymagnesium sulfate

Identifiers

PMID40862167
PMCPMC12373134

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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.