Evidence map›Paper›PMID 41393327›Full record

Trial reportDrug design, development and therapy2025

Prospective Dose-Finding of Esketamine for Suppressing Cervical Dilation Response in Ambulatory Hysteroscopy Under Monitored Anesthesia Care.

Lijuan Yan, Xiao Wang, Jianfei Wei, Meiqin Zhang, Bin Yang

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07034963 (Study on the Effective Dose and Safety of Esketamine in Hysteroscopic Surgery Under Monitored Anesthesia Care), which is not on this map. Not yet cited in PubMed.

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

NCT07034963 phase1 / phase2active not recruitingnot on this map

Study on the Effective Dose and Safety of Esketamine in Hysteroscopic Surgery Under Monitored Anesthesia Care

TypeinterventionalSponsorThe First Affiliated Hospital of Xiamen UniversityRan2025 to 2028Enrolled95ConditionsIntrauterine Polyp, Intrauterine SynechiaeArmsDetermine the ED50 and ED95 of esketamine, Intravenous the dose of esketamine ED95, Intravenous remifentanil 1μg∙kg-1
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lijuan Yan *Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People's Republic of China.ORCID 0000-0003-1143-2733
Xiao Wang *Department of Ultrasound, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People's Republic of China.ORCID 0000-0002-6539-9732
Jianfei WeiDepartment of Anesthesiology, The First Hospital of Zhangzhou China Merchants Economic and Technological Development Zone, Zhangzhou, People's Republic of China.
Meiqin ZhangDepartment of Medical Affairs, The First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China.
Bin YangDepartment of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People's Republic of China.ORCID 0000-0002-6604-5565

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cervical dilation during ambulatory hysteroscopy often triggers somatic responses that challenge patient comfort and procedure smoothness. While esketamine's unique analgesic profile could address this, its effective dose within a dexmedetomidine-remifentanil monitored anesthesia care (MAC) protocol is undefined. Methods: In this prospective, double-blind, dose-finding study, 30 women received a standardized MAC protocol (dexmedetomidine 0.6 μg∙kg Results: 30 patients completed the study. The ED50 of esketamine was 0.36 mg∙kg Conclusion: Under dexmedetomidine-remifentanil MAC, esketamine 0.39 mg∙kg Clinical Trial Registration: ClinicalTrials.gov (identifier: NCT07034963). Principal Investigator: Lijuan Yan.

Indexed as

AnesthesiaHysteroscopyKetamineAdultDexmedetomidineDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMiddle AgedProspective StudiesRemifentanilDexmedetomidineEsketamineKetamineRemifentanilcervical dilation responseeffective doseesketaminehysteroscopymonitored anesthesia care

Identifiers

PMID41393327
PMCPMC12697103

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Registered trials

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.