Evidence map›Paper›PMID 41488757›Full record

Trial reportDrug design, development and therapy2025

Protective Effect of Dexmedetomidine Combined with Butorphanol on Perioperative Pulmonary Function in Patients Undergoing Laparoscopic Colorectal Cancer Resection: A Randomized, Double-Blind, 2 * 2 Factorial-Controlled Trial.

Huan Li, Guangyue Zhou, Haoxuan Chen, Tianya Liu, Wen Xu, Dinghui Guo, Su Wang, Fang Gao

Abstract readRandomized 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. 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
  2. Trial
  3. 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

8 authors.

Huan Li *Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Guangyue Zhou *Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Haoxuan ChenDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Tianya LiuDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.ORCID 0000-0003-1609-848X
Wen XuDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Dinghui GuoDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Su WangDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Fang GaoDepartment of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.ORCID 0000-0001-9861-506X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Perioperative lung injury significantly affects the outcome of abdominal surgery. Research has shown that both dexmedetomidine and butorphanol can provide some perioperative lung protection. This study evaluated the protective effects of dexmedetomidine or metoprolol on lung function during laparoscopic resection of colorectal cancer and the potential synergistic effects of their combined use. Methods: A 6-month randomized double-blind placebo-controlled trial with a 2*2 factorial design was conducted at the Affiliated Hospital of Xuzhou Medical University. 176 patients undergoing laparoscopic colorectal cancer resection were randomized into four groups: control (C), dexmedetomidine (D), butorphanol (B), and combination dexmedetomidine + butorphanol (DB). The primary outcome was the arterial-alveolar oxygen partial pressure ratio (a/A ratio) at the end of the administration period (T1). Secondary outcomes included other lung function indices, incidence of postoperative pulmonary complications (PPCs) and other complications, the 15-item Recovery Quality Score (QoR-15) scores, and postoperative inflammatory marker levels. Results: Factorial analysis revealed significant main effects for Group D on the arterial alveolar oxygen partial pressure ratio (a/A ratio) at T1 (F=18.739, P < 0.001, η Conclusion: Dexmedetomidine combined with butorphanol enhances lung function in laparoscopic surgery patients by improving gas exchange, boosting ventilation efficiency, reducing inflammation, and decreasing postoperative pulmonary complications.

Indexed as

ButorphanolColorectal NeoplasmsDexmedetomidineLaparoscopyAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedPostoperative ComplicationsRespiratory Function TestsButorphanolDexmedetomidinebutorphanoldexmedetomidineperioperative lung protectionpostoperative pulmonary complicationsventilator-associated lung injury

Identifiers

PMID41488757
PMCPMC12764252

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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.