Evidence map›Paper›PMID 41591949›Full record

ArticleBrazilian journal of anesthesiology (Elsevier)

Effect of lidocaine and magnesium sulfate on rocuronium onset time: a randomized controlled experimental study.

Michele Cocenza Varrichio Crispim, Denise Aya Otsuki, Yuri Ferreira Vicentini, Danielly Roberta Penedo Rodrigues, Milena Gomes Parzianello Egúsquiza, José Otavio Costa Auler Junior

Abstract read
In one paragraph

Article in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

6 authors.

Michele Cocenza Varrichio CrispimHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Laboratório de Investigação Médica n-8 (LIM-8), São Paulo, SP, Brazil.
Denise Aya OtsukiHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Laboratório de Investigação Médica n-8 (LIM-8), São Paulo, SP, Brazil. Electronic address: denise.otsuki@hc.fm.usp.br.
Yuri Ferreira VicentiniFaculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo (FMVZ/USP), São Paulo, SP, Brazil.
Danielly Roberta Penedo RodriguesHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Laboratório de Investigação Médica n-8 (LIM-8), São Paulo, SP, Brazil.
Milena Gomes Parzianello EgúsquizaHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Laboratório de Investigação Médica n-8 (LIM-8), São Paulo, SP, Brazil.
José Otavio Costa Auler JuniorHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Laboratório de Investigação Médica n-8 (LIM-8), São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuromuscular blockers such as succinylcholine are widely used for airway management in critically ill patients; but their use may be contraindicated due to adverse effects. In rapid sequence intubation, the onset time of the neuromuscular blocker is critical and should be as short as possible. This study investigates whether lidocaine and magnesium sulfate could reduce the onset time of rocuronium bromide in an experimental model.

methodEighteen animals were randomly assigned to three groups and treated with lidocaine, magnesium sulfate, or saline before receiving rocuronium bromide (3 mg.kg

resultsThe results showed that lidocaine and magnesium sulfate significantly reduced the onset time of rocuronium bromide compared to the saline solution (p < 0.05) and did not affect the onset time of reversal with sugammadex (p > 0.05). Both adjuvants caused hypotension, with a more significant effect observed with magnesium sulfate; however, blood pressure returned to baseline values.

conclusionIn conclusion, lidocaine and magnesium sulfate facilitate airway access by reducing the onset time of rocuronium bromide. Animal Ethics Committee approved 1749/2022.

Indexed as

Anesthetics, LocalLidocaineMagnesium SulfateNeuromuscular Nondepolarizing AgentsRocuroniumAnimalsMalePilot ProjectsRandom AllocationTime FactorsAnesthetics, LocalLidocaineMagnesium SulfateNeuromuscular Nondepolarizing AgentsRocuroniumAirway managementAnesthetic adjuvantsNeuromuscular blockadeNeuromuscular monitoringTracheal intubation

Identifiers

PMID41591949
PMCPMC12681713

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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.