Evidence map›Paper›PMID 42676654›Full record

Trial reportFrontiers in medicine2026

Effect of vaginal delivery history on oliceridine ED₅₀ combined with propofol during painless hysteroscopy: a modified Dixon sequential study.

Xinyang Zhang, Xiaoyu Gu, Jinfeng Cao, Jianlong Du, Liuqin Jiang

Abstract readClinical Trial
In one paragraph

Trial report in Frontiers in medicine, 2026. 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

5 authors.

Xinyang ZhangDepartment of Anesthesiology, No.215 Hospital of Shaanxi Nuclear Industry, Xianyang, Shaanxi, China.
Xiaoyu GuDepartment of Anesthesiology, No.215 Hospital of Shaanxi Nuclear Industry, Xianyang, Shaanxi, China.
Jinfeng CaoDepartment of Anesthesiology, No.215 Hospital of Shaanxi Nuclear Industry, Xianyang, Shaanxi, China.
Jianlong DuDepartment of Anesthesiology, No.215 Hospital of Shaanxi Nuclear Industry, Xianyang, Shaanxi, China.
Liuqin JiangDepartment of Anesthesiology, No.215 Hospital of Shaanxi Nuclear Industry, Xianyang, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine the median effective dose (ED Methods: Patients scheduled for hysteroscopy who met the inclusion criteria were stratified into two cohorts: those with no history of vaginal delivery (NVD cohort, including nulliparous women and those with prior cesarean section only) and those with a history of vaginal delivery (VD cohort). Based on the Dixon sequential outcomes, patients were further classified as negative subcohort (successful hysteroscopy, indicating no body movement) or positive subcohort (failed hysteroscopy, indicating body movement). An initial intravenous oliceridine dose of 20 μg/kg was administered, followed by propofol 1.5 mg/kg after 2 min. Successful induction was defined as a Modified Observer's Assessment of Alertness/Sedation (MOAA/S) score of 0 (no response to trapezius squeeze) and a bispectral index (BIS) < 60. Intraoperative propofol boluses (0.5 mg/kg) maintained BIS between 40 and 60. Oliceridine dosing was adjusted using a modified Dixon up-and-down sequential method (dose ratio 1:1.2 between adjacent levels) until at least seven crossover points were recorded. The primary outcome was the ED Results: The ED Conclusion: During painless hysteroscopy, the ED Clinical trial registration: ChiCTR2500095126 (https://www.chictr.org.cn).

Indexed as

body movementmedian effective dose (ED50)modified Dixon sequential methodoliceridinepainless hysteroscopypropofolvaginal delivery history

Identifiers

PMID42676654
PMCPMC13527004

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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.