Evidence map›Paper›PMID 42694812›Full record

Trial reportDrug design, development and therapy2026

An Oxycodone-Based Conscious Analgesia Strategy with Supplemental Low-Dose Propofol Improves Safety in Elderly Obese Patients Undergoing Gastroscopy: A Prospective Randomized Controlled Trial.

Huan Chang, Xiaocheng Zhu, Juan Chen, Munle Chin, Caiqi Zhan, Fan Zhang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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.

Huan ChangDepartment of Anesthesiology, The Third Xiangya Hospital, Central South University, Hunan, Changsha, 410013, People's Republic of China.ORCID 0009-0000-1362-0557
Xiaocheng ZhuDepartment of Anesthesiology, Xiangya Hospital, Central South University, Hunan, Changsha, 410008, People's Republic of China.ORCID 0000-0001-9600-0862
Juan ChenDepartment of Endocrinology, The First Hospital of Changsha, Changsha, Hunan, 410005, People's Republic of China.
Munle ChinDepartment of Anesthesiology, The Third Xiangya Hospital, Central South University, Hunan, Changsha, 410013, People's Republic of China.
Caiqi ZhanDepartment of Anesthesiology, Xiangya School of Medicine, Central South University, Hunan, Changsha, 410013, People's Republic of China.
Fan ZhangDepartment of Anesthesiology, The Third Xiangya Hospital, Central South University, Hunan, Changsha, 410013, People's Republic of China.ORCID 0000-0002-1256-3818

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: During diagnostic gastroscopy, intolerance is usually manifested as retching, coughing, and involuntary movement. Conscious analgesia relieves discomfort while patients continue to breathe spontaneously and remain partly responsive. Oxycodone, a semi-synthetic opioid, may reduce the need for deep propofol sedation. We compared an oxycodone-based conscious analgesia strategy with supplemental low-dose propofol with propofol-based deep sedation in elderly obese patients. Patients and Methods: In this prospective, single-center, open-label randomized controlled trial, 128 patients aged ≥65 years with a body mass index of 30-39.9 kg/m Results: All 128 randomized patients completed the study. Hypoxemia occurred less frequently in group OP than in group P (10.94% vs 37.50%; relative risk, 0.29; 95% CI, 0.14-0.63; Conclusion: Compared with propofol-based deep sedation, the oxycodone-based conscious analgesia strategy was associated with a lower incidence of hypoxemia, fewer airway interventions, less hypotension, lower propofol exposure, and faster recovery. These findings reflect a comparison of two sedation strategies and do not establish improved respiratory function.

Indexed as

Analgesics, OpioidGastroscopyObesityOxycodonePropofolAgedAged, 80 and overAnalgesiaDose-Response Relationship, DrugFemaleGeriatric AnesthesiaHumansMaleProspective StudiesAnalgesics, OpioidOxycodonePropofolconscious analgesiaelderly obese patientsgastroscopyoxycodonepropofol

Identifiers

PMID42694812
PMCPMC13541069

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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.