Evidence map›Paper›PMID 37604516›Full record

Trial reportInternational journal of immunopathology and pharmacology

Outcomes of dexmedetomidine as adjuvant drug in patients undergoing videolaparoscopic cholecystectomy: A randomized and prospective clinical trial.

Gustavo Nascimento Silva, Virna Guedes Brandão, Rossano Fiorelli, Marcelo Vaz Perez, Carolina Ribeiro Mello, Daniel Negrini, Kai-Uwe Levandrowski, Rafael Bof Martinelli, Tatiana Pereira do Amaral Dos Reis

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of immunopathology and pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05489900 (Immunomodulatory Effect of Dexmedetomidine as an Adjuvant Drug in Laparoscopic Cholecystectomies), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
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.

NCT05489900 phase3unknown statusnot on this map

Immunomodulatory Effect of Dexmedetomidine as an Adjuvant Drug in Laparoscopic Cholecystectomies

TypeinterventionalSponsorUniversidade Federal do Rio de JaneiroRan2022 to 2022Enrolled52ConditionsPhysiological Effects of DrugsArmsDexmedetomidine Hydrochloride
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Mechanism, Dose, and Administration of Dexmedetomidine in Managing Visceral Pain Associated With Surgery: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  2. Review
  3. Review
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

9 authors at 5 institutions in 2 countries.

Gustavo Nascimento SilvaDepartment of Anesthesiology, Gaffreé e Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0003-0943-3120
Virna Guedes BrandãoDepartment of Anesthesiology, Gaffreé e Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
Rossano FiorelliDepartment of General and Specialized Surgery, Gaffrée e Guinle University Hospital, Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil.
Marcelo Vaz PerezDepartment of Surgery and Anesthesia, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Carolina Ribeiro MelloDepartment of Anesthesiology, Gaffreé e Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
Daniel NegriniDepartment of Anesthesiology, Gaffreé e Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
Kai-Uwe LevandrowskiCenter for Advanced Spine Care of Southern Arizona, Surgical Institute of Tucson, Tucson, AZ, USA.
Rafael Bof MartinelliDepartment of Anesthesiology, Gaffreé e Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
Tatiana Pereira do Amaral Dos ReisDepartment of Anesthesiology, Gaffreé e Guinle University Hospital, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
Hospital Universitário Gaffrée e Guinle · BRUniversidade Federal de Juiz de Fora · BRUniversidade Federal de São Paulo · BRUniversidade Federal do Estado do Rio de Janeiro · BRUniversidade Federal Fluminense · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe repercussions of ischemia-reperfusion and inflammatory response to surgical injury may compromise the return of physiologic processes in video-laparoscopic surgeries. Dexmedetomidine, as an adjuvant drug in general anesthesia, alters the neuroinflammatory reaction, provides better clinical outcomes in the perioperative period, and may reduce the excessive use of chronic medication in patients with a history of addiction. This study evaluated the immunomodulatory potential of dexmedetomidine on perioperative organ function in video-laparoscopic cholecystectomy patients.

methodsThere were two groups: Sevoflurane and Dexmedetomidine A (26 patients) vs. Sevoflurane and Saline 0.9% B (26 patients). Three blood samples were collected three times: 1) before surgery, 2) 4-6h after surgery, and 3) 24h postoperatively. Inflammatory and endocrine mediators were protocolized for analysis. Finally, hemodynamic outcomes, quality upon awakening, pain, postoperative nausea and vomiting, and opioid use were compared between groups.

resultsWe have demonstrated a reduction of Interleukin 6 six hours after surgery in group A: 34.10 (IQR 13.88-56.15) vs. 65.79 (IQR 23.13-104.97;

conclusionsDexmedetomidine provided anti-inflammatory benefits and contributed to postoperative analgesia without the depressive side effects on the respiratory and cardiovascular systems commonly observed with opioids.

trial registrationImmunomodulatory Effect of Dexmedetomidine as an Adjuvant Drug in Laparoscopic Cholecystectomies, NCT05489900, Registered 5 August 2022-Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT05489900?term=NCT05489900&draw=2&rank=1.

Indexed as

Cholecystectomy, LaparoscopicDexmedetomidineAnalgesicsAnalgesics, OpioidDouble-Blind MethodHumansPostoperative PainProspective StudiesSevofluraneVideo-Assisted SurgeryAnalgesicsAnalgesics, OpioidDexmedetomidineSevofluranecholecystectomy laparoscopicdexmedetomidineimmunomodulation

Identifiers

PMID37604516
PMCPMC10467245
OpenAlexW4386023415

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.