Evidence map›Paper›PMID 39243005›Full record

Trial reportBMC anesthesiology2024

Effect of different anesthesia depths on perioperative heart rate variability and hemodynamics in middle-aged and elderly patients undergoing general anesthesia.

Changbi Zhou, Xiaoping Huang, Zhifang Zhuo, Qinghua Wu, Minjian Liu, Shurong Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Observational
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.

Changbi Zhou *Department of Anesthesiology, Affiliated Hospital of Putian University, Putian, China.
Xiaoping Huang *Department of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China.
Zhifang ZhuoDepartment of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China.
Qinghua WuDepartment of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China.
Minjian LiuDepartment of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China.
Shurong LiDepartment of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China. lsryvpt@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo analyze the effects of different anesthesia depths on perioperative heart rate variability and hemodynamics in middle-aged and elderly patients undergoing general anesthesia, and to provide a basis for clinical application.

methodsA total of 111 patients with gastric cancer who were treated with epidural anesthesia combined with general anesthesia were selected as the study subjects, and the patients were randomly divided into group A, group B and group C. The bispectral index (BIS) was maintained by adjusting the infusion speed of anesthetics, the BIS of group A was maintained at 50 ~ 59, the BIS of group B was maintained at 40 ~ 49, and the BIS of group C was maintained at 30 ~ 39. The high-frequency power (HFP), low-frequency power (LFP), total power (TP), mean arterial pressure (MAP), heart rate (HR), diastolic blood pressure (DBP), and systolic blood pressure (SBP) were measured before anesthesia induction (T1), immediately after intubation (T2), 3 min after intubation (T3), and 6 min after extubation (T4). The cognitive function of the patients was evaluated before and 48 h after surgery.

resultsThe HFP, LFP/HFP, TP, HR, DBP and SBP between the three groups at T1 ~ T3 are significantly difference from each other (P < 0.05). There were significant differences in spontaneous breathing recovery time, eye opening time and extubation time among group A, B and C groups, and group B had the lowest spontaneous breathing recovery time, eye opening time and extubation time (P < 0.05). There was no significant difference in the incidence of adverse reactions during anesthesia between the three groups. The cognitive function score of group B was significantly higher than that of group A and group C (P < 0.05).

conclusionsBIS maintenance of 40 ~ 49 has little effect on perioperative heart rate variability and hemodynamics in middle-aged and elderly patients undergoing general anesthesia, which is helpful for postoperative recovery.

Indexed as

Anesthesia, GeneralHeart RateHemodynamicsAgedAnesthesia, EpiduralBlood PressureFemaleHumansMaleMiddle AgedPerioperative PeriodStomach NeoplasmsDepth of anesthesiaGeriatric general anesthesia surgeryHeart rate variabilityHemodynamicsPerioperative

Identifiers

PMID39243005
PMCPMC11378510

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.