Evidence map›Paper›PMID 39443898›Full record

Trial reportBMC anesthesiology2024

Improvement in pain by using lidocaine combined with esketamine in elderly patients receiving local anaesthesia for percutaneous kyphoplasty: a randomized controlled study.

Longyuan Zhou, Lei Lv, Ruilan Wu, Wenbo Mang, Lihong Hu

Abstract readRandomized Controlled TrialComparative Study
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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.

Longyuan ZhouDepartment of Anesthesia, The Affiliated Lihuili Hospital of Ningbo University, NO 1111 Jiangnan Road, Yinzhou District, Ningbo City, Zhejiang Province, 315040, P.R. China. 396919647@qq.com.
Lei LvDepartment of Anesthesia, The Affiliated Lihuili Hospital of Ningbo University, NO 1111 Jiangnan Road, Yinzhou District, Ningbo City, Zhejiang Province, 315040, P.R. China.
Ruilan WuDepartment of Anesthesia, The Affiliated Lihuili Hospital of Ningbo University, NO 1111 Jiangnan Road, Yinzhou District, Ningbo City, Zhejiang Province, 315040, P.R. China.
Wenbo MangDepartment of Anesthesia, The Affiliated Lihuili Hospital of Ningbo University, NO 1111 Jiangnan Road, Yinzhou District, Ningbo City, Zhejiang Province, 315040, P.R. China.
Lihong HuDepartment of Anesthesia, The Affiliated Lihuili Hospital of Ningbo University, NO 1111 Jiangnan Road, Yinzhou District, Ningbo City, Zhejiang Province, 315040, P.R. China. hlh_2000@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElderly patients often experience severe pain during percutaneous kyphoplasty under local anaesthesia. The aim of this work was to evaluate the effect of lidocaine combined with esketamine on pain improvement in elderly patients receiving local anaesthesia via percutaneous kyphoplasty.

methodsThis prospective, randomized comparative trial was conducted on 66 elderly patients, aged 60-80 years, with an American Society of Anaesthesiologists (ASA) grade of I-III, I‒III and a BMI of 18.5-25 kg/m

resultsThere were statistically significant differences in the VAS score between the two groups at the following time points: channel establishment by the puncture needle, balloon dilation, bone cement injection and postoperative period (P < 0.05). The VAS score decreased in the LE group, but the MAP and HR were more stable, and the difference was statistically significant (P < 0.05). The difference in the MOAA/S score between the two groups was statistically significant (P < 0.05), and the MOAA/S score in the LE group decreased. The patient satisfaction level in the LE group was 100% and 48.48% in the L group (P < 0.05). There were no related complications or adverse reactions in either group.

conclusionThe application of lidocaine combined with esketamine in local episcopal percutaneous vertebral kyphoplasty in elderly patients not only provides an effective analgesic effect but also improves surgical safety and patient comfort, which has important clinical value in promoting the optimization of surgical anaesthesia management in elderly patients.

trial registrationThe study was registered at Chictr.org.cn with the number ChiCTR2400083466 on 06/12/2023.

Indexed as

Anesthesia, LocalAnesthetics, LocalKetamineKyphoplastyLidocaineAgedAged, 80 and overDrug Therapy, CombinationFemaleHumansMaleMiddle AgedPain MeasurementPostoperative PainProspective StudiesAnesthetics, LocalEsketamineKetamineLidocaineAdjuvantsEsketamineLocal anaesthesiaOld agePercutaneous kyphoplasty

Identifiers

PMID39443898
PMCPMC11498954

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.