Evidence map›Paper›PMID 40161920›Full record

ArticleIndian journal of anaesthesia2025

Comparison between opioid-based anaesthesia technique and opioid-free anaesthesia technique in patients undergoing laparotomy for gynaecological malignancy: A randomised controlled trial.

Reshma Kalagara, Debesh Bhoi, Rajeshwari Subramaniam, Dalim Kumar Baidya, Souvik Maitra, Praveen Talawar

Registry-linked trialAbstract read
In one paragraph

Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07787858 (Effect of Opioid-Free Versus Opioid-Based Anesthesia on Postoperative Analgesia in Patients Undergoing Discectomy Surgery), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

NCT07787858 nacompletednot on this mapstarted 2026, after this paper: background citation

Effect of Opioid-Free Versus Opioid-Based Anesthesia on Postoperative Analgesia in Patients Undergoing Discectomy Surgery

TypeinterventionalSponsorZagazig UniversityRan2026 to 2026Enrolled46ConditionsPostoperative Pain IntensityArmsDexmedetomidine and Ketamine-based Opioid-free Anesthesia, Fentanyl-based Opioid Anesthesia
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

6 authors.

Reshma KalagaraDepartment of Anaesthesiology, AIIMS, Mangalagiri, Andhra Pradesh, India.ORCID https://orcid.org/0000-0002-3525-7207
Debesh BhoiDepartment of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India.ORCID https://orcid.org/0000-0003-2047-3115
Rajeshwari SubramaniamDepartment of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India.ORCID https://orcid.org/0000-0002-3830-5278
Dalim Kumar BaidyaDepartment of Anaesthesiology, Critical Care and Pain Medicine, AIIMS, Guwahati, Assam, India.ORCID https://orcid.org/0000-0001-7811-7039
Souvik MaitraDepartment of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India.ORCID https://orcid.org/0000-0002-2328-9201
Praveen TalawarDepartment of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, Rishikesh, Uttarakhand, India.ORCID https://orcid.org/0000-0002-9931-2316

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: To investigate whether opioid-free anaesthesia (OFA) or opioid-based anaesthesia (OBA) technique with ultrasound (US)-guided rectus sheath block (RSB) provides early recovery and less opioid-related side effects in patients undergoing laparotomy for gynaecological malignancy. Methods: This was a double-blind randomised controlled trial. Fifty female patients of the American Society of Anesthesiologists (ASA) physical status I-II, aged 18-65 years, and scheduled to undergo elective gynaecological laparotomy under general anaesthesia were included. The patients were randomised into two groups. Both received US-guided RSB with 10 mL of local anaesthetic on each side. Group OBA ( Results: The time to attain PACU discharge criteria was comparable between the groups; however, the time to extubation and time to shift to the PACU was higher in Group OFA ( Conclusion: OFA provides comparable postoperative analgesia and time to attain PACU discharge in adult patients undergoing open gynaecological oncological surgery under general anaesthesia.

Indexed as

Anaesthesiaanalgesicscancerdexmedetomidineextubationgenital neoplasmsketaminelaparotomyopioidpainpatient dischargerectus sheath block

Identifiers

PMID40161920
PMCPMC11952166

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
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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.