Evidence map›Paper›PMID 27343182›Full record

ArticleMolecular neurobiology2017

Emergence and Recovery Characteristics of Five Common Anesthetics in Pediatric Anesthesia: a Network Meta-analysis.

Jianrong Guo, Xiaoju Jin, Huan Wang, Jun Yu, Xiaofang Zhou, Yong Cheng, Qiang Tao, Li Liu, Jianping Zhang

Abstract readNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Article in Molecular neurobiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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.

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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Observational
  5. Article
  6. Article
  7. Article
  8. 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

9 authors at 3 institutions in 1 country.

Jianrong GuoDepartment of Anesthesiology, Gongli Hospital, Second Military Medical University, No 219 Miaopu Road, Shanghai, Pudong New Area, 200135, China. jianrong_guo@yeah.net.
Xiaoju JinDepartment of Anesthesiology, Yijishan Hospital, Wannan Medical College, Wuhu, 241001, China.
Huan WangDepartment of Anesthesiology, Gongli Hospital, Second Military Medical University, No 219 Miaopu Road, Shanghai, Pudong New Area, 200135, China.
Jun YuDepartment of Anesthesiology, Yijishan Hospital, Wannan Medical College, Wuhu, 241001, China.
Xiaofang ZhouDepartment of Anesthesiology, Gongli Hospital, Second Military Medical University, No 219 Miaopu Road, Shanghai, Pudong New Area, 200135, China.
Yong ChengDepartment of Anesthesiology, Gongli Hospital, Second Military Medical University, No 219 Miaopu Road, Shanghai, Pudong New Area, 200135, China.
Qiang TaoDepartment of Anesthesiology, Gongli Hospital, Second Military Medical University, No 219 Miaopu Road, Shanghai, Pudong New Area, 200135, China.
Li LiuDepartment of Anesthesiology, Gongli Hospital, Second Military Medical University, No 219 Miaopu Road, Shanghai, Pudong New Area, 200135, China.
Jianping ZhangDepartment of Anesthesiology, Gongli Hospital, Second Military Medical University, No 219 Miaopu Road, Shanghai, Pudong New Area, 200135, China.
Shanghai Pudong New Area Gongli Hospital · CNSecond Military Medical University · CNWannan Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Desflurane, halothane, isoflurane, propofol, and sevoflurane are widely used anesthetics in pediatric anesthesia. Adverse effect including emergence agitation, postoperative nausea and vomiting, and postoperative pain are common. Prolonged extubation time and emergency time are also troubling anesthesiologists. Previous studies have noted the characteristics of various anesthetics in pediatric anesthesia, while the results were inconclusive and conflicting. In this study, we aimed at performing a comprehensive network meta-analysis concerning the emergence and recovery characteristics of pediatric anesthetics. Relevant articles were retrieved and selected according to our inclusion criteria. Network meta-analysis was performed with a random-effect model within a Bayesian framework. ORs and corresponding 95 % credible intervals were calculated by Markov chain Monte Carlo methods. Node-splitting method was used to calculate the inconsistency. Rank probabilities were assessed by the surface under the cumulative ranking curve (SUCRA). Propofol was recommended as the most efficient and safe anesthetic in pediatric anesthesia with few adverse effects. Desflurane has the highest incidence of emergence agitation and worst recovery characteristics. Halothane was regarded as an efficient anesthetic with the best recovery characteristics, while postoperative nausea and vomiting is a common adverse effect. Isoflurane was reported to be the safest concerning postoperative pain, and cases using sevoflurane in pediatric anesthesia reported the highest incidence of analgesic requirement. Our network meta-analysis demonstrated that propofol was suggested as the first choice in the clinical practice for its efficiency and safe in pediatric anesthesia.

Indexed as

AnesthesiaAnesthesia Recovery PeriodAirway ExtubationAnalgesicsAnestheticsChildChild, PreschoolHumansInfantPostoperative Nausea and VomitingAnalgesicsAnestheticsAdverse effectAnesthesiologyPediatric anesthesiologyPharmacology

Identifiers

PMID27343182
OpenAlexW2474059368

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.