ArticleJournal of clinical medicine2018
Deep vs. Awake Extubation and LMA Removal in Terms of Airway Complications in Pediatric Patients Undergoing Anesthesia: A Systemic Review and Meta-Analysis.
Article in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Pooled it
- Guideline
- Effect of early lollipop sucking in the post-anesthesia care unit on recovery quality in children undergoing outpatient dental treatment under general anesthesia: a prospective randomized controlled trial.BMC anesthesiology · 2026Trial
- A comparison of deep versus awake tracheal extubation in adults: a randomized controlled trial.BMC anesthesiology · 2025Trial
- Propofol-assisted deep extubation in the dental treatment of pediatrics: a randomized controlled triple-blind trial.BMC anesthesiology · 2025Trial
- The effect of deep versus awake removal of the laryngeal mask airway on the incidence of emergence delirium in paediatric tonsillectomy: A randomised controlled trial.Anaesthesia and intensive care · 2025Trial
- Comparison of supraglottic airway device and endotracheal tube in former preterm infants receiving general anesthesia: a randomized controlled trial.Scientific reports · 2024Trial
- The effect of deep and awake extubation on emergence agitation after nasal surgery: a randomized controlled trial.BMC anesthesiology · 2024Trial
- The impact of topical lidocaine and timing of LMA removal on the incidence of airway events during the recovery period in children: a randomized controlled trial.BMC anesthesiology · 2021Trial
- Anesthesia for thoracic surgery in infants with congenital lung malformations.World journal of pediatric surgery · 2026Review
- All India Difficult Airway Association 2025 guidelines for extubation of the "at-risk" airway.Indian journal of anaesthesia · 2025Article
- [Airway management in children : What should be known in pediatric anesthesia].Die Anaesthesiologie · 2025Article
- Extubation and removal of supraglottic airway devices in pediatric anesthesia.Anesthesia and pain medicine · 2024Article
- Article
- [Airway management in neonates and infants : Recommendations according to the ESAIC/BJA guidelines].Die Anaesthesiologie · 2024Article
- Safety of propofol-assisted deep extubation in the dental treatment of children-a retrospective, observational study.BMC anesthesiology · 2024Observational
- Safety of removal of ProSeal laryngeal mask airway in children in the supine versus lateral position in a deep plane of anesthesia: A randomized controlled trial.Pediatric investigation · 2023Article
- Smooth Emergence from General Anesthesia after Deep Extubation in a Pediatric Patient Diagnosed with Catecholaminergic Polymorphic Ventricular Tachycardia: A Case Report.Medicina (Kaunas, Lithuania) · 2023Article
- Article
- Complications associated with removal of airway devices under deep anesthesia in children: an analysis of the Wake Up Safe database.BMC anesthesiology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study was to compare the incidence of airway complications between extubation under deep anesthesia (deep extubation) and extubation when fully awake (awake extubation) in pediatric patients after general anesthesia. A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) statement standards. The review protocol was registered with the International Prospective Register of Systematic Reviews (registration number: CRD 42018090172). Electronic databases were searched, without discrimination of publication year and language, to identify all randomized controlled trials investigating airway complications following deep or awake extubation after general anesthesia. The Cochrane tool was used to assess the risk of bias of trials. Randomized trials investigating airway complications of deep extubation compared with awake extubation after general anesthesia with an endotracheal tube and laryngeal mask airway (LMA) were sought. Overall airway complications, airway obstruction, cough, desaturation, laryngospasm and breath holding were analyzed using random-effect modelling. The odds ratio was used for these incidence variables. Seventeen randomized trials were identified, and a total of 1881 pediatric patients were enrolled. The analyses indicated deep extubation reduces the risk of overall airway complications (odds ratio (OR) 0.56, 95% confidence interval (CI) 0.33⁻0.96,
Indexed as
Identifiers
What OpenQuestion holds
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 OpenQuestion graph.