Evidence map›Paper›PMID 31914990›Full record

ArticleBMC health services research2020

Moderate and deep sedation for non-invasive paediatric procedures in tertiary maternity and children's hospitals in China: a questionnaire survey from China.

Bo Li, Ruidong Zhang, Yue Huang, Kan Zhang, Chun Yin Wat, Jie Bai, Mazhong Zhang, Jijian Zheng

Abstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

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

  1. Guideline
  2. 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

8 authors.

Bo LiDepartment of Anaesthesiology, Shanghai Children's Medical Center, Affiliated with Shanghai Jiao Tong University School of Medicine, National Children's Medical Center, 1678 Dong Fang Road, Shanghai, 200127, China.
Ruidong ZhangDepartment of Anaesthesiology, Shanghai Children's Medical Center, Affiliated with Shanghai Jiao Tong University School of Medicine, National Children's Medical Center, 1678 Dong Fang Road, Shanghai, 200127, China.
Yue HuangDepartment of Anaesthesiology, Shanghai Children's Medical Center, Affiliated with Shanghai Jiao Tong University School of Medicine, National Children's Medical Center, 1678 Dong Fang Road, Shanghai, 200127, China.
Kan ZhangDepartment of Anaesthesiology, Shanghai Children's Medical Center, Affiliated with Shanghai Jiao Tong University School of Medicine, National Children's Medical Center, 1678 Dong Fang Road, Shanghai, 200127, China.
Chun Yin WatDepartment of Anaesthesiology and Perioperative Medicine, Hong Kong Children's Hospital, 1 Shing Cheong Road, Kowloon, Hong Kong.
Jie BaiDepartment of Anaesthesiology, Shanghai Children's Medical Center, Affiliated with Shanghai Jiao Tong University School of Medicine, National Children's Medical Center, 1678 Dong Fang Road, Shanghai, 200127, China.
Mazhong ZhangDepartment of Anaesthesiology, Shanghai Children's Medical Center, Affiliated with Shanghai Jiao Tong University School of Medicine, National Children's Medical Center, 1678 Dong Fang Road, Shanghai, 200127, China.
Jijian ZhengDepartment of Anaesthesiology, Shanghai Children's Medical Center, Affiliated with Shanghai Jiao Tong University School of Medicine, National Children's Medical Center, 1678 Dong Fang Road, Shanghai, 200127, China. zhengjijian626@sina.com.ORCID http://orcid.org/0000-0003-1903-9557

Funding

Pudong New District Science and Technology Development Innovation Foundation PKJ2016-Y34
6 · The paper itself

Abstract

backgroundModerate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim of this study is to investigate current paediatric sedation practices in tertiary children's hospitals and tertiary maternity and children hospitals in China.

methodsAll tertiary children's hospitals and tertiary maternity and children hospitals registered with the National Health Commission of the People's Republic of China were invited to participate in an electronic survey, which included information on the sedation caseload, facility availability, staff structure, clinical skill requirements for sedation providers, fasting guidelines, patient-monitoring practices, and choice of sedatives.

resultsFifty-eight of the 63 hospitals that completed the survey (92.1%) provided moderate and deep sedation. Dedicated sedation rooms and post-sedation recovery rooms were found in 14 (24.1%) and 19 (32.8%) hospitals, respectively. Sedation for non-invasive procedures was primarily performed by anaesthesiologists (69.0%); however, 75.9% of the sedation providers had not received paediatric basic or advanced life-support training. Children were asked to fast from clear liquids for at least 2 h in 44.8% of hospitals and up to 6 h in 5.2% of hospitals; they were asked to fast from solid food/milk for at least 4 h in 27.6% of hospitals and more than 8 h in 1.7% of hospitals. The most commonly used sedative in all groups was chloral hydrate. For rescue, propofol was the most widely used sedative, particularly for children older than 4 years.

conclusionsModerate and deep sedation practices vary widely in tertiary children's hospitals and tertiary maternity and children hospitals in China. Optimised practices should be established to improve the quality of moderate and deep sedation.

Indexed as

ChildChild, PreschoolChinaDeep SedationHealth Care SurveysHospitals, MaternityHospitals, PediatricHumansInfantProcedural SedationTertiary Care CentersChildChinaConscious sedationDeep sedationQuestionnairesSurveys

Identifiers

PMID31914990
PMCPMC6951005

What OpenQuestion holds

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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.