Evidence map›Paper›PMID 34938968›Full record

ArticlePediatric investigation2021

A retrospective study of electroencephalography burst suppression in children undergoing general anesthesia.

Zhengzheng Gao, Jianmin Zhang, Xiaoxue Wang, Mengnan Yao, Lan Sun, Yi Ren, Dongyu Qiu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pediatric investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05906225 (The Impact of Electroencephalogram), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT05906225 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Impact of Electroencephalogram (EEG) - Guided Inhalational Anesthetic Control on the Occurrence of EEG Discontinuity in Infants: A Prospective Randomized Controlled Trial

TypeinterventionalSponsorSeoul National University HospitalRan2023 to 2025Enrolled78ConditionsAnesthesia, General, Electroencephalography, Infant, Anesthesia, InhalationArmsEEG guided anesthesia, Conventional anesthesia
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 1 country.

Zhengzheng GaoDepartment of Anesthesiology Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Jianmin ZhangDepartment of Anesthesiology Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Xiaoxue WangDepartment of Anesthesiology Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Mengnan YaoDepartment of Anesthesiology Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Lan SunDepartment of Anesthesiology Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Yi RenDepartment of Anesthesiology Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Dongyu QiuDepartment of Anesthesiology Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Capital Medical University · CNBeijing Children’s Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceIn children, anesthesia dosages are based on population pharmacokinetics and patient hemodynamics rather than patient-specific brain activity. Brain function is highly susceptible to the effects of anesthetics.

objectiveThe primary objective of this retrospective pilot study was to assess the prevalence of electroencephalography (EEG) burst suppression-a sign of deep anesthesia-in children undergoing general anesthesia.

methodsWe analyzed EEG in patients aged 1-36 months who received sevoflurane or propofol as the primary anesthetic. Patient enrollment was stratified into two age groups: 1-12 months and 13-36 months. Burst suppression (voltage ≤ 5.0 mV, lasting > 0.5 seconds) was characterized by occurrence over anesthesia time. Associations with patient demographics and anesthetics were determined.

resultsIn total, 54 patients (33 males and 21 females) were included in the study [age 11.0 (5.0-19.5) months; weight 9.2 (6.5-11.0) kg]. The total prevalence of burst suppression was 56% (30/54). Thirty-three percent of patients experienced burst suppression during the surgical phase. The greatest proportion of burst suppression occurred during the induction phase. More burst suppression event occurrences (18/30) were observed in the patient under sevoflurane anesthesia (

interpretationEEG burst suppression was associated with younger age, inhalation anesthetics, propofol bolus, and lower arterial pressure.

Indexed as

Burst suppressionChildrenElectroencephalography (EEG)General anesthesia

Identifiers

PMID34938968
PMCPMC8666939
OpenAlexW3194822727

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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 OpenQuestion graph.