Evidence map›Paper›PMID 36981540›Full record

ReviewHealthcare (Basel, Switzerland)2023

Occupational Exposure to Inhalational Anesthetics and Teratogenic Effects: A Systematic Review.

José Manuel García-Álvarez, Guillermo Escribano-Sánchez, Eduardo Osuna, Alonso Molina-Rodríguez, José Luis Díaz-Agea, Alfonso García-Sánchez

Full text readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

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

José Manuel García-ÁlvarezHealth Sciences PhD Program, Campus de los Jerónimos n°135, Universidad Católica de Murcia UCAM, Guadalupe, 30107 Murcia, Spain.ORCID 0000-0001-5356-1758
Guillermo Escribano-SánchezFaculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain.ORCID 0000-0002-5298-4617
Eduardo OsunaDepartamento de Ciencias Sociosanitarias, Área de Medicina Legal y Forense, Universidad de Murcia, 30107 Murcia, Spain.ORCID 0000-0002-6711-1958
Alonso Molina-RodríguezFaculty of Nursing, Campus de Ciencias de la Salud, Edificio LAIB/DEPARTAMENTAL, University of Murcia, El Palmar-Murcia, 30120 Murcia, Spain.ORCID 0000-0001-5134-6333
José Luis Díaz-AgeaFaculty of Nursing, Campus de Ciencias de la Salud, Edificio LAIB/DEPARTAMENTAL, University of Murcia, El Palmar-Murcia, 30120 Murcia, Spain.ORCID 0000-0002-0818-0224
Alfonso García-SánchezFaculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain.ORCID 0000-0003-0286-0576

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: In the current healthcare environment, there is a large proportion of female staff of childbearing age, so, according to existing conflicting studies, the teratogenic effects that inhalational anesthetics may have on exposed pregnant workers should be assessed. This investigation aims to analyze the teratogenic effects of inhalational anesthetics in conditions of actual use, determining any association with spontaneous abortion or congenital malformations. (2) Methods: A systematic review was carried out according to the PRISMA statement based on PICO (problem of interest-intervention to be considered-intervention compared-outcome) (Do inhalational anesthetics have teratogenic effects in current clinical practice?). The level of evidence of the selected articles was evaluated using the SIGN scale. The databases used were PubMed, Embase, Scopus, Web of Science, Google academic and Opengrey. Primary studies conducted in professionals exposed to inhalational anesthetics that evaluate spontaneous abortions or congenital malformations, conducted in any country and language and published within the last ten years were selected. (3) Results: Of the 541 studies identified, 6 met all inclusion criteria in answering the research question. Since many methodological differences were found in estimating exposure to inhalational anesthetics, a qualitative systematic review was performed. The selected studies have a retrospective cohort design and mostly present a low level of evidence and a low grade of recommendation. Studies with the highest level of evidence do not find an association between the use of inhalational anesthetics and the occurrence of miscarriage or congenital malformations. (4) Conclusions: The administration of inhalational anesthetics, especially with gas extraction systems (scavenging systems) and the adequate ventilation of operating rooms, is not associated with the occurrence of spontaneous abortions or congenital malformations.

Indexed as

abortion spontaneousanesthetic gasescongenital abnormalitiesinhalational anestheticsteratogenesis

Identifiers

PMID36981540
PMCPMC10048231

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Registered trials

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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.