Evidence map›Paper›PMID 37946114›Full record

SynthesisBMC anesthesiology2023

Effects of xenon anesthesia on postoperative neurocognitive disorders: a systematic review and meta-analysis.

Yu-Shen Yang, Shan-Hu Wu, Wei-Can Chen, Meng-Qin Pei, Yi-Bin Liu, Chu-Yun Liu, Shu Lin, He-Fan He

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 3 institutions in 2 countries.

Yu-Shen Yang *Department of Anaesthesiology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Shan-Hu Wu *Department of Anaesthesiology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Wei-Can ChenDepartment of Anaesthesiology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Meng-Qin PeiDepartment of Anaesthesiology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Yi-Bin LiuDepartment of Anaesthesiology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Chu-Yun LiuDepartment of Anaesthesiology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Shu LinCentre of Neurological and Metabolic Research, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, China. shulin1956@126.com.
He-Fan HeDepartment of Anaesthesiology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, China. 15860905262@163.com.
Second Affiliated Hospital of Fujian Medical University · CNFujian Medical University · CNGarvan Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The latest clinical trials have reported conflicting outcomes regarding the effectiveness of xenon anesthesia in preventing postoperative neurocognitive dysfunction; thus, this study assessed the existing evidence. We searched the PubMed, Embase, Cochrane Library, and Web of Science databases from inception to April 9, 2023, for randomized controlled trials of xenon anesthesia in postoperative patients. We included English-language randomized controlled studies of adult patients undergoing surgery with xenon anesthesia that compared its effects to those of other anesthetics. Duplicate studies, pediatric studies, and ongoing clinical trials were excluded. Nine studies with 754 participants were identified. A forest plot revealed that the incidence of postoperative neurocognitive dysfunction did not differ between the xenon anesthesia and control groups (P = 0.43). Additionally, xenon anesthesia significantly shortened the emergence time for time to opening eyes (P < 0.001), time to extubation (P < 0.001), time to react on demand (P = 0.01), and time to time and spatial orientation (P = 0.04). However, the Aldrete score significantly increased with xenon anesthesia (P = 0.005). Postoperative complications did not differ between the anesthesia groups. Egger's test for bias showed no small-study effect, and a trim-and-fill analysis showed no apparent publication bias. In conclusion, xenon anesthesia probably did not affect the occurrence of postoperative neurocognitive dysfunction. However, xenon anesthesia may effectively shorten the emergence time of certain parameters without adverse effects.

Indexed as

AnestheticsDeliriumAdultAnesthesia, InhalationChildHumansPostoperative PeriodXenonAnestheticsXenonMeta-analysisPostoperative neurocognitive disordersRandomized clinical trialSystematic reviewXenon anesthesia

Identifiers

PMID37946114
PMCPMC10634138
OpenAlexW4388534510

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.