Evidence map›Paper›PMID 38670899›Full record

SynthesisBritish journal of anaesthesia2024

Comparison of postoperative pain in children after maintenance anaesthesia with propofol or sevoflurane: a systematic review and meta-analysis.

Bushra M Abdallah, Amgad M Elshoeibi, Nouran ElTantawi, Mariah Arif, Razan F Hourani, Aishat F Akomolafe, Mahmoud N Hamwi, Fathima R Mahmood, Kemal T Saracoglu, Ayten Saracoglu and 1 more

Open access · hybridAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in British journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Bushra M AbdallahCollege of Medicine, QU Health, Qatar University, Doha, Qatar.
Amgad M ElshoeibiCollege of Medicine, QU Health, Qatar University, Doha, Qatar.
Nouran ElTantawiCollege of Medicine, QU Health, Qatar University, Doha, Qatar.
Mariah ArifCollege of Medicine, QU Health, Qatar University, Doha, Qatar.
Razan F HouraniCollege of Medicine, QU Health, Qatar University, Doha, Qatar.
Aishat F AkomolafeCollege of Medicine, QU Health, Qatar University, Doha, Qatar.
Mahmoud N HamwiCollege of Medicine, QU Health, Qatar University, Doha, Qatar.
Fathima R MahmoodCollege of Medicine, QU Health, Qatar University, Doha, Qatar.
Kemal T SaracogluCollege of Medicine, QU Health, Qatar University, Doha, Qatar; Department of Anaesthesiology, ICU, and Perioperative Medicine, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar.
Ayten SaracogluCollege of Medicine, QU Health, Qatar University, Doha, Qatar; Department of Anaesthesiology, ICU, and Perioperative Medicine, Aisha Bint Hamad Al-Attiyah Hospital, Hamad Medical Corporation, Doha, Qatar.
Tawanda ChiveseCollege of Medicine, QU Health, Qatar University, Doha, Qatar. Electronic address: tchivese@qu.edu.qa.
Qatar University · QAHamad General Hospital · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPropofol and sevoflurane are two of the most commonly used anaesthetics for paediatric surgery. Data from some clinical trials suggest that postoperative pain incidence is lower when propofol is used for maintenance of anaesthesia compared with sevoflurane, although this is not clear.

methodsThis meta-analysis compared postoperative pain following maintenance of anaesthesia with propofol or sevoflurane in paediatric surgeries. PubMed Medline, Embase, Scopus, Web of Science and Cochrane Library were searched for randomised controlled trials (RCTs) that compared postoperative pain between sevoflurane and propofol anaesthesia in children. After quality assessment, a meta-analysis was carried out using bias-adjusted inverse heterogeneity methods, heterogeneity using I

resultsIn total, 13 RCTs with 1174 children were included. The overall synthesis suggested nearly two-fold higher odds of overall postoperative pain in the sevoflurane group compared with the propofol group (odds ratio [OR] 1.88, 95% confidence interval [CI] 1.12-3.15, I

conclusionsChildren maintained on inhalational sevoflurane had higher odds of postoperative pain compared with those maintained on propofol. The results also suggest that sevoflurane is associated with higher odds of needing postoperative rescue analgesia compared with propofol. REGISTRATION: The protocol for this systematic review and meta-analysis was registered on the International Prospective Register of Systematic Reviews (PROSPERO) with registration ID CRD42023445913.

Indexed as

Anesthetics, InhalationAnesthetics, IntravenousPostoperative PainPropofolSevofluraneChildHumansRandomized Controlled Trials as TopicAnesthetics, InhalationAnesthetics, IntravenousPropofolSevofluranechildrenmaintenance anaesthesiapostoperative painpropofolsevoflurane

Identifiers

PMID38670899
PMCPMC11213989
OpenAlexW4395669640

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.