Evidence map›Paper›PMID 38951786›Full record

Observational studyBMC anesthesiology2024

Safety of propofol-assisted deep extubation in the dental treatment of children-a retrospective, observational study.

Xiang Zhang, Xiao-Dong Wang, Wei Cui, Shun-Cai Gao, Xu-Dong Yang, Bin Xia

Abstract readObservational Study
In one paragraph

Observational study in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Observational
  7. Article
  8. 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

6 authors.

Xiang Zhang *Department of Anesthesiology, Peking University School and Hospital of Stomatology, Beijing, 100081, China.
Xiao-Dong Wang *Department of Anesthesiology, Peking University School and Hospital of Stomatology, Beijing, 100081, China.
Wei CuiDepartment of Pediatric Dentistry, The No. 2 Hospital of Baoding, Baoding, 071051, China.
Shun-Cai GaoDepartment of Anesthesiology, Aerospace Center Hospital, Beijing, 100049, China.
Xu-Dong YangDepartment Head of Anesthesiology, Peking University School and Hospital of Stomatology, Beijing, 100081, China. kqyangxudong@163.com.
Bin XiaDepartment Head of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, 100081, China. xiabin@pkuss.bjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAwake extubation and deep extubation are commonly used anesthesia techniques. In this study, the safety of propofol-assisted deep extubation in the dental treatment of children was assessed. MATERIALS AND

methodsChildren with severe caries who received dental treatment under general anesthesia and deep extubation between January 2017 and June 2023 were included in this study. Data were collected on the following variables: details and time of anesthesia, perioperative vital signs, and incidence of postoperative complications. The incidence of laryngeal spasm (LS) was considered to be the primary observation indicator.

resultsThe perioperative data obtained from 195 children undergoing dental treatment was reviewed. The median age was 4.2 years (range: 2.3 to 9.6 years), and the average duration of anesthesia was 2.56 h (range 1 to 4.5 h). During intubation with a videoscope, purulent mucus was found in the pharyngeal cavity of seven children (3.6%); LS occurred in five of them (2.6%), and one child developed a fever (T = 37.8 °C) after discharge. Five children (2.6%) experienced emergence agitation (EA) in the recovery room. Also, 13 children (6.7%) experienced epistaxis; 10 had a mild experience and three had a moderate experience. No cases of airway obstruction (AO) and hypoxemia were recorded. The time to open eyes (TOE) was 16.3 ± 7.2 min. The incidence rate of complications was 23/195 (11.8%). Emergency tracheal reintubation was not required. Patients with mild upper respiratory tract infections showed a significantly higher incidence of complications (P < 0.001).

conclusionsPropofol-assisted deep extubation is a suitable technique that can be used for pediatric patients who exhibited non-cooperation in the outpatient setting. Epistaxis represents the most frequently encountered complication. Preoperative upper respiratory tract infection significantly increases the risk of complications. The occurrence of EA was notably lower than reported in other studies.

Indexed as

Airway ExtubationPropofolAnesthesia, DentalAnesthesia, GeneralAnesthetics, IntravenousChildChild, PreschoolFemaleHumansIntubation, IntratrachealLaryngismusMalePostoperative ComplicationsRetrospective StudiesAnesthetics, IntravenousPropofolGeneral anesthesiaIntratracheal extubationMouth rehabilitation

Identifiers

PMID38951786
PMCPMC11218232

What OpenQuestion holds

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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.