Evidence map›Paper›PMID 40369437›Full record

Trial reportBMC anesthesiology2025

Low-dose Esketamine combined with Propofol in microscopic pediatric strabismus surgery: a randomized controlled study.

Yaping Shen, Bo Shi, Yu Mo, Junhe Wu, Zhentao Sun

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

5 authors.

Yaping ShenDepartment of Anesthesiology, Perioperative and Pain Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Bo ShiDepartment of Anesthesiology, Perioperative and Pain Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Yu MoDepartment of Anesthesiology, Perioperative and Pain Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Junhe WuDepartment of Anesthesiology, Perioperative and Pain Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Zhentao SunDepartment of Anesthesiology, Perioperative and Pain Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China. fccsunzt@zzu.edu.cn.

Funding

Soft Science Project of Medical Science and Technology Tackling Programme of Henan Province RKX202202026the Fund of Medical Education Research Project of Henan Province WJLX2024056, Wjlx2022060the Key project of Postgraduate Education Research of Zhengzhou University YJSJY202115the Teaching Reform Project of Zhengzhou University 2024ZZUJGXM235
6 · The paper itself

Abstract

objectiveTo observe the effect of low-dose esketamine combined with propofol in pediatric strabismus surgery.

methodsA total of 84 children aged 3-15 years, regardless of gender, with a BMI of 13-26 kg/m

resultsCompared with Group C, Group E exhibited significantly lower rates of propofol injection pain(cases (%), 87.5% VS 56.1%, P = 0.002), and moderate-to-severe pain during induction(75.0% VS 24.4%, P<0.001), reduced FLACC scores at PACU discharge(median and interquartile spacing [M(IQR)], 3.50(4) VS 3.00(2), P = 0.039) and 1 day postoperatively(M(IQR), 5.00(3) VS 3.00(2), P<0.001), and decreased incidences of adverse events including emergence agitation(32.5% VS 12.2%, P = 0.028), oculocardiac reflex(35.0% VS 14.6%, P = 0.034), and extubation cough(25.0% VS 7.3%, P = 0.030). However, no statistically significant differences were observed between the two groups in operative duration, extubation time, PACU stay duration, FLACC scores at 3 and 7 days postoperatively, or heart rate and mean arterial pressure at any measured time point.

conclusionGeneral anesthesia with low-dose esketamine combined with propofol for pediatric strabismus correction surgery effectively alleviates propofol injection pain, reduces FLACC scores at PACU discharge and 1 day postoperatively, and decreases the incidence of adverse reactions such as emergence agitation, oculocardiac reflex, and extubation cough, demonstrating its safety for use in this procedure.

trial registrationThis study was approved by the Scientific Research and Clinical Trials Ethics Committee of The First Affiliated Hospital of Zhengzhou University (Approval No. 2023-KY-1509), registered in the Chinese Clinical Trial Registry (Registration No. ChiCTR2400092266, registration date on 11/13/2024).

Indexed as

Anesthetics, IntravenousKetaminePropofolStrabismusAdolescentAnesthesia Recovery PeriodChildChild, PreschoolFemaleHumansMaleOperative TimePostoperative PainAnesthetics, IntravenousEsketamineKetaminePropofolEmergence agitationEsketaminePediatric strabismus surgeryPropofolPropofol injection pain

Identifiers

PMID40369437
PMCPMC12079985

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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.