Evidence map›Paper›PMID 41840508›Full record

SynthesisBMC anesthesiology2026

The effect of esketamine on emergence delirium or agitation in children after anesthesia-a systematic review and meta-analysis.

Wei Yang, Ling Zhou, Yun Xue, He Huang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Wei YangDepartment of Anesthesiology, Chongqing General Hospital, Chongqing University, Chongqing, China.
Ling ZhouDepartment of Anesthesiology, People's Hospital of Pidu District, Sichuan Province, Chengdu City, China.
Yun XueDepartment of Anesthesiology, Chongqing General Hospital, Chongqing University, Chongqing, China.
He HuangDepartment of Anesthesiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. hhe1112@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis systematic review and meta-analysis aim to evaluate esketamine on emergence delirium or emergence agitation (ED/EA) in pediatric children in contrast to the control group.

methodsThe PubMed, Web of Science, and Cochrane Library databases were systematically searched until August 2024, employing inclusion criteria focused on studies involving children under the age of 18 comparing esketamine to control groups. The exclusion criteria encompassed participants aged 18 years and older, reviews or meta-analyses, fundamental animal studies, articles published solely in abstract form, letters to the editor, case reports, editorial notes, methodological protocols, and publications not in English.

resultsA total of 1142 children were included in ten randomized controlled trials (RCTs) and one cohort study, revealing that esketamine significantly reduces the risk of ED/EA in pediatric patients following surgery when compared to the control group (OR = 0.70, 95% CI: (0.51, 0.97), I

conclusionsIn comparison to the control group, esketamine significantly decreases the incidence of emergence delirium or emergence agitation (ED/EA) in pediatric patients, with a markedly lower heterogeneity (I

trial registrationProspero registration ID:CRD42024583287. Link:PROSPERO (york.ac.uk).

Indexed as

Emergence DeliriumKetaminePostoperative ComplicationsPsychomotor AgitationChildHumansPediatric AnesthesiaRandomized Controlled Trials as TopicEsketamineKetamineAgitationDeliriumEsketamineMeta-analysisPediatric

Identifiers

PMID41840508
PMCPMC13104409

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.