Intravenous versus inhalational anaesthesia for paediatric outpatient surgery

Ortiz, Ana Carolina; Atallah, Álvaro Nagib; Silva, Edina MK da

doi:10.1002/14651858.cd009015

Cited by 22 publications

(32 citation statements)

References 30 publications

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“…Our results were conclusive and in consistence with previous results. As Ortiz reported in their meta-analysis involving 900 children, when compared to sevoflurane, propofol may reduce the risk of PONVand the risk of behavioral problems [59]. The results were confirmed in our analysis.…”

Section: Discussionsupporting

confidence: 89%

Emergence and Recovery Characteristics of Five Common Anesthetics in Pediatric Anesthesia: a Network Meta-analysis

et al. 2016

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Desflurane, halothane, isoflurane, propofol, and sevoflurane are widely used anesthetics in pediatric anesthesia. Adverse effect including emergence agitation, postoperative nausea and vomiting, and postoperative pain are common. Prolonged extubation time and emergency time are also troubling anesthesiologists. Previous studies have noted the characteristics of various anesthetics in pediatric anesthesia, while the results were inconclusive and conflicting. In this study, we aimed at performing a comprehensive network meta-analysis concerning the emergence and recovery characteristics of pediatric anesthetics. Relevant articles were retrieved and selected according to our inclusion criteria. Network meta-analysis was performed with a random-effect model within a Bayesian framework. ORs and corresponding 95 % credible intervals were calculated by Markov chain Monte Carlo methods. Node-splitting method was used to calculate the inconsistency. Rank probabilities were assessed by the surface under the cumulative ranking curve (SUCRA). Propofol was recommended as the most efficient and safe anesthetic in pediatric anesthesia with few adverse effects. Desflurane has the highest incidence of emergence agitation and worst recovery characteristics. Halothane was regarded as an efficient anesthetic with the best recovery characteristics, while postoperative nausea and vomiting is a common adverse effect. Isoflurane was reported to be the safest concerning postoperative pain, and cases using sevoflurane in pediatric anesthesia reported the highest incidence of analgesic requirement. Our network meta-analysis demonstrated that propofol was suggested as the first choice in the clinical practice for its efficiency and safe in pediatric anesthesia.

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Section: Discussionsupporting

confidence: 89%

Emergence and Recovery Characteristics of Five Common Anesthetics in Pediatric Anesthesia: a Network Meta-analysis

et al. 2016

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“…According to the latest publications in human medicine, the use of inhalant agents for maintenance of anesthesia has been described as a controversial risk factor for postoperative nausea and vomiting 67 and in dogs it has been reported as a significant risk factor for GER. 68 The influence of this factor on GID could not be evaluated in the current study because all patients were maintained with inhalant anesthesia (isoflurane).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of and risk factors for intraoperative gastroesophageal reflux and postanesthetic vomiting and diarrhea in dogs undergoing general anesthesia

Torrente¹,

Vigueras²,

Manzanilla

et al. 2017

J Vet Emergen Crit Care

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“…anaesthesia reduces airway responsiveness and a systematic review of 16 randomised clinical trials (that included 900 day surgery patients) suggested that, compared with sevoflurane, i.v. anaesthesia could minimise complications such as postoperative nausea and vomiting and emergence agitation in children . This is important because the incidence of postoperative nausea and vomiting in children older than 3 years is double that in adults .…”

Section: Discussionmentioning

confidence: 99%

Characteristics of children aged 2–17 years undergoing anaesthesia in Danish hospitals 2005–2015: a national observational study

et al. 2018

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Provision of paediatric anaesthesia requires careful consideration of the child's cognitive state, unique body composition and physiology. In an observational cohort study, we describe the population characteristics and conduct of anaesthesia in children aged 2-17 years from 1 January 2005 to 31 December 2015. Children were identified from the Danish Anaesthesia Database. We recorded the following variables: age; sex; comorbidities; indications for anaesthesia; practice of anaesthesia; and complications. Results are presented for two age groups: 2-5 and 6-17 years. In total, 32,840 (61% male) children aged 2-5 years received 50,484 anaesthesia episodes and 91,418 (54% male) children aged 6-17 years received 141,082 anaesthesia episodes. The younger children, compared with the older children, were more frequently anaesthetised at a university hospital (50% vs. 36%) and for non-surgical procedures (24% vs. 8%). For both age groups, general anaesthesia was the primary choice of anaesthesia regardless of the reason for anaesthesia. For surgery, general anaesthesia using inhalational agents in addition to intravenous agents or alone was more frequently used in younger children (49% vs. 15%), whereas older children commonly received total intravenous anaesthesia (50% vs. 83%). Regional anaesthesia was infrequently utilised. Complications occurred in 3.3% of anaesthesia episodes among 2-5 year olds compared with 3.7% of anaesthesia episodes among children aged 6-17 years. In conclusion, we found younger children (aged 2-5), compared with older children (aged 6-17) were more frequently anaesthetised for non-surgical reasons, at a university hospital and using inhalational agents. Complications were rare.

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Intravenous versus inhalational anaesthesia for paediatric outpatient surgery

Cited by 22 publications

References 30 publications

Emergence and Recovery Characteristics of Five Common Anesthetics in Pediatric Anesthesia: a Network Meta-analysis

Emergence and Recovery Characteristics of Five Common Anesthetics in Pediatric Anesthesia: a Network Meta-analysis

Prevalence of and risk factors for intraoperative gastroesophageal reflux and postanesthetic vomiting and diarrhea in dogs undergoing general anesthesia

Characteristics of children aged 2–17 years undergoing anaesthesia in Danish hospitals 2005–2015: a national observational study

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