Meta-analysis of visual pretreatment for the prevention of emergence delirium in children undergoing ophthalmic surgery

作者全名："She, Dong; Wang, Zi-Yu; Wu, Fei; Zhang, Yin-Qin; Ao, Qin"

作者地址："[She, Dong; Wu, Fei; Ao, Qin] Chongqing Med Univ, Affiliated Hosp 3, Dept Emergency, Chongqing 401120, Peoples R China; [Wang, Zi-Yu; Zhang, Yin-Qin] Chongqing Med Univ, Affiliated Hosp 3, Dept Ophthalmol, Chongqing 401120, Peoples R China"

通信作者："Wang, ZY (通讯作者)，Chongqing Med Univ, Affiliated Hosp 3, Dept Ophthalmol, Chongqing 401120, Peoples R China."

来源：JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000793595500001

JCR分区：Q3

影响因子：2.1

年份：2022

卷号：11

期号：9

开始页：679

结束页：688

文献类型：Article

关键词：children; emergence agitation; emergence delirium; general anesthesia; meta-analysis

摘要："Objective: To evaluate the role of visual pretreatment in preventing emergence delirium in children receiving ophthalmic surgery. Methods: Four randomized controlled trials were identified in four databases, and a meta-analysis was conducted using RevMan 5.3. Results: The meta-analysis demonstrated a significantly lower incidence of postoperative emergence delirium (risk ratio: 0.39; 95% CI: 0.31-0.49) and propofol rescue (risk ratio: 0.29; 95% CI: 0.13-0.65) but comparable modified Yale Preoperative Anxiety Scale score (mean difference: -3.66; 95% CI: -9.96 to 2.65) and incidence of adverse events in the visual pretreatment group. Conclusion: Visual pretreatment is effective in preventing postoperative emergence delirium in children undergoing ophthalmic surgery without significant adverse effects and can also decrease the incidence of propofol rescue."

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