Cochrane · systematic review · CD006447
Non‐pharmacological interventions for assisting the induction of anaesthesia in children
Manyande, A, Cyna, AM, Yip, P, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
AnaesthesiaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 10 · 83.3%Low 2 · 16.7%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Child intervention for assisting induction of anaesthesia for children
Population: children
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Co‐operation during induction ‐ Video 'fairytale' vs. no audiovisual aid (Passive) ICC = 0 (perfect vs. poor‐moderate compliance) | RR 1.3 [0.87, 1.96] | 1 study · 120 participants | Very low Downgraded: risk of bias, imprecision |
Co‐operation during induction ‐ Low sensory stimulation vs. control (Passive) ICC = 0 | RR 0.66 [0.45, 0.95] | 1 study · 70 participants | Very low Downgraded: imprecision |
Co‐operation during induction ‐ Mask introduction/exposure (Mask) ICC (number of children compliant) | RR 1.27 [1.06, 1.51] | 1 study · 102 participants | Very low Downgraded: imprecision |
Anxiety during induction ‐ Video game vs. midazolam (Interactive) mYPAS. Scale from: 1 to 100. | no estimate extracted | 1 study · 76 participants | Very low Downgraded: risk of bias, imprecision |
Co‐operation during induction ‐ clowns/clown doctors vs. parental presence (Interactive) SAM ‐ arousal. Scale from: 1 to 5. | no estimate extracted | 1 study · 70 participants | Very low Downgraded: risk of bias, imprecision |
Anxiety during induction ‐ hypnosis vs. midazolam (Interactive) mYPAS < 24 | RR 0.59 [0.33, 1.04] | 1 study · 50 participants | Very low Downgraded: imprecision |
Parent intervention for assisting induction of anaesthesia for children
Population: parents with children
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Anxiety during induction ‐ Acupuncture for parents mYPAS. Scale from: 1 to 100. | no estimate extracted | 1 study · 67 participants | Low Downgraded: risk of bias, imprecision |
Co‐operation during induction ‐ Acupuncture for parents Perfect induction ICC=0 | RR 1.59 [1.01, 2.53] | 1 study · 67 participants | Low Downgraded: risk of bias, imprecision |
Parental presence for assisting the induction of anaesthesia for children
Population: children
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Anxiety during induction ‐ Parental presence vs. no parental presence | no estimate extracted | 5 studies · 557 participants | Very low Downgraded: risk of bias |
Co‐operation during induction ‐ 2 parents vs. 1 parent Poor compliance: ICC > 6 | RR 1.88 [0.61, 5.72] | 1 study · 58 participants | Very low Downgraded: risk of bias, imprecision |
Anxiety during induction ‐ Parental presence vs. midazolam mYPAS. Scale from: 1 to 100. | no estimate extracted | 1 study · 192 participants | Very low Downgraded: risk of bias, imprecision |
Co‐operation during induction ‐ Parental presence vs. midazolam Poor compliance: ICC > 6 | RR 12.47 [0.72, 216.2] | 1 study · 62 participants | Very low Downgraded: risk of bias, imprecision |