Cochrane · systematic review · CD008984

Nitrous oxide‐based techniques versus nitrous oxide‐free techniques for general anaesthesia

Sun, R, Jia, WQ, Zhang, 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
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 33.3%Moderate 4 · 44.4%High 2 · 22.2%

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

Summary of findings’ table 1

Population: adult patients 18 years and above undergoing standard general anaesthesia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Inhospital case fatality rate
OR 0.87 [0.61, 1.26]8 studies · 10148 participantsModerate
Downgraded: imprecision
Pneumonia
OR 1.68 [1, 2.81]8 studies · 2699 participantsLow
Downgraded: risk of bias, imprecision
Pulmonary atelectasis
OR 1.57 [1.18, 2.1]5 studies · 2400 participantsHigh
Myocardial infarction
OR 1.01 [0.84, 1.22]6 studies · 9246 participantsHigh
Stroke
OR 1.47 [0.86, 2.53]4 studies · 9142 participantsModerate
Downgraded: imprecision
Severe nausea and vomiting
OR 1.44 [0.97, 2.15]10 studies · 11045 participantsLow
Downgraded: risk of bias, inconsistency
Length of hospital stay
no estimate extracted6 studies · 1103 participantsModerate
Downgraded: inconsistency

'Summary of findings' table 2

Population: adult patients 18 years and above undergoing standard general anaesthesia
2 questions
OutcomeEffectEvidenceStatus / GRADE
Venous thromboembolism
OR 0.73 [0.45, 1.2]2 studies · 9004 participantsModerate
Downgraded: imprecision
Wound infection rate
OR 1.22 [0.84, 1.78]6 studies · 9789 participantsLow
Downgraded: imprecision, inconsistency