Cochrane · systematic review · CD009015

Intravenous versus inhalational anaesthesia for paediatric outpatient surgery

Ortiz, AC, Atallah, ÁN, Matos, D, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 40%Low 3 · 60%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

Induction and maintenance: sevoflurane + nitrous oxide (N2O) compared to propofol + N2O for paediatric outpatient surgery

Population: paediatric
3 questions
OutcomeEffectEvidenceStatus / GRADE
Postoperative nausea and vomiting
Induction and maintenance: sevoflurane + nitrous oxide (N2O) vs propofol + N2O
OR 2.96 [1.35, 6.49]4 studies · 176 participantsLow
Downgraded: risk of bias, imprecision
Postoperative behavioural disturbances Different scales
Induction and maintenance: sevoflurane + nitrous oxide (N2O) vs propofol + N2O
OR 2.67 [1.14, 6.23]4 studies · 176 participantsVery low
Downgraded: risk of bias, imprecision
Intraoperative and postoperative respiratory and cardiovascular complications
Induction and maintenance: sevoflurane + nitrous oxide (N2O) vs propofol + N2O
OR 0.75 [0.27, 2.13]3 studies · 130 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

Maintenance anaesthesia: inhalational compared to intravenous for paediatric outpatient surgery

Population: paediatric
2 questions
OutcomeEffectEvidenceStatus / GRADE
Nausea and vomiting ‐ subgroup analysis: thiopentone or halothane + N2O versus propofol or propofol + N2O
Maintenance anaesthesia: inhalational vs intravenous
OR 3.23 [1.49, 7.02]4 studies · 176 participantsLow
Downgraded: risk of bias
Nausea and vomiting ‐ subgroup analysis: thiopentone or halothane + N2O versus propofol or propofol + N2O
Maintenance anaesthesia: inhalational vs intravenous
OR 7.44 [2.6, 21.26]2 studies · 87 participantsLow
Downgraded: risk of bias