Pediatric anesthesia & critical care

Comparison of postoperative pain in children after maintenance anaesthesia with propofol or sevoflurane: a systematic review and meta-analysis

Br J AnaesthPublished Systematic review and meta-analysis of randomised trials

Pooled result · Overall postoperative painResult — go to the resultOdds ratio 1.88 95% CI 1.12–3.15

Authors' conclusion

Children maintained on inhalational sevoflurane had higher odds of postoperative pain compared with those maintained on propofol.

Study context

Population
Children undergoing paediatric surgery
Participants
1,174 children · 13 randomised controlled trials (RCTs)
Comparison
Sevoflurane vs propofol for maintenance of anaesthesia
Outcome
Overall postoperative pain
Methodological detailsbias-adjusted inverse heterogeneity methods
  • Bias-adjusted inverse heterogeneity methods

Pooled result

As reported in the abstract

Odds ratio

1.88

95% CI 1.12–3.15

Sevoflurane vs Propofol
OR 1.88 (95% CI 1.12–3.15)

Further pooled results

OutcomeOR (95% CI)
Higher pain scoresI2=20.9%3.18 (1.83–5.53)
Postoperative rescue analgesiaI2=58.2%1.60 (0.89–2.88)

Original publication

Comparison of postoperative pain in children after maintenance anaesthesia with propofol or sevoflurane: a systematic review and meta-analysis. Br J Anaesth. Published 26 April 2024. doi:10.1016/j.bja.2024.03.022

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