Anesthetic drugs & techniques

Comparison of surgical pleth index-guided analgesia versus conventional analgesia technique in general anesthesia surgeries: A systematic review and meta-analysis

J Clin AnesthPublished Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultSMD 0.16 95 % CI −0.15 to 0.47

Authors' conclusion

Compared to the conventional analgesia group, SPI-guided analgesia does not reduce intraoperative opioid consumption in adult patients undergoing general anesthesia.

Study context

Population
Adults undergoing GA14 studies
Comparison
Surgical pleth index (SPI)-guided analgesia vs conventional analgesia
Outcome
Intraoperative opioid consumption

Pooled result

As reported in the abstract

SMD

0.16

95 % CI −0.15 to 0.47

P = 0.33

SPI-guided analgesia vs Control
SMD 0.16 (95 % CI −0.15 to 0.47); P = 0.33

Further pooled results

OutcomeEstimateP value
Intraoperative propofol dosageSMD −0.31 (95 % CI −0.54 to −0.08)P = 0.008
Eye-opening timeWMD −1.89 (95 % CI −2.47 to −1.31)P < 0.001
OutcomeRR (95 % CI)P value
Intraoperative tachycardia0.50 (0.30–0.85)P = 0.011

Extubation time, pain scores, postoperative opioid consumption

No statistically significant differences

Safety

PONV

No statistically significant difference

Original publication

Comparison of surgical pleth index-guided analgesia versus conventional analgesia technique in general anesthesia surgeries: A systematic review and meta-analysis. J Clin Anesth. Published 28 February 2025. doi:10.1016/j.jclinane.2025.111800

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