Perioperative medicine & outcomes

Penehyclidine in the prevention of postoperative pulmonary complications in patients after general anesthesia: a systematic review and meta-analysis

Perioper Med (Lond)Published Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultRelative risk 0.59 95% CI 0.44–0.78

Authors' conclusion

The findings of this study suggest that PHC may be associated with a reduced incidence of PPCs. PHC was also associated with lower postoperative inflammatory marker levels and improved respiratory mechanics.

Study context

Population
Patients undergoing GA
Participants
1,313 patients · 10 randomized controlled trials (RCTs)
Comparison
Penehyclidine (PHC) vs control
Outcome
Incidence of PPCs
Methodological detailsPRISMA
  • PRISMA

Pooled result

As reported in the abstract

Relative risk

0.59

95% CI 0.44–0.78

P = 0.0003

PHC vs Control
RR 0.59 (95% CI 0.44–0.78); P = 0.0003

Further pooled results

Incidence of postoperative pulmonary complications (PPCs), intravenous administration (subgroup)

Consistent results

Inflammatory marker levels and airway resistance

Significantly reduced in the PHC group

Hospital LOS, extubation time, mortality

No significant differences

Original publication

Penehyclidine in the prevention of postoperative pulmonary complications in patients after general anesthesia: a systematic review and meta-analysis. Perioper Med (Lond). Published 10 June 2026. doi:10.1186/s13741-026-00704-2

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