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Meta-Analysis
9 May 2022

Meta-analysis of visual pretreatment for the prevention of emergence delirium in children undergoing ophthalmic surgery

Authors: Dong She, Zi-Yu Wang https://orcid.org/0000-0003-0932-5939 [email protected], Fei Wu, Yin-Qin Zhang, and Qin AoAuthor Info & Affiliations
Volume 11, Number 9
https://doi.org/10.2217/cer-2022-0037
PDFFormats

Abstract

Objective: To evaluate the role of visual pretreatment in preventing emergence delirium in children receiving ophthalmic surgery. Methods: Four randomized controlled trials were identified in four databases, and a meta-analysis was conducted using RevMan 5.3. Results: The meta-analysis demonstrated a significantly lower incidence of postoperative emergence delirium (risk ratio: 0.39; 95% CI: 0.31–0.49) and propofol rescue (risk ratio: 0.29; 95% CI: 0.13–0.65) but comparable modified Yale Preoperative Anxiety Scale score (mean difference: -3.66; 95% CI: -9.96 to 2.65) and incidence of adverse events in the visual pretreatment group. Conclusion: Visual pretreatment is effective in preventing postoperative emergence delirium in children undergoing ophthalmic surgery without significant adverse effects and can also decrease the incidence of propofol rescue.

Supplementary Material

File (supplementary materials.docx)

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