EEG-Guided Anesthesia for the Prevention of Emergence Delirium in Children: A Systematic Review and Meta-Analysis.
Electroencephalography-guided anesthesia was associated with lower risk of emergence delirium in children.
EEG-Guided Anesthesia for the Prevention of Emergence Delirium in Children: A Systematic Review and Meta-Analysis.
IMPORTANCE: The potential benefits of using electroencephalography (electroencephalography)-guided anesthesia for the prevention of emergence delirium in children remain unclear.
To determine whether the intraoperative use of electroencephalography-guided anesthesia is associated with a lower incidence of emergence delirium in pediatric patients.
STUDY SELECTION: From 185 studies screened by 2 authors, 9 randomized clinical trials met the inclusion criteria: patients aged 1 to 18 years undergoing general anesthesia, comparing electroencephalography-guided anesthesia with standard practice.
children who got electroencephalography guided anesthesia were less likely to wake up delirious
Maximum pediatric anesthesia emergence delirium scores (MD, -0.87; 95% CI, -1.52 to -0.23; P = .008), end-tidal sevoflurane concentration (MD, -0.40; 95% CI, -0.58 to -0.22; P <.001), and length of stay in the postanesthesia care unit (MD, -8.20; 95% CI, -13.35 to -3.04; P = .002) were also significantly lower in the electroencephalography-guided anesthesia group.
There was no statistically significant difference in the number of burst suppression episodes between the 2 groups (12% vs 17%; RR, 0.69; 95% CI, 0.42-1.12; P = .14).
This systematic review and meta-analysis reveals that use of electroencephalography-guided anesthesia was associated with a significantly lower risk of emergence delirium compared with standard practice in children.