Comparison of airway complications following deep and awake extubation in children under general anesthesia: a systematic review and meta-analysis

Introduction: Considering that the complications of extubation in children are much more and more dangerous than in adults and there is no comprehensive and sufficient data that can be cited based on the studies conducted, the present study aims to compare airway complications Two methods of deep and awake extubation were performed in children under general anesthesia. Methods: This systematic review and meta-analysis was conducted based on the PRISMA statement during 1401 by searching the keywords extubation, deep, awake, anesthesia, pediatrics and complications in the databases MEDLINE, EMBASE, KoreaMed, Central Registry of Controlled Trials. Cochrane, CINAH, Scopus and Web of Science were searched for English articles and SID and Magiran were searched for Farsi articles and the overall results were reported. Results: 11 randomized trials with 1245 participants were evaluated in this study, the risk of overall airway complications in the deep extubation group was lower than the awake extubation group (OR=0.56: 0.96-0.33: CI95%-04 /0=P); Also, the level of heterogeneity of the articles was moderate (I2=75%). Conclusion: Deep extubation leads to less incidence of airway complications in children under general anesthesia.