{"id":"https://openalex.org/W7222199705","doi":"https://doi.org/10.1038/s41598-026-76174-9","title":"The impact of intraoperative use of the inhaled anesthetic desflurane on postoperative recovery quality after noncardiac surgery: a meta-analysis of randomized controlled trials","display_name":"The impact of intraoperative use of the inhaled anesthetic desflurane on postoperative recovery quality after noncardiac surgery: a meta-analysis of randomized controlled trials","publication_year":2026,"publication_date":"2026-10-14","ids":{"openalex":"https://openalex.org/W7222199705","doi":"https://doi.org/10.1038/s41598-026-76174-9"},"language":"en","primary_location":{"id":"doi:10.1038/s41598-026-76174-9","doi":"https://doi.org/10.1038/s41598-026-76174-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-76174-9","pdf_url":"https://www.nature.com/articles/s41598-026-76174-9_reference.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41598-026-76174-9_reference.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5158793281","display_name":"Anhong Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I149137203","display_name":"Guiyang Medical University","ror":"https://ror.org/035y7a716","country_code":"CN","type":"education","lineage":["https://openalex.org/I149137203"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Anhong Li","raw_affiliation_strings":["College of Anesthesiology, Guizhou Medical University, Guiyang, 550004, Guizhou Province, People\u2019s Republic of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Anesthesiology, Guizhou Medical University, Guiyang, 550004, Guizhou Province, People\u2019s Republic of China","institution_ids":["https://openalex.org/I149137203"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158822883","display_name":"Yuanxin Liu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210109381","display_name":"Affiliated Hospital of Guizhou Medical University","ror":"https://ror.org/02kstas42","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210109381"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yuanxin Liu","raw_affiliation_strings":["Department of Anesthesiology, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, Guizhou Province, People\u2019s Republic of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, Guizhou Province, People\u2019s Republic of China","institution_ids":["https://openalex.org/I4210109381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158853223","display_name":"Jinfei Huang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I149137203","display_name":"Guiyang Medical University","ror":"https://ror.org/035y7a716","country_code":"CN","type":"education","lineage":["https://openalex.org/I149137203"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jinfei Huang","raw_affiliation_strings":["Department of Anesthesiology, Stomatological Hospital of Guizhou Medical University, Guiyang, 550004, Guizhou Province, People\u2019s Republic of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Stomatological Hospital of Guizhou Medical University, Guiyang, 550004, Guizhou Province, People\u2019s Republic of China","institution_ids":["https://openalex.org/I149137203"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5137465086","display_name":"Bailong Hu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210109381","display_name":"Affiliated Hospital of Guizhou Medical University","ror":"https://ror.org/02kstas42","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210109381"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Bailong Hu","raw_affiliation_strings":["Department of Anesthesiology, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, Guizhou Province, People\u2019s Republic of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, Guizhou Province, People\u2019s Republic of China","institution_ids":["https://openalex.org/I4210109381"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5137465086"],"corresponding_institution_ids":["https://openalex.org/I4210109381"],"apc_list":{"value":2690,"currency":"USD","value_usd":2690},"apc_paid":{"value":2690,"currency":"USD","value_usd":2690},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.66863905,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.8062000274658203,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.8062000274658203,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.06289999932050705,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11785","display_name":"Nausea and vomiting management","score":0.05040000006556511,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/desflurane","display_name":"desflurane","score":1.0},{"id":"https://openalex.org/keywords/postoperative-recovery","display_name":"postoperative recovery","score":0.6330000162124634},{"id":"https://openalex.org/keywords/noncardiac-surgery","display_name":"non-cardiac surgery","score":0.8960000276565552},{"id":"https://openalex.org/keywords/inhalational-anesthetics","display_name":"inhalational anesthetics","score":0.8289999961853027},{"id":"https://openalex.org/keywords/intravenous-anesthetics","display_name":"intravenous anesthetics","score":0.9800000190734863},{"id":"https://openalex.org/keywords/postoperative-nausea-and-vomiting","display_name":"postoperative nausea and vomiting","score":0.8629999756813049},{"id":"https://openalex.org/keywords/extubation-time","display_name":"extubation time","score":0.9070000052452087},{"id":"https://openalex.org/keywords/emergence-from-anesthesia","display_name":"emergence from anesthesia","score":0.5799999833106995}],"concepts":[{"id":"https://openalex.org/C2776442465","wikidata":"https://www.wikidata.org/wiki/Q419383","display_name":"Desflurane","level":3,"score":0.9853000044822693},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8741999864578247},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.8267999887466431},{"id":"https://openalex.org/C2777297131","wikidata":"https://www.wikidata.org/wiki/Q1658731","display_name":"Postoperative nausea and vomiting","level":3,"score":0.7031999826431274},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.6995000243186951},{"id":"https://openalex.org/C2778162923","wikidata":"https://www.wikidata.org/wiki/Q4990531","display_name":"Anesthetic","level":2,"score":0.6482999920845032},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6244000196456909},{"id":"https://openalex.org/C2994138156","wikidata":"https://www.wikidata.org/wiki/Q909194","display_name":"Volatile anesthetic","level":3,"score":0.4749999940395355},{"id":"https://openalex.org/C2780580376","wikidata":"https://www.wikidata.org/wiki/Q186889","display_name":"Nausea","level":2,"score":0.41119998693466187},{"id":"https://openalex.org/C2780852908","wikidata":"https://www.wikidata.org/wiki/Q127076","display_name":"Vomiting","level":2,"score":0.37450000643730164},{"id":"https://openalex.org/C2776954882","wikidata":"https://www.wikidata.org/wiki/Q840343","display_name":"Inhalation","level":2,"score":0.3481999933719635},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.3246000111103058},{"id":"https://openalex.org/C2781453256","wikidata":"https://www.wikidata.org/wiki/Q419394","display_name":"Sevoflurane","level":2,"score":0.299699991941452},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.2915000021457672},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2872999906539917},{"id":"https://openalex.org/C2776932660","wikidata":"https://www.wikidata.org/wiki/Q32921","display_name":"Halothane","level":2,"score":0.2768999934196472}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1038/s41598-026-76174-9","doi":"https://doi.org/10.1038/s41598-026-76174-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-76174-9","pdf_url":"https://www.nature.com/articles/s41598-026-76174-9_reference.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1038/s41598-026-76174-9","doi":"https://doi.org/10.1038/s41598-026-76174-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-76174-9","pdf_url":"https://www.nature.com/articles/s41598-026-76174-9_reference.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222199705.pdf","grobid_xml":"https://content.openalex.org/works/W7222199705.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4389994691","https://openalex.org/W1966557028","https://openalex.org/W2790170745","https://openalex.org/W2008617399","https://openalex.org/W45601590","https://openalex.org/W4387754546","https://openalex.org/W162415971","https://openalex.org/W2965010799","https://openalex.org/W142175726","https://openalex.org/W2468068459"],"abstract_inverted_index":{"Desflurane":[0],"permits":[1],"rapid":[2],"emergence,":[3],"but":[4],"its":[5],"effect":[6,186],"on":[7,12,77,157,189],"patient-reported":[8],"recovery":[9,75],"may":[10,179],"depend":[11],"the":[13,139],"comparator":[14,102],"anesthetic.":[15],"We":[16],"reviewed":[17],"randomized":[18],"trials":[19,67],"comparing":[20],"desflurane":[21,112,142,188],"with":[22,54,99,109,115,135,183],"intravenous":[23,110],"or":[24,61],"other":[25,136,197],"inhalational":[26,137,198],"maintenance":[27],"anesthetics":[28,199],"in":[29,206],"adults":[30],"undergoing":[31],"noncardiac":[32],"surgery.":[33],"PubMed,":[34],"Embase,":[35],"Scopus,":[36],"CENTRAL,":[37],"and":[38,168,177,194],"Web":[39],"of":[40,74,187],"Science":[41],"were":[42,52,70],"searched":[43],"from":[44],"inception":[45],"to":[46,92,127,150],"14":[47],"June":[48],"2025.":[49],"Random-effects":[50],"models":[51],"used":[53],"standardized":[55],"mean":[56,59],"differences":[57],"(SMDs),":[58],"differences,":[60],"risk":[62],"ratios":[63],"as":[64],"appropriate.":[65],"Eleven":[66],"(1,155":[68],"participants)":[69],"included.":[71],"Overall":[72],"quality":[73],"(QoR)":[76],"postoperative":[78,158,190],"day":[79],"1":[80],"favored":[81,141,161],"control":[82],"(SMD":[83],"\u2212":[84,90,93,121,125,128],"0.30,":[85],"95%":[86,123,147],"confidence":[87],"interval":[88],"(CI)":[89],"0.54":[91],"0.06;":[94],"I":[95,130,152],"2":[96,131,153],"=":[97,132,154],"76%),":[98],"a":[100],"significant":[101],"interaction":[103],"(":[104],"p":[105],"<":[106],"0.0001).":[107],"Compared":[108],"anesthetics,":[111,138],"was":[113,204],"associated":[114],"lower":[116],"QoR":[117,156,191],"(9":[118],"trials;":[119,144],"SMD":[120,145],"0.45,":[122],"CI":[124,148],"0.60":[126],"0.29;":[129],"26%);":[133],"compared":[134],"estimate":[140],"(2":[143],"0.39,":[146],"0.01":[149],"0.77;":[151],"46%).":[155],"days":[159],"2\u20133":[160],"control,":[162],"whereas":[163],"postanesthesia":[164],"care":[165],"unit":[166],"duration":[167],"extubation":[169],"time":[170],"showed":[171],"no":[172],"clear":[173],"differences.":[174],"Postoperative":[175],"nausea":[176],"vomiting":[178],"be":[180],"more":[181],"frequent":[182],"desflurane.":[184],"The":[185,202],"appears":[192],"comparator-dependent,":[193],"evidence":[195],"against":[196],"remains":[200],"limited.":[201],"review":[203],"registered":[205],"PROSPERO":[207],"(CRD420251074022).":[208]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-10-16T00:00:00"}
