Table 1.
The general characteristics of the enrolled studies
| Study (reference) | Year | Type of surgery | ASA-physical status | Patients enrolled (gender: F/M) | Administration of etomidate | Intervention | Comparison | Grade of myoclonus severity | Outcome |
|---|---|---|---|---|---|---|---|---|---|
|
| |||||||||
| Gupta and Gupta17 | 2018 | Elective surgeries | I or II | 200 (81/119) | 0.3 mg/kg, intravenously | 0.5 mg/kg of lidocaine; 1 mg/kg of lidocaine; 1.5 mg/kg of lidocaine | NS | 4-point intensity score | ①, ② |
| Yang18 | 2016 | Elective surgeries | I or II | 105 (32/73) | 20 mg, intravenously | 1 mL lidocaine 2% (20 mg); 2 mL lidocaine 2% (40 mg) | NS | 4-point intensity score | ①, ②, ④ |
| Singh et al19 | 2014 | Elective surgical procedures | I or II | 75 (66/9) | 0.3 mg/kg, intravenously | 1 mL lidocaine 2% (20 mg); 1 mL midazolam (1 mg) | NS | 4-point intensity score | ①, ②, ③, ④, ⑤ |
| Li and Liu20 | 2011 | Elective surgeries | I or II | 60 (not reported) | 0.3 mg/kg, intravenously | Lidocaine 25 mg | NS | 4-point intensity score | ①, ② |
| Xiao et al21 | 2011 | Elective surgeries | I or II (ASA I: 52; ASA II: 28) | 80 (42/38) | 0.3 mg/kg, intravenously | 2 mL lidocaine 2% (40 mg) | NS | 4-point intensity score | ①, ② |
| Chen et al22 | 2011 | Elective surgeries | I or II | 80 (32/48) | 0.3 mg/kg, intravenously | 1 mg/kg of lidocaine | NS | 4-point intensity score | ①, ②, ③ |
| Gultop et al11 | 2010 | Elective orthopedic and general surgical procedures | I or II | 60 (29/31) | 0.3 mg/kg, intravenously | 1 mL lidocaine 2% (20 mg) | NS | 4-point intensity score | ①, ② |
| Zhang and Zhou23 | 2010 | Elective surgeries | I or II | 60 (60/0) | 0.3 mg/kg, intravenously | Lidocaine 30 mg | NS | 4-point intensity score | ①, ②, ④ |
Notes: ①The incidence of myoclonus; ②the severity of myoclonus; ③the duration of myoclonus; ④MAP and HR; ⑤adverse effects observed in the patients.
Abbreviations: ASA, American Society of Anesthesiologists; F/M, female/male; HR, heart rate; MAP, mean arterial pressure; NS, normal saline.