Sixi Wang

and 4 more

Pediatric bronchoscopy is a crucial diagnostic and therapeutic procedure widely employed to assess and manage respiratory conditions in children. Despite its utility, bronchoscopy is frequently associated with postoperative complications, such as laryngeal edema, hypoxemia, and respiratory distress. These complications can significantly delay recovery and prolong hospitalization. For instance, hypoxemia is particularly concerning in pediatric patients due to their smaller airway diameters and higher metabolic rates 1,2. Consequently, effective postoperative management is critical to reduce these risks. Nursing interventions, such as continuous monitoring of oxygen saturation, airway management, and sedation protocols, play an essential role in mitigating these complications 3,4.Nursing interventions have the potential to mitigate these complications; however, their overall effectiveness in pediatric populations remains under-investigated. This meta-analysis aimed to evaluate the impact of nursing interventions on the incidence of postoperative complications following pediatric bronchoscopy. A random-effects model was applied to calculate pooled odds ratios (OR) with 95% confidence intervals (CI), estimating the effect of nursing interventions on postoperative complications. Heterogeneity was assessed using the I 2 statistic, and publication bias was evaluated using funnel plots and Egger’s test. Nursing interventions were associated with a significant reduction in postoperative complications, with a pooled OR of 0.22 (95% CI: 0.13, 0.37; p < 0.0001). The heterogeneity across studies was low (I 2 = 0%), indicating consistent results across the included studies 1,3,6. Funnel plot analysis revealed slight asymmetry; however, Egger’s test did not indicate significant publication bias (p = 0.1213) 7. Given the consistency of these findings, integrating structured nursing protocols into postoperative care has the potential to substantially improve patient outcomes. Further research is warranted to explore the long-term impacts and cost-effectiveness of these interventions 9,10.