The Claim
A single 2 mg/kg intravenous dose of propofol does not significantly alter salivary cortisol levels in healthy children aged 3 to 12 years undergoing urologic surgery, with cortisol concentrations remaining stable from preoperative baseline through 24 hours postoperatively, except for a minor transient rise at 11:00 AM before surgery.
What the research says
Supports is higher
Support is ahead, but a single strong opposing study can change this.
These are independent scores, not a percentage. Higher-grade studies count more, so a single strong opposing study can outweigh several weaker ones.
In healthy children aged 3 to 12 years undergoing urologic surgery, a single intravenous dose of propofol at 2 mg/kg does not change salivary cortisol levels from before surgery to 24 hours after surgery, except for a small temporary increase at 11:00 AM before the procedure.
See the scientific wording
A single 2 mg/kg intravenous dose of propofol does not significantly alter salivary cortisol levels in healthy children aged 3 to 12 years undergoing urologic surgery, with cortisol concentrations remaining stable from preoperative baseline through 24 hours postoperatively, except for a minor transient rise at 11:00 AM before surgery.
Propofol does not interfere with the adrenal glands' ability to make cortisol, and it does not trigger or suppress the brain's stress response system, so cortisol levels stay normal before and after surgery except for a small, natural rise just before the procedure due to the body's normal reaction to being in a hospital environment.
What the research says
1 studyThis study found that giving kids propofol for surgery doesn’t change their stress hormone (cortisol) levels, except for a tiny, harmless spike right before surgery — so propofol is safe in that way. Unlike another drug called etomidate, which lowers cortisol a lot, propofol leaves it normal.
Score breakdown, mechanism chain, raw evidence, ideal studies needed & 1 supporting studies
Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.