Recently I switched to the AUR helper aurman which is great, but it still doesn't free you from reviewing PKGBUILD changes. Sometimes I wish there would be some kind of review process where popular packages could be labeled as 'reviewed' (e.g. by experienced/trusted arch users) and an (optional) option within the AUR helpers to accept 'reviewed' packages without presenting the PKGBUILD for review.
I know that wouldn't be perfect either, but at least it would increase the efficiency and as a user one could focus on the less popular packages where it is unlikely that someone else will find some malware.