Pediatric anesthesia & critical care

Age-Stratified Propofol Dosage for Pediatric Procedural Sedation and Analgesia

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

We found a noteworthy inverse age-effect on propofol dosage for both induction and maintenance of pediatric procedural sedation.

Study context

Population
Children receiving procedural sedation and analgesia with propofol at a tertiary pediatric hospital (Wilhelmina Children's Hospital, University Medical Center Utrecht (UMCU)), June 2007–December 2020
Participants
6,438 procedures
Outcome
Age dependence of propofol induction (mg·kg −1 ) and maintenance (mg·kg −1 ·h −1 ) dosage
Methodological detailssingle-centre, multivariable linear regression
  • Single-centre
  • Multivariable linear regression

Main finding

As reported in the abstract

Propofol dosage per year of age (adjusted coefficient)

Coefficient

−0.11

95% CI −0.12 to −0.11

Induction dosage (mg·kg −1 ) per year of age · 5567 records analysed

Coefficient

−0.36

95% CI −0.39 to −0.34

Maintenance dosage per year of age · 5420 records analysed

Observational data: associations, not effects.

Original publication

Age-Stratified Propofol Dosage for Pediatric Procedural Sedation and Analgesia. Anesth Analg. Published 17 February 2023. doi:10.1213/ane.0000000000006196

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