Pediatric anesthesia & critical care

Daily Sedation Interruption vs Continuous Sedation in Pediatric Patients Receiving Mechanical Ventilation: A Systematic Review and Meta-analysis

JAMA Netw OpenPublished Systematic review and meta-analysis of randomised trials

Pooled result · Length of PICU stay and duration of MV (primary outcomes)Result — go to the resultMD −1.45 days 95% CI −2.75 to −0.15

Authors' conclusion

This systematic review and meta-analysis found that use of DSI in pediatric patients was associated with reduced length of PICU stay with no increase in adverse events.

Study context

Population
Patients aged 18 years or younger receiving invasive mechanical ventilation (MV) in the pediatric intensive care unit (PICU)
Participants
2,810 patients · 6 randomized clinical trials (RCTs)
Comparison
Daily sedation interruption (DSI) vs continuous intravenous (IV) sedation
Outcome
Duration of MV and length of PICU stay
Methodological detailsrandom-effects model, PRISMA
  • Random-effects model
  • PRISMA

Pooled result

As reported in the abstract

Length of PICU stay and duration of MV (primary outcomes)

MD

−1.45 days

95% CI −2.75 to −0.15

P = 0.03

DSI vs Continuous IV sedation
MD −1.45 days (95% CI −2.75 to −0.15); P = 0.03

Further pooled results

OutcomeRR (95% CI)P value
Mortality0.89 (0.55–1.46)P = 0.65

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Daily Sedation Interruption vs Continuous Sedation in Pediatric Patients Receiving Mechanical Ventilation: A Systematic Review and Meta-analysis. JAMA Netw Open. Published 1 August 2024. doi:10.1001/jamanetworkopen.2024.26225

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