Pediatric anesthesia & critical care

Deep Sedation Versus General Anesthesia in Pediatric Transesophageal Echocardiography: A Retrospective Comparative Study

J Cardiothorac Vasc AnesthPublished Retrospective comparative study

Authors' conclusion

Deep sedation was associated with a significantly shorter duration of procedure and recovery compared with general anesthesia, without an increase in the incidence of periprocedural complications.

Study context

Population
Pediatric patients undergoing nonoperative transesophageal echocardiography (TEE) under deep sedation or GA, single institution, January 2017–December 202387 females · 60 males
Participants
147 patients
Exposure
Deep sedation vs GA for nonoperative TEE
Outcome
Duration of recovery
Methodological detailssingle-centre, consecutive interventions
  • Single-centre
  • Consecutive interventions

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Duration of recovery, deep sedation subgroups (K, KF, P)

No significant difference between subgroups of group 1 (p = 0.504)

Duration of recovery, GA subgroups (D vs S)

Shorter in group D (p = 0.012)

Safety

Postprocedural hypotension, hypoxia, bronchospasm and laryngospasm, group 1 vs group 2

Occurred similarly between groups 1 and 2 (p > 0.05 for each)

Hypotension, hypoxia, bronchospasm and laryngospasm, subgroups K, KF, P

Similar between groups K, KF and P (p > 0.05, for each)

Hypotension, hypoxia, bronchospasm and laryngospasm, subgroups D and S

Similar in both GA subgroups (p > 0.05)

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

Original publication

Deep Sedation Versus General Anesthesia in Pediatric Transesophageal Echocardiography: A Retrospective Comparative Study. J Cardiothorac Vasc Anesth. Published 8 October 2025. doi:10.1053/j.jvca.2025.10.010

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