Pediatric anesthesia & critical care

The effect of intranasal dexmedetomidine administration on emergence agitation or delirium in pediatric patients after general anesthesia: A meta‐analysis of randomized controlled trials

Paediatr AnaesthPublished Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultOdds ratio 0.25 95% CI 0.18–0.34

Authors' conclusion

Intranasal dexmedetomidine reduced the incidence of emergence agitation or emergence delirium in pediatric patients after general anesthesia.

Study context

Population
Pediatric patients after GA
Participants
2,103 patients · 20 RCTs
Comparison
Intranasal dexmedetomidine vs control
Outcome
Proportion of patients with emergence agitation or emergence delirium after surgery
Methodological detailsrandom-effects model
  • Random-effects model

Pooled result

As reported in the abstract

Odds ratio

0.25

95% CI 0.18–0.34

P = 0.0000

By group

Dexmedetomidine vs Control
OR 0.25 (95% CI 0.18–0.34); P = 0.0000

Further pooled results

OutcomeMD (95% CI)P value
Emergence timeI2 = 98.40%2.42 (0.37–4.46)P = 0.021
OutcomeOR (95% CI)P value
Postoperative nausea and/or vomitingI2 = 0.00%0.39 (0.24–0.64)P = 0.0002

Original publication

The effect of intranasal dexmedetomidine administration on emergence agitation or delirium in pediatric patients after general anesthesia: A meta‐analysis of randomized controlled trials. Paediatr Anaesth. Published 1 May 2023. doi:10.1111/pan.14689

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