ICU sedation, delirium & recovery

Effect of inhaled anaesthetics on cognitive and psychiatric outcomes in critically ill adults: a systematic review and meta-analysis

Br J AnaesthPublished Systematic review and meta-analysis

An erratum to this article was published (Br J Anaesth, Oct 2023 ↗)

Pooled result · Delirium incidenceResult — go to the resultRelative risk 0.95 95% CI 0.59–1.54

Authors' conclusion

Based on the limited evidence available, there is no difference in cognitive and psychiatric outcomes between adults exposed to volatile sedation or intravenous sedation in the ICU.

Study context

Population
Critically ill adults sedated in the ICU (post-cardiac arrest, postoperative noncardiac, postoperative cardiac, mixed medical-surgical)13 studies
Comparison
Inhaled anaesthetics vs i.v. sedatives
Outcome
Delirium incidence

Pooled result

As reported in the abstract

Relative risk

0.95

95% CI 0.59–1.54

Inhaled anaesthetics vs i.v. sedatives
RR 0.95 (95% CI 0.59–1.54)

Further pooled results

Hallucinations and psychomotor recovery

Fewer hallucinations and faster psychomotor recovery with inhaled anaesthetics vs i.v. sedatives

Other cognitive and psychiatric outcomes

No differences in other outcomes
  • Heterogeneity in instruments used and timing of assessments

Original publication

Effect of inhaled anaesthetics on cognitive and psychiatric outcomes in critically ill adults: a systematic review and meta-analysis. Br J Anaesth. Published 19 June 2023. doi:10.1016/j.bja.2023.05.004

Composed by AI from the published abstract and checked against it. How Briefs are made →

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