Pediatric anesthesia & critical care

The efficacy of magnesium sulphate in preventing laryngospasm in paediatric patients undergoing general anaesthesia: A systematic review and meta-analysis of randomised control trials

Anaesth Crit Care Pain MedPublished Systematic review and meta-analysis of randomised trials

Pooled result · Pooled dataResult — go to the resultOdds ratio 0.48 95% CI 0.25–0.96

Authors' conclusion

This review shows a potential role for magnesium in the prevention of laryngospasm in paediatric patients undergoing general anaesthesia. There is a correlation between local administration of magnesium and reduction in laryngospasm rates.

Study context

Population
Paediatric patients undergoing GA (excluding CPB)
Participants
953 patients · 13 trials
Comparison
Magnesium vs Control
Outcome
Incidence of laryngospasm
Methodological detailssubgroup analysis
  • Subgroup analysis

Pooled result

Pooled data

Odds ratio

0.48

95% CI 0.25–0.96

P = 0.04

Magnesium vs Control
OR 0.48 (95% CI 0.25–0.96); P = 0.04

As reported in the abstract

Further pooled results

OutcomeORP value
Laryngospasm (subgroup: local magnesium)Rates lower by 12.5%; 4 RCTs local0.26 (CI 0.09–0.76)P = 0.01
Laryngospasm (subgroup: IV magnesium)9 RCTs IV0.73 (95% CI 0.33–1.63)P = 0.44

Original publication

The efficacy of magnesium sulphate in preventing laryngospasm in paediatric patients undergoing general anaesthesia: A systematic review and meta-analysis of randomised control trials. Anaesth Crit Care Pain Med. Published 30 July 2024. doi:10.1016/j.accpm.2024.101413

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