Pediatric anesthesia & critical care

Intra-operative physiologic interventions associated with postoperative neurological complications in neonates and infants: A secondary analysis of the NECTARINE cohort

Eur J AnaesthesiolPublished Secondary analysis of the NECTARINE prospective cohort study

Authors' conclusion

There was no association between unexpected intra-operative instability of systemic homeostasis necessitating a corrective action and subsequent neurologic complications; however, these findings do not necessarily indicate the absence of any effect of physiological disturbances on neurologic outcomes.

Study context

Population
Neonates and infants receiving anaesthesia for operative and nonoperative procedures, 165 hospitals in 31 countries
Participants
5,504 neonates · 165 hospitals · 31 countries
Comparison
Interventions for intra-operative physiologic instability vs none
Primary endpoint
Postoperative neurologic complication
Follow-up
Up to 30 days postoperatively
Methodological detailsmulticentre, multivariable logistic regression
  • Multicentre
  • Multivariable logistic regression

Primary result

As reported in the abstract

Postoperative neurologic complication (whole cohort)

140 of 5504

2.5%

Original publication

Intra-operative physiologic interventions associated with postoperative neurological complications in neonates and infants: A secondary analysis of the NECTARINE cohort. Eur J Anaesthesiol. Published 2 February 2026. doi:10.1097/eja.0000000000002308

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