Anesthetic drugs & techniques

Peri-operative dexmedetomidine and emergence agitation in adults undergoing nasal surgery: A systematic review and meta-analysis

Eur J AnaesthesiolPublished Systematic review and meta-analysis of randomised trials

Pooled result · Emergence agitationResult — go to the resultRelative risk 0.31 95% CI 0.19–0.49

Authors' conclusion

The use of dexmedetomidine significantly reduces the incidence of emergence agitation in patients undergoing nasal surgeries under general anaesthesia.

Study context

Population
Adults undergoing nasal surgery under GA
Participants
620 adults · 9 RCTs
Comparison
Peri-operative dexmedetomidine vs placebo
Outcome
Incidence of emergence agitation during anaesthetic recovery
Methodological detailstrial sequential analysis, leave-one-out sensitivity analysis
  • Trial sequential analysis
  • Leave-one-out sensitivity analysis

Pooled result

Emergence agitation

Relative risk

0.31

95% CI 0.19–0.49

P < 0.0001

Dexmedetomidine vs Placebo
RR 0.31 (95% CI 0.19–0.49); P < 0.0001

As reported in the abstract

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

Original publication

Peri-operative dexmedetomidine and emergence agitation in adults undergoing nasal surgery: A systematic review and meta-analysis. Eur J Anaesthesiol. Published 6 March 2025. doi:10.1097/eja.0000000000002158

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