Pediatric anesthesia & critical care

Perioperative methadone for posterior spinal fusion in adolescents: Results from a double‐blind randomized‐controlled trial

Paediatr AnaesthPublished Randomised controlled trial

Primary result · Total postoperative opioid consumptionResult — go to the resultMedian difference −0.07 95% CI −0.2 to 0.02

Authors' conclusion

A two-dose intraoperative methadone regimen resulted in decreased opioid consumption compared to morphine.

Study context

Population
Adolescents undergoing posterior spinal fusion
Participants
47 adolescents
Comparison
Intraoperative methadone vs morphine
  • Methadonen = 25
  • Morphinen = 22reference
Primary endpoint
Postoperative opioid consumption
Methodological detailssingle-centre, double-blind, stratified by sex
  • Single-centre
  • Double-blind
  • Stratified by sex

Primary result

Total postoperative opioid consumption

Median difference

−0.07

95% CI −0.2 to 0.02

P = 0.026

By group

Methadone vs Morphine
median difference −0.07 (95% CI −0.2 to 0.02); P = 0.026

As reported in the abstract

Secondary outcomes

OutcomeMethadoneMorphineP value
Postoperative pain scoresNot significantly different3.5 (IQR 3.0–4.3)4.0 (IQR 3.2–5.0)P = 0.250

Safety

Opioid-related side effects

Groups did not differ

Original publication

Perioperative methadone for posterior spinal fusion in adolescents: Results from a double‐blind randomized‐controlled trial. Paediatr Anaesth. Published 30 January 2024. doi:10.1111/pan.14843

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