Pediatric anesthesia & critical care

Postoperative recovery in preschool‐aged children: A secondary analysis of a randomized controlled trial comparing premedication with midazolam, clonidine, and dexmedetomidine

Paediatr AnaesthPublished Secondary analysis of a randomised controlled trial

Authors' conclusion

No statistical difference was observed in the postoperative recovery times between the premedication regimens. Compared with midazolam, dexmedetomidine was favorable in reducing both emergence delirium and pain in the postoperative care unit, and both clonidine and dexmedetomidine reduced anxiety in the postoperative care unit.

Study context

Population
Children aged 2–6 years scheduled for ear, nose and throat surgery under TIVA (propofol-remifentanil)82 analysed
Participants
90 children
Comparison
Midazolam vs Clonidine vs Dexmedetomidine
Primary endpoint
Time to readiness for discharge from the postoperative care unit
Methodological detailsprespecified secondary analysis, double-blinded
  • Prespecified secondary analysis
  • Double-blinded

Primary result

As reported in the abstract

Time to readiness for discharge

Further findings

Postoperative sedation

No differences vs midazolam
  • Logistic regression, mixed model, repeated measures

Emergence delirium

Less in the dexmedetomidine group vs midazolam

Pain

Less in the dexmedetomidine group vs midazolam

Anxiety

Less in both clonidine and dexmedetomidine groups vs midazolam

Original publication

Postoperative recovery in preschool‐aged children: A secondary analysis of a randomized controlled trial comparing premedication with midazolam, clonidine, and dexmedetomidine. Paediatr Anaesth. Published 1 August 2023. doi:10.1111/pan.14740

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