Pediatric anesthesia & critical care

Safety of Levosimendan in Pediatric Patients: An Up-to-Date Systematic Review

J Cardiothorac Vasc AnesthPublished Systematic review and meta-analysis

Authors' conclusion

Hypotension and cardiac arrhythmia are the most reported side effects of levosimendan in pediatric patients.

Study context

Population
Pediatric patients receiving levosimendan in any setting
Participants
1,271 patients · 48 studies
Comparison
Levosimendan vs control
  • Levosimendann = 385
  • Controln = 378reference
Outcome
Number and type of adverse side effects during levosimendan administration
Methodological detailsindependent screening and data extraction by two investigators
  • Independent screening and data extraction by two investigators

Pooled result

As reported in the abstract

Adverse side effects (11 studies, 790 patients reporting)

Hypotension

≈28.9%

Arrhythmia, particularly tachycardia

about 12.3%

Further pooled results

OutcomeLevosimendanControlRR (95% CI)P value
All-cause mortality (meta-analysis of RCTs)I2 = 0%2.0%3.9%0.55 (0.25–1.21)P = 0.14

Original publication

Safety of Levosimendan in Pediatric Patients: An Up-to-Date Systematic Review. J Cardiothorac Vasc Anesth. Published 14 November 2023. doi:10.1053/j.jvca.2023.11.020

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