Interactive cardiovascular and thoracic surgery
-
Interact Cardiovasc Thorac Surg · May 2018
Meta AnalysisDexmedetomidine improves the outcomes in paediatric cardiac surgery: a meta-analysis of randomized controlled trials.
Dexmedetomidine has been shown to decrease cardiac complications in adults undergoing cardiac surgery. Results from clinical trials of dexmedetomidine on outcomes following paediatric cardiac surgery are controversial. ⋯ Perioperative administration of dexmedetomidine to paediatric patients undergoing cardiac surgery may shorten the duration of mechanical ventilation, LOS in the intensive care unit and in the hospital and reduce the incidence of junctional ectopic tachycardia. More high-quality randomized controlled trials are encouraged to verify the beneficial effect of dexmedetomidine before its clinical application in paediatric patients undergoing surgery for congenital heart disease.