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April 18, 2011AnaesthesiaOpen Access

Awareness in children: a secondary analysis of five cohort studies

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Key result

Nitrous oxide maintenance (OR 2.4; 95% CI 1.08-5.32) and use of a tracheal tube (OR 3.0; 95% CI 1.20-7.56) were independently associated with awareness in children.

Why the study?

Are nitrous oxide maintenance and tracheal tube use associated with awareness in children undergoing anaesthesia?

Population

Children undergoing anaesthesia (pooled from 5 cohort studies, n=4486 anaesthetics)

Comparison

Nitrous oxide used as an anaesthetic maintenance… vs No nitrous oxide maintenance and no tracheal tube

Design

Meta-analysis

Authors

ADAndrew DavidsonKSKatherine R. SmithHOHeleen J. Blussé van Oud‐Alblas

Discussion

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Overview

Suggests caution with nitrous oxide and tracheal tubes in children; extends observational associations but leaves causality open for trials.

Study Design

Type

Cohort (n=4,486)

Multicenter

Yes

Structured PICO

Are nitrous oxide maintenance and tracheal tube use associated with awareness in children undergoing anaesthesia?

P
Population
4,486 paediatric anaesthetics pooled from five cohort studies to identify risk factors for awareness.
E
Exposure
Nitrous oxide used as an anaesthetic maintenance adjunct and use of a tracheal tube
C
Comparator
No nitrous oxide maintenance and no tracheal tube
O
Outcome
Awareness during anaesthesiapatient reported

Main Result

Odds Ratio: 2.4 (95% CI 1.08–5.32)

p-value: p=0.03

Nitrous oxide maintenance and tracheal tube use are independent risk factors for awareness in pediatric anesthesia.

Cite This Study

Davidson et al. (2011) conducted a cohort in Awareness in paediatric anaesthesia (n=4,486). Nitrous oxide maintenance vs. No nitrous oxide maintenance was evaluated on Awareness (OR 2.4, 95% CI 1.08-5.32, p=0.03). Nitrous oxide maintenance (OR 2.4; 95% CI 1.08-5.32) and use of a tracheal tube (OR 3.0; 95% CI 1.20-7.56) were independently associated with awareness in children.

synapsesocial.com/papers/6a7b1a375968508e56f3effchttps://doi.org/10.1111/j.1365-2044.2011.06703.x
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Incidence of Awareness During Anesthesia: A Multicenter United States Study2004 · 729 citations
  2. 2Incidence of awareness with recall during general anaesthesia1991 · 252 citations
  3. 3Recall of Surgery for Major Trauma1984 · 135 citations
  4. 4Awareness with Recall During General Anesthesia1998 · 184 citations