Cochrane · systematic review · CD002052

Intravenous midazolam infusion for sedation of infants in the neonatal intensive care unit

Ng, E, Taddio, A, Ohlsson, A · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 6 · 100%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Comparison

Population: neonates requiring intubation and ventilation
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality during hospital stay
RR 0.79 [0.4, 1.56]3 studies · 122 participantsModerate
Length of NICU stay (days)
5.4 [0.4, 10.5]2 studies · 89 participantsModerate
PIPP score during drug infusion Range of scale 0‐21 for infants < 28 weeks' PMA and 0‐18 for infants > 36 weeks' PMA. Lower score = less pain (Stevens 1996)
no estimate extracted1 study · 43 participantsModerate
Poor neurological outcome by 28 days' postnatal age
RR 1.34 [0.5, 3.56]1 study · 43 participantsModerate

Comparison

Population: neonates requiring intubation and ventilation
2 questions
OutcomeEffectEvidenceStatus / GRADE
PIPP score during drug infusion Range of scale 0‐21 for infants < 28 weeks' PMA and 0‐18 for infants > 36 weeks' PMA. Lower score = less pain (Stevens 1996)
MD 11 study · 46 participantsModerate
Poor neurological outcome by 28 days' postnatal age
RR 7.64 [1.02, 57.21]1 study · 46 participantsModerate