Evidence map›Paper›PMID 42311919›Full record

ArticlePaediatric & neonatal pain2026

Behavioral Changes in Children Are Uncommon 4 Weeks After Procedural Sedation and Analgesia With Intranasal Dexmedetomidine and Nitrous Oxide.

Anna Nikula, Malin Ryd-Rinder, Stefan Lundeberg, Mitja Lääperi, Maaret Castrén, Lisa Kurland

Abstract read
In one paragraph

Article in Paediatric & neonatal pain, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anna NikulaDepartment of Emergency Medicine and Services Helsinki University Helsinki Finland.ORCID https://orcid.org/0009-0007-0263-8728
Malin Ryd-RinderDepartment of Emergency Care for Children, Astrid Lindgren Children's Hospital, Department of Women's and Children's Health Karolinska Institute Stockholm Sweden.
Stefan LundebergDepartment of Pediatric Anesthesia and Intensive Care, Astrid Lindgren Children's Hospital Karolinska University Hospital Stockholm Sweden.
Mitja LääperiLääperi Statistical Consulting Helsinki Finland.
Maaret CastrénDepartment of Emergency Medicine and Services Helsinki University Helsinki Finland.
Lisa KurlandDepartment of Medical Sciences Örebro University Örebro Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Painful procedures requiring sedation and analgesia are commonly performed in pediatric emergency departments. However, there is little knowledge about the possible delayed effects of procedural sedation and analgesia on children's behavior. The aim of the current study was to examine children's behavioral changes 4 weeks after procedural sedation and analgesia with intranasal dexmedetomidine and nitrous oxide. Parents of the children who participated in a clinical trial comparing intranasal dexmedetomidine and nitrous oxide for procedural sedation and analgesia during painful procedures were interviewed 4 weeks after procedural sedation and analgesia. The Post Hospitalization Behavior Questionnaire was used for the parental interviews by phone to evaluate changes in children's behavior. Behavioral changes were reported in 13 of 128 (10.2%) children, of which eight experienced negative behavioral changes and five positive changes. Young age was associated with negative behavioral changes; median age was 5.7 years in children with negative behavioral changes and 9.4 years in children with no behavioral changes (

Indexed as

behavioral changeschildrenprocedural sedation and analgesia

Identifiers

PMID42311919
PMCPMC13270210

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.