Efficacy and safety of intranasal dexmedetomidine vs. oral chloral hydrate sedation for transthoracic echocardiography in infants with congenital heart disease aged under 3 months: a retrospective study - Takeaways - MDSpire

Efficacy and safety of intranasal dexmedetomidine vs. oral chloral hydrate sedation for transthoracic echocardiography in infants with congenital heart disease aged under 3 months: a retrospective study

  • By

  • Jingjing Lv

  • Lihong Jin

  • June 25, 2026

  • 0 min

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  • 1

    This study compares intranasal dexmedetomidine and oral chloral hydrate for sedation in infants under 3 months with congenital heart disease.

  • 2

    A total of 383 infants were analyzed, showing higher initial sedation success rates with dexmedetomidine compared to chloral hydrate.

  • 3

    Sedation onset and discharge times were significantly shorter in the dexmedetomidine group than in the chloral hydrate group.

  • 4

    The decline in heart rate was greater in the dexmedetomidine group, but no severe adverse reactions were reported.

  • 5

    Low body weight and prolonged fasting time were identified as independent risk factors affecting sedation success rates.

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