A Comparison of Intranasal Dexmedetomidine and Dexmedetomidine-Ketamine Combination Sedation for Transthoracic Echocardiography in Pediatric Patients With Congenital Heart Disease: A Randomized Controlled Trial.

Journal of Cardiothoracic and Vascular Anesthesia
Mang SunGuang-Hui Wei

Abstract

To compare the effects of intranasal dexmedetomidine (DEX) and DEX-ketamine (KET) on hemodynamics and sedation quality in children with congenital heart disease. A randomized controlled, double-blind, prospective trial. A tertiary care teaching hospital. The study comprised 60 children undergoing transthoracic echocardiography (TTE). Patients were randomly allocated into the DEX group (group D [n = 30]) or the DEX-KET group (group D-K [n = 30]). Group D received 2 μg/kg of intranasal DEX; group D-K received 2 μg/kg of DEX and 1 mg/kg of KET intranasally. The primary outcome was the change in hemodynamics, measured using mean arterial pressure (MAP) and heart rate (HR). Secondary outcomes were onset time, wake-up time, and discharge time. No differences were found in mean arterial pressure or heart rate. The onset time was significantly shorter in group D-K than in group D (9.6 ± 2.9 minutes v 14.3 ± 3.4 minutes; p = 0.031). The wake-up time was longer in group D-K than in group D (52 ± 14.7 minutes v 39.6 ± 12.1 minutes; p = 0.017). The discharge time was longer in group D-K than in group D (61.33 ± 11.59 minutes v 48.17 ± 8.86 minutes; p < 0.001). No differences in hemodynamics were found between the 2 groups. Intranasal DEX w...Continue Reading

References

Sep 23, 2008·Anesthesia and Analgesia·Alex BekkerAbishabeck Pitti
Aug 20, 2009·Anesthesia and Analgesia·Mohamed MahmoudSenthilkumar Sadhasivam
Aug 4, 2012·Pediatric Emergency Care·Daniel S TszeJames G Linakis
Mar 10, 2015·The Journal of Pediatrics·Eduardo Mekitarian FilhoKeira P Mason
Jul 15, 2015·Paediatric Drugs·John W Berkenbosch
Feb 18, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jeffrey W MillerAndreas W Loepke
Jul 12, 2016·Annals of Cardiac Anaesthesia·Suruchi HasijaRavinder Kumar Pandey

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