A comparison of intranasal dexmeditomidine versus intranasal midazolamas a pre anesthetic medication in children undergoing adenotonsillectomy.

Autor: El Zoghby, Nourhan M., Mohammed, Ahmed S., El Hennawy, Ahmed M., Wahba, Ramy M.
Předmět:
Zdroj: QJM: An International Journal of Medicine; 2021 Supplement, Vol. 114, pi38-i39, 2p
Abstrakt: Background: Adenotonsillectomy is one of the most common surgical procedures performed on pediatric patients. Relieving pre- and post-operative anxiety is an important concern for the pediatric anesthesiologist. Aim of the Work: to compare dexmedetomidine with midazolam effect on preoperative sedation, the ease of children parent separation, the mask tolerance, intraoperative hemodynamics stability, emergence of anesthesia and postoperative analgesia. Patients and Methods: A Prospective, randomized and double blind controlled clinical trial was done after approval of institutional ethics committee in Ain Shams university Hospitals for 6 months and obtaining an informed written consent from parents. It was designed to include fifty pediatric patients, aged 5 to 10 years old of both genders, with physical status ASAI. Results: statistically significant increase mean of Dexmedetomidine compared to midazolam according to sedation score after 15min. to after 45min. Conclusion: Premedication with intranasal dexmedetomidine 1μg/kg attained significant and satisfactory sedation with better parent separation and lower anxiety levels without any adverse effects as compared with intranasal midazolam 0.2 mg/kg in children undergoing adenotonsillectomy. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index