Dexmedetomidine/ketamine for diagnostic cardiac catheterization in a child with idiopathic pulmonary hypertension
| Autor: | Donald E. Felix, David G. Nykanen, Hamish M. Munro |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
Cardiac Catheterization Sedation Idiopathic Pulmonary Hypertension medicine.medical_treatment Hypertension Pulmonary Loading dose medicine Humans Hypnotics and Sedatives Ketamine Dexmedetomidine Child Cardiac catheterization Anesthetics Dissociative business.industry Hemodynamics medicine.disease Pulmonary hypertension Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Vascular resistance Drug Therapy Combination Vascular Resistance medicine.symptom business medicine.drug |
| Zdroj: | Journal of clinical anesthesia. 21(6) |
| ISSN: | 1873-4529 |
| Popis: | The use of a combination of dexmedetomidine and ketamine to provide procedural sedation in a 12-year old boy with a diagnosis of idopathic pulmonary hypertension and a behavioral disorder, undergoing diagnostic cardiac catheterization, is presented. Following a loading dose of ketamine one mg/kg and dexmedetomidine one mcg/kg, an infusion of dexmedetomidine at one mcg/kg/hr was used with the patient breathing spontaneously. Stable hemodynamics were observed throughout the procedure and pulmonary vascular resistance was measured under three conditions. The dexmedetomidine infusion was continued for two hours post-catheterization, facilitating a smooth emergence. |
| Databáze: | OpenAIRE |
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