Intranasal dexmedetomidine in pediatrics: update of current knowledge

Autor: Angela Amigoni, Geremia Zito Marinosci, Rosa Puzzutiello, Sergio Picardo, Maria Cristina Mondardini, Francesca Vitale, Paolo Cortellazzi, Alessandra Di Palma, Cristina Navarra, Giorgio Conti, Laura Rinaldi
Rok vydání: 2019
Předmět:
Zdroj: Minerva Anestesiologica. 85
ISSN: 1827-1596
0375-9393
DOI: 10.23736/s0375-9393.19.13820-5
Popis: Intranasal dexmedetomidine, although still off-label, recently boasted an increasing consensus for different uses, namely, in diagnostic non-painful procedures, in painful procedures and in surgical premedication. However, at present, there is no consensus regarding indications, dosage and timing for administration. This article aims to provide a comprehensive literature analysis and summarize the more recent evidence of research on pediatric intranasal dexmedetomidine, in the effort to better delineate usefulness and limits for each specific indication. In summary, available pediatric evidence confirms efficacy and safety of dexmedetomidine for intranasal administration. Pharmacological profile for the various pediatric ages and procedures still needs quality studies and pharmacokinetic in-depth analysis.
Databáze: OpenAIRE