Use of dexmedetomidine for fast-track anesthesia in noncomplex pediatric cardiac surgery
Joint Authors
Kamal, Iman Muhammad
Abd al-Aziz, Hibah Fuad
Abu Sayf, Iman Kamal
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 9, Issue 2 (30 Jun. 2016), pp.165-169, 5 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2016-06-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Topics
Abstract EN
Introduction Fast-track anesthesia technique is now an important aspect for reducing or eliminating the adverse effects of prolonged postoperative ventilation together with reducing ICU and hospital length of stay.
This study was conducted to evaluate the effect of using dexmedetomidine as an adjuvant drug for fast-track technique in pediatric cardiac surgery.
Patients and methods Sixty patients of both sexes with ages ranging from 1 to 12 years indicated for correction of noncomplex congenital heart diseases with cardiopulmonary bypass (CPB) were included in this study.
After standard inhalational induction using sevofl urane for all patients, they were randomly classifi ed into two groups of 30 each.
In the dexmedetomidine group (group D), the patients received an initial bolus dose of dexmedetomidine (0.4 mg / kg) over 10 min, followed by continuous infusion of 0.5 mg/kg/h until the end of CPB.
In the propofol group (group P) the patients received an initial bolus dose of propofol (2 mg/kg) over 30 s, followed by infusion at rate of 0.5 mg / kg / min until the end of CPB.
Results There were significant differences between the two groups (P < 0.05).
As regards hemodynamics, heart rate was higher in the propofol group, whereas mean arterial pressure was higher in the dexmedetomidine group.
Moreover, total dose of fentanyl, time of extubation in ICU, postoperative pain score, and need for postoperative analgesia were signifi cantly higher in the propofol group.
Conclusion Dexmedetomidine helps in fast-track anesthesia in pediatric cardiac surgery and has many desirable effects that encourage its use in the perioperative period
American Psychological Association (APA)
Kamal, Iman Muhammad& Abd al-Aziz, Hibah Fuad& Abu Sayf, Iman Kamal. 2016. Use of dexmedetomidine for fast-track anesthesia in noncomplex pediatric cardiac surgery. Ain Shams Journal of Anesthesiology،Vol. 9, no. 2, pp.165-169.
https://search.emarefa.net/detail/BIM-688210
Modern Language Association (MLA)
Kamal, Iman Muhammad…[et al.]. Use of dexmedetomidine for fast-track anesthesia in noncomplex pediatric cardiac surgery. Ain Shams Journal of Anesthesiology Vol. 9, no. 2 (Apr. / Jun. 2016), pp.165-169.
https://search.emarefa.net/detail/BIM-688210
American Medical Association (AMA)
Kamal, Iman Muhammad& Abd al-Aziz, Hibah Fuad& Abu Sayf, Iman Kamal. Use of dexmedetomidine for fast-track anesthesia in noncomplex pediatric cardiac surgery. Ain Shams Journal of Anesthesiology. 2016. Vol. 9, no. 2, pp.165-169.
https://search.emarefa.net/detail/BIM-688210
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 169
Record ID
BIM-688210