Use of dexmedetomidine and opioids as the primary anesthetic in infants and young children: A retrospective cohort study
| العنوان: | Use of dexmedetomidine and opioids as the primary anesthetic in infants and young children: A retrospective cohort study |
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| المؤلفون: | Kevin Rivera, John M. Longanecker, Weiwei Boone, Proshad N. Efune, Umar Khan, Gijo Alex, Aveline P. Jerome, Peter Szmuk, Rita Saynhalath |
| المصدر: | Pediatric Anesthesia. 30:1013-1019 |
| بيانات النشر: | Wiley, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Methyl Ethers, Mean arterial pressure, Minimum alveolar concentration, Remifentanil, Anesthesia, General, Sevoflurane, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, 030225 pediatrics, medicine, Humans, Dexmedetomidine, Child, Anesthetics, Retrospective Studies, business.industry, Infant, Retrospective cohort study, Analgesics, Opioid, Anesthesiology and Pain Medicine, Child, Preschool, Bispectral index, Anesthesia, Anesthetics, Inhalation, Pediatrics, Perinatology and Child Health, Anesthetic, business, medicine.drug |
| الوصف: | BACKGROUND Anesthetic regimens using dexmedetomidine and short-acting opioids have been suggested as potential alternatives to sevoflurane-based anesthesia in children. The primary aim of this study is to compare demographics, intraoperative characteristics, and complications of general anesthetics in which dexmedetomidine and opioids were used without sevoflurane, or in combination with a low sevoflurane concentration, in children 36 months old and younger. The secondary aim is to evaluate intraoperative bispectral index (BIS) values when available in these patients. METHODS General anesthetics performed between January 1, 2017, and May 1, 2018, in children 2 years and younger who received dexmedetomidine and remifentanil, with or without sevoflurane, were identified. Additional anesthetics performed during this time in children 36 months and younger who received dexmedetomidine and opioids and had BIS monitoring were also identified. Charts were reviewed for demographic and intraoperative variables, including drug administration and hemodynamic data. RESULTS A total of 244 patients were identified. All but 22 patients received remifentanil. Ninety-two patients received sevoflurane with a mean end-tidal concentration of 0.84% (SD 0.43). Compared to the sevoflurane group, the nonsevoflurane group received more remifentanil (median dose 0.4 μg/kg/min vs 0.2 μg/kg/min, difference of 0.1 μg/kg/min, 95% CI 0.1-0.3, P |
| تدمد: | 1460-9592 1155-5645 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0e62099dc4a4c3832b2263a9f8863e72 https://doi.org/10.1111/pan.13945 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....0e62099dc4a4c3832b2263a9f8863e72 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14609592 11555645 |
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