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end of anesthesia adaptation to mask placement and IV access preoperative sedation levels [Wilton Sedation Scale (WSS)] drugs used during anesthesia induction and maintenance hemodynamic data postoperative pain [Objective Pain Scale (OPS)] and Pediatric Anesthesia Emergency Delirium (PAED) scores were recorded.
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Thus the use adequate premedication to provide anxiolysis may be beneficial for the facilitation of peaceful separation and the induction of anesthesia in these children. Pre-operative anxiety is known to prolong the induction of anesthesia and lead to new-onset of maladaptive behavior in the post-operative period.
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Background: In most of the centers of developing country no premedication is used in cases of anesthesia in paediatric population.Many centers use oral promethagine on the night before to ensure good sleep.Th ere is dilemma of using premedication with a fear of losing control over baby. Th ere are controversial results regarding the eff ectiveness of clonidine compared with …
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of the anesthesia mask; scores of 3 or 4 were considered “unsatisfactory.” This tool was used by both Shukry17 and Weldon et al22 although no psychometric data are available on this tool. The occurrence and severity of ED were measured using the Pediatric Anesthesia Emergence Delirium Scale (PAEDS). According to Sikich and Lerman10 who devel-
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10 rows· ADV6209 seems a very promising premedication drug. It has been licensed by the EU regulatory
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ADV6209 is an innovative 0.2% oral midazolam formulation initially developed in 2008 through collaboration between anaesthetists and pharmacists at CHU d’Amiens- Picardie in Northern France. The objectives were to develop a more acceptable oral midazolam formulation for use in pre-medication before general anaesthesia and moderate sedation
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These include sedative premedication parental presence at induction and various other behavioural interventions. 4 Sedative premedication is the most well-established technique and a number of drugs have been advocated. 4 Recent reports have suggested that the anxiolytic properties of midazolam together with the sedative-analgesic properties
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Mean mask acceptance score (MAS) at the time of induction was 1.7 ± 0.59 in dexmedetomidine group and 2.1 ± 0.58 in midazolam group ( P = 0.02). Conclusion: Intranasal dexmedetomidine 1 μg/kg is an effective alternative for premedication in children undergoing anesthesia and it results in better parent separation and better mask acceptance
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An abstract is unavailable.
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Apr 01 2012· Viitanen H Annila P Viitanen M Yli-Hankala A. Midazolam premedication delays recovery from propofol-induced sevoflurane anesthesia in children 1–3 yr. Can J Anaesth. 1999; 46(8) : 766 -71 17. McGraw T Kendrick A. Oral midazolam premedication and postoperative behaviour in children. Paediatr Anaesth. 1998; 8(2) : 117 -21
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Oct 04 2016· A comparison of oral midazolam and oral dexmedetomidine as premedication in pediatric anesthesia. V Jannu RS Mane MG Dhorigol CS Sanikop Department of Anesthesiology J. N. Medical College Belagavi Karnataka India Correspondence Address: Dr. V Jannu Department of Anesthesiology J. N. Medical College Belagavi 590 010 Karnataka …
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Oct 01 2016· Context Oral premedication is widely used in pediatric anesthesia to provide preoperative anxiolysis and ensure smooth induction. Midazolam is currently the most commonly used premedicant but newer drugs such as the α2-agonists have emerged as alternatives for premedication in children.
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Labelled for paediatric use oral midazolam hydrochloride in its unaltered form is not palatable. ADV6209 offers the advantage that it is a 0.2% aqueous midazolam formulation which is formulated with a gamma-cyclodextrin complex to mask the bitterness and is combined with sucralose and orange aroma.
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Background : Oral premedication with midazolam and ketamine is widely used in pediatric anesthesia to reduce emotional trauma and ensure smooth induction. However various dosing regimens when used a
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Sep 08 2016· Primex Nears Market With Oral Pediatric Sedation Solution. Switzerland’s fast growing critical-care company has submitted for approval what it believes is the first oral solution for the mild to moderate sedation of anxious children undergoing surgical and diagnostic procedures with a launch in Europe pencilled in for a year’s time.
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Pediatric Rapid Sequence Intubation A Review Gregory H. Bledsoe MD* and Stephen M. Schexnaydery Abstract: Pediatric rapid sequence intubation is a skill of great importance to emergency medicine physicians. Developing a sys-tematic strategy for approaching an emergent airway aids in the proper handling of this event.
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Premedication is important in pediatric anesthesia. This meta-analysis aimed to investigate the role of dexmedetomidine as a premedicant for pediatric patients. A systematic literature search was conducted to identify randomized controlled trials comparing dexmedetomidine premedication with midazolam or ketamine premedication or placebo in
Chat OnlineApr 29 2019· Drug: ADV6209 (=gamma-cyclodextrin-Midazolam) Drug: Midazolam. Phase 4. Detailed Description: Premedication represents an important part in the perioperative management of children and is used to reduce pre-operative stress as well as to facilitate induction of inhaled anaesthesia.
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Jul 18 2021· The preoperative management of anesthesia in children differs from that employed in adults including employing age-group appropriate language understanding the dynamics of the child''s family and assessing the patient''s developmental stage. Children are not small adults. Hence we must have an understanding of the variability of each child''s age and family …
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Dec 08 2014· Emergence delirium was evaluated using the Pediatric Anesthesia Emergence Delirium (PAED) scale in the postanesthesia care unit (PACU). Results Dexmedetomidine premedication of 1 and 2 μg·kg −1 was associated with reduction in sevoflurane from 1.92% to 1.53% and 1.23% corresponding to decrease of 20% and 36% respectively.
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