Background:Emergence agitation (EA) is common in pediatrics after sevoflurane anesthesia.Aims:We intended to study the effect of preoperative pregabalin on EA in pediatrics after sevoflurane anesthesia.Settings and Design:This study design was a prospective randomized controlled double-blinded study.Patients and Methods:Sixty children with American Society of Anesthesiologists physical status Classes I–II, aged 4–10 years, prepared for adenotonsillectomy under sevoflurane anesthesia were randomized to two equal groups (control Group C and pregabalin Group P). Children received either placebo syrup (Group C) or pregabalin syrup 1.5 mg/kg (Group P) ½ h preoperatively. We recorded postoperative EA scale (EAS) (10, 20, and 30 min postoperatively), time to open the eye, time to extubate, postanesthesia care unit (PACU) duration of stay, number of paracetamol doses (15 mg/kg) given (to control postoperative pain), and complications as vomiting and dizziness on discharge.Statistical Analysis Used:Independent sample t-test and Chi-square test were used as appropriate.Results:Pregabalin Group P showed less EAS, less analgesic (paracetamol) requirement, and less vomiting with insignificant effects on time to open the eye or extubation and PACU duration of stay compared to control group.Conclusion:Preoperative pregabalin decreased postoperative EAS, analgesic (paracetamol) requirement, and vomiting in pediatrics after adenotonsillectomy using sevoflurane anesthesia without affecting time to open the eye or extubation and PACU duration of stay.
Background: Several complications may be correlated with difficult airway up to death. Fiberoptic bronchoscope is the gold stander to deal with difficult intubation. Airtraq laryngoscope and C-MAC® video laryngoscope are new devices that are used successfully for tracheal intubation. We compared using C-MAC D-blade video laryngoscope, Airtraq laryngoscope, and Fiberoptic bronchoscope for intubation of patient likely to have difficult intubation.
Background and aims: we aimed to compare the effects of adding dexmedetomidine vs. fentanyl as adjuvants to local anesthetic mixture in peribulbar block for retinal surgery.
Aim: We aimed to compare the effects of caudal block (CB) and paravertebral block (PVB) using dexmedetomidine plus local anesthetics on postoperative pain and analgesia requirements in pediatrics after inguinal hernia surgery.Methods: This randomized prospective study was carried out on 80 pediatric patients underwent inguinal hernia repair. Two groups (each 40 patients) were included in the study: group CB and group PVB. After a standardized general anaesthesia, caudal or lumbar paravertebral block was performed using bupivacaine (0.25%) and dexemetomidine 1 μg/kg . We recorded FLACC score, number of patients needed rescue analgesia, the total number of doses of rescue analgesia, the duration of postoperative analgesia, parents satisfaction and adverse events.Results: FLACC score was higher in group (CB) compared with group (PVB) at 12 h and 16 h postoperative. The total number of patients need postoperative analgesia and the total number of doses of postoperative analgesia were higher in group (CB) compared with group (PVB). The duration of postoperative analgesia was significantly longer in group (PVB) than group (CB) (16.25 ± 1.66 vs. 10.69 ± 1.34). Parent satisfaction was higher in group (PVB) than group (CB). No major complications were detected in both groups.Conclusion: paravertebral block (using dexmedetomidine+local anaesthetics) was associated with better postoperative analgesia and higher parents satisfaction compared to caudal block (using dexmedetomidine+local anaesthetics) for inguinal hernia repair in children.
Background: Our target was to estimate the effect of pregabalin as premedication on deliberate hypotension and quality of the surgical site during functional endoscopic surgery for nasal sinuses (FESS) and its postoperative analgesic effect.
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