Caudal anesthesia with sedation versus general anesthesia with local infiltration during pediatric cardiac catheterization: effect on perioperative hemodynamics and postoperative analgesia

Mohammed, Ahmed; Ebade, Abdelhay; Al-Haddad, Ahmed

doi:10.4103/1687-9090.137235

Cited by 3 publications

(2 citation statements)

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“…Mohammed et al demonstrated that deep sedation combined with caudal analgesia produced prolonged control of perioperative pain during pediatric cardiac catheterization. 29 Caudal anesthesia is an effective regional technique for sub-umbilical analgesia. The choice of local anesthetic should prioritize long duration with weak motor blockade, making 0.25% bupivacaine an ideal choice.…”

Section: Pediatricsmentioning

confidence: 99%

<p>Non-Operating Room Anesthesia: Patient Selection and Special Considerations</p>

Wong¹,

Georgiadis²,

Urman³

et al. 2020

LRA

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Non-operating room anesthesia (NORA) represents a growing field of medicine with an increasing trend in the number of cases performed over the previous decade. As a result, anesthesia providers will need to enhance their familiarity with the resources, personnel, and environment outside of the operating room. Anesthesia delivery in NORA settings should be held with the same high-quality standards as that within the operating room. This review looks at special considerations in patient selection and the preoperative, intraoperative, and postoperative periods. In addition, there is a discussion on the unique aspects of specific NORA areas and the considerations that come with them.

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Section: Pediatricsmentioning

confidence: 99%

<p>Non-Operating Room Anesthesia: Patient Selection and Special Considerations</p>

Wong¹,

Georgiadis²,

Urman³

et al. 2020

LRA

View full text Add to dashboard Cite

show abstract

“…In contrast to cardiac catheterizations in adults, which are often performed in the awake patient with local anesthesia at the puncture site, the technique is usually not feasible in children and adolescents (Vittinghoff 2009). Two basic anesthetic techniques have been used for pediatric cardiac catheterization: one based on heavy sedation that is often used in simple cases and short procedures and the other involves full GA with tracheal intubation in either spontaneously breathing or mechanically ventilated patients (Mohammed et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Midazolam–ketamine versus dexmedetomidine–ketamine combinations for anesthesia of pediatric patients undergoing cardiac catheterization

Menshawi

Fahim

2019

Ain-Shams J Anesthesiol

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Background: The aim of the current study was to compare the effects of midazolam-ketamine versus dexmedetomidine-ketamine combinations on hemodynamics, sedation level, and recovery period in pediatric patients undergoing cardiac catheterization for hemodynamic study. Patients and methods: Fifty pediatric patients undergoing cardiac catheterization for hemodynamic study were enrolled in the current study. Patients were randomly distributed to one of two equal groups: midazolamketamine group (group M) and dexmedetomidine-ketamine group (group D). The patients in group M received intravenous midazolam 0.1 mg/kg and ketamine 1 mg/kg as a bolus for induction, then received an intravenous midazolam infusion of 0.1 mg/kg/h and ketamine infusion of 1 mg/kg/h for maintenance whereas patients in group D received intravenous dexmedetomidine1μg/kg and ketamine 1 mg/kg as a bolus for induction, then received an intravenous dexmedetomidine infusion of 0.5 μg/kg/h and ketamine infusion of 1 mg/kg/h for maintenance. Mean arterial pressure (MAP), heart rate (HR), peripheral oxygen saturation (SPO 2), and sedation scores were recorded. Recovery time, perioperative adverse events, and total ketamine consumption required for anesthesia maintenance were also recorded. Results: The HR was significantly lower in group D when compared with group M at 10, 20, and 30 min of the procedure with no significant difference as regards the MAP between the two study groups. There were no statistically significant differences between the two study groups in terms of Ramsay sedation scores. Ketamine consumption in group D was significantly lower than in group M. The recovery time was significantly shorter in group D when compared with group M. Conclusion: The dexmedetomidine-ketamine combination was superior to midazolam-ketamine combination because of less intraoperative ketamine consumption required for adequate intraoperative sedation and the shorter recovery time.

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Comparative study: evaluation of the effect of sevoflurane versus isoflurane in general anesthesia for pediatric patients undergoing cardiac catheterization

Elshalakany

Salah

2022

Egyptian Journal of Anaesthesia

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Caudal anesthesia with sedation versus general anesthesia with local infiltration during pediatric cardiac catheterization: effect on perioperative hemodynamics and postoperative analgesia

Cited by 3 publications

References 0 publications

<p>Non-Operating Room Anesthesia: Patient Selection and Special Considerations</p>

<p>Non-Operating Room Anesthesia: Patient Selection and Special Considerations</p>

Midazolam–ketamine versus dexmedetomidine–ketamine combinations for anesthesia of pediatric patients undergoing cardiac catheterization

Comparative study: evaluation of the effect of sevoflurane versus isoflurane in general anesthesia for pediatric patients undergoing cardiac catheterization

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