The Efficacy Of Oral Dexmedetomidine As An Anesthetic Pre Operative Medication And As A Deterrent To Emergence Delirium
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The Efficacy Of Oral Dexmedetomidine As An Anesthetic Pre Operative Medication And As A Deterrent To Emergence Delirium
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Author :
language : en
Publisher:
Release Date : 2008
The Efficacy Of Oral Dexmedetomidine As An Anesthetic Pre Operative Medication And As A Deterrent To Emergence Delirium written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with categories.
Introduction: Emergence delirium (ED) is a mental disturbance sometimes occurring during recovery from general anesthesia. ED presents as hallucinations and confusion, evidenced by moaning, restlessness, involuntary physical activity, and is considered a common post-anesthetic problem in children. This study investigated the role of preoperative dexmedetomidine on parental separation anxiety and anesthesia mask acceptance and its effectiveness in reducing the incidence and severity of ED. Methods: A double-blind pilot study was conducted with 41 children, 1-6 years of age, undergoing dental restoration and/or extractions under general anesthesia. Subjects were given 4[mu]g/kg dexmedetomidine (Group A) or 0.5 mg/kg midazolam (Group B) orally, prior to anesthesia induction. General anesthesia was initiated using 6% sevoflurane in 50% O with 50% NO and was maintained 22with 0.8-1.5% isoflurane. Subjects were evaluated using the Parental Separation Tool and the Anesthesia Mask Acceptance Tool. Following extubation the subjects were transported to the post-anesthesia recovery room and evaluated using the Pediatric Anesthesia Emergence Delirium Scale. Results: There was no significant difference between Groups A and B in parental separation anxiety (P=0.138; Pearson Chi-Square) or anesthesia mask acceptance (P=0.438; Pearson Chi-Square). In addition, Group A showed no significant difference in occurrence of ED compared to Group B (P=0.313, independent t-test). Interestingly, males in Group B were 15.75 times more likely to experience parental separation anxiety than males in Group A. This difference was found to be statistically significant with P=0.011 by Pearson Chi-Square and P=0.024 by Fischer's Exact Test. Conclusions: The clinically significant finding of this investigation is that dexmedetomidine (4[mu]g/kg) is equally as effective as midazolam (0.5mg/kg) in preventing parental separation difficulty and easing acceptance of the anesthetic mask in pediatric patients 1-6 years of age. However, dexmedetomidine is not significantly effective in preventing the occurrence of ED in this pediatric patient population.
Multiple Organ Dysfunctions In Perioperative Critical Illness And The Prognosis After Anesthesia
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Author : Chenyang Duan
language : en
Publisher: Frontiers Media SA
Release Date : 2023-11-13
Multiple Organ Dysfunctions In Perioperative Critical Illness And The Prognosis After Anesthesia written by Chenyang Duan and has been published by Frontiers Media SA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-11-13 with Medical categories.
A Practice Of Anesthesia For Infants And Children
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Author : John F. Ryan
language : en
Publisher: Saunders
Release Date : 1986
A Practice Of Anesthesia For Infants And Children written by John F. Ryan and has been published by Saunders this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with Medical categories.
Improving Efficacy And Safety Of Drugs In Pediatric Population New Challenges
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Author : Domenica Altavilla
language : en
Publisher: Frontiers Media SA
Release Date : 2022-12-01
Improving Efficacy And Safety Of Drugs In Pediatric Population New Challenges written by Domenica Altavilla and has been published by Frontiers Media SA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-12-01 with Science categories.
Pediatric Anesthesia
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Author : James S. Furstein, PhD, DNAP, CRNA, CPNP-AC
language : en
Publisher: Springer Publishing Company
Release Date : 2022-08-05
Pediatric Anesthesia written by James S. Furstein, PhD, DNAP, CRNA, CPNP-AC and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-08-05 with Medical categories.
Emphasizing safety, efficacy, and evidence, this is the only text representative of the multidisciplinary effort requisite to ensure delivery of optimal pediatric anesthesia care. Featuring the expert perspectives of over 120 professionals across disciplines, this highly anticipated text is designed to meet the needs of nurse anesthesia students and certified registered nurse anesthetists responsible for providing anesthesia for infants and children. Distinguished by its multidisciplinary, practical approach, this user-friendly text delivers a comprehensive survey of all key aspects of the field, including evidence-based techniques and current trends. With brief and consistent chapters organized by body system, this text offers readers a solid foundation in pediatric anatomy, physiology, pharmacology, and anesthetic care to ensure the delivery of best practices in the clinical arena. With patient safety at the forefront, brief procedural chapters review the indications, unique aspects of the preoperative evaluation, and a step-by-step guide to delivering anesthesia for a variety of common and complex procedures, as well as clinical pearls, complications management, and postoperative care considerations. More than 35 case studies illustrate application of anesthetic techniques in practice and foster critical thinking and discussion. Abundant figures and tables illustrate key points and aid in retention. Instructor resources include an instructor's manual with additional case studies, PowerPoints, and a test bank. Key Features: Presents the entire range of anesthetic procedures organized by body system Demonstrates advanced techniques and aids retention through case studies, illustrations, tables, and images Covers special topics including fetal surgery, neonatal emergencies, transplant surgery, pain management, ERAS protocols, non-operating room anesthesia, and ethical considerations Includes online resources for emergency medication dosing, age-based parameters, antibiotic prophylaxis, and case plan templates Includes an instructor's manual with additional case studies, PowerPoints, and a test bank.
Essential Clinical Anesthesia
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Author : Charles Vacanti
language : en
Publisher: Cambridge University Press
Release Date : 2011-07-11
Essential Clinical Anesthesia written by Charles Vacanti and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-07-11 with Medical categories.
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.
The Perioperative Neurocognitive Disorders
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Author : Roderic G. Eckenhoff
language : en
Publisher: Cambridge University Press
Release Date : 2019-03-28
The Perioperative Neurocognitive Disorders written by Roderic G. Eckenhoff and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-03-28 with Medical categories.
A practical guide to perioperative cognitive disorders, the most common complications of anesthesia and surgery in older people.
Smith S Anesthesia For Infants And Children
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Author : Peter J. Davis
language : en
Publisher: Elsevier Health Sciences
Release Date : 2021-11-30
Smith S Anesthesia For Infants And Children written by Peter J. Davis and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-11-30 with Medical categories.
Written and edited by renowned experts in pediatric anesthesia, Smith's Anesthesia for Infants and Children provides clear, concise guidance on effective perioperative care for any type of pediatric surgery. The 10th Edition contains significantly revised content throughout, bringing you fully up to date with recent advances in clinical and basic science that have led to changes in today’s clinical practice. Offers comprehensive coverage of physiology, pharmacology, and clinical anesthetic management of infants and children of all ages. Contains new chapters on Airway Physiology and Development, Normal and Difficult Airway Management, Ultrasound, Acute Pain Management, Chronic Pain Management, Palliative Pain Management, Infectious Diseases, and Education; plus extensively revised content on cardiovascular physiology; induction, maintenance, and recovery; organ transplantation, and more. Features more than 100 video demonstrations, including regional anesthesia videos, echocardiograms of congenital heart lesions, anatomic dissections of various congenital heart specimens with audio explanations, various pediatric surgical operative procedures, airway management, and much more. Provides outstanding visual guidance throughout, including full-color photographs, drawings, graphs and charts, and radiographic images. Includes quick-reference appendices online: drug dosages, growth curves, normal values for pulmonary function tests, and a listing of common and uncommon syndromes. Provides an interactive question bank online for review and self-assessment.
Pediatric Anesthesia
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Author : Bruno Bissonnette
language : en
Publisher: PMPH-USA
Release Date : 2014-05-14
Pediatric Anesthesia written by Bruno Bissonnette and has been published by PMPH-USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-14 with Medical categories.
No longer merely a subspecialty, pediatric anesthesia is now a professional entity in its own right, as is amply demonstrated in this comprehensive addition to the medical and surgical literature. Pediatric Anesthesia: Basic Principles-State of the Art-Future comprises the contributions of 150 experts in the field from all over the world, providing this book with a truly global perspective. This textbook will help anesthesiologists already interested in pediatric anesthesia to the knowledge and skills inherent to the safe practice of anesthesia for infants and children.
Anesthetic Pharmacology
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Author : Alex S. Evers
language : en
Publisher: Cambridge University Press
Release Date : 2011-03-10
Anesthetic Pharmacology written by Alex S. Evers and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-03-10 with Medical categories.
In recent years our understanding of molecular mechanisms of drug action and interindividual variability in drug response has grown enormously. Meanwhile, the practice of anesthesiology has expanded to the preoperative environment and numerous locations outside the OR. Anesthetic Pharmacology: Basic Principles and Clinical Practice, 2nd edition, is an outstanding therapeutic resource in anesthesia and critical care: Section 1 introduces the principles of drug action, Section 2 presents the molecular, cellular and integrated physiology of the target organ/functional system and Section 3 reviews the pharmacology and toxicology of anesthetic drugs. The new Section 4, Therapeutics of Clinical Practice, provides integrated and comparative pharmacology and the practical application of drugs in daily clinical practice. Edited by three highly acclaimed academic anesthetic pharmacologists, with contributions from an international team of experts, and illustrated in full colour, this is a sophisticated, user-friendly resource for all practitioners providing care in the perioperative period.