High-dose dexmedetomidine increases the opioid-free interval and decreases opioid requirement after tonsillectomy in children.

作者: Sophie R. Pestieau , Zenaide M. N. Quezado , Yewande J. Johnson , Jennifer L. Anderson , Yao I. Cheng

DOI: 10.1007/S12630-011-9493-7

关键词: MorphineAnesthesiaOpioidDexmedetomidineSedativeAnalgesicTonsillectomyMedicineFentanylAgonist

摘要: Purpose Dexmedetomidine, a selective α2 adrenoreceptor agonist, has analgesic and sedative properties, minimal impact on respiratory parameters, reportedly decreases requirements after surgery. Given its pharmacodynamic profile, dexmedetomidine might have role for postoperative pain control in children undergoing tonsillectomy. In this study, we hypothesized that would delay decrease opioid

参考文章(30)
Yusuf Unal, Kutluk Pampal, Sibel Korkmaz, Mustafa Arslan, Aysegul Zengin, Omer Kurtipek, Comparison of bupivacaine and ropivacaine on postoperative pain after tonsillectomy in paediatric patients International Journal of Pediatric Otorhinolaryngology. ,vol. 71, pp. 83- 87 ,(2007) , 10.1016/J.IJPORL.2006.09.005
Khaled R Al-Zaben, Ibraheem Y Qudaisat, Subhi M Al-Ghanem, Islam M Massad, Mahmoud M Al-Mustafa, Abdelkarim S Al-Oweidi, Sami A Abu-Halaweh, Hamdi M Abu-Ali, Mohammad M Saleem, Intraoperative administration of dexmedetomidine reduces the analgesic requirements for children undergoing hypospadius surgery. European Journal of Anaesthesiology. ,vol. 27, pp. 247- 252 ,(2010) , 10.1097/EJA.0B013E32833522BF
Edward Lakatos, Sample sizes based on the log-rank statistic in complex clinical trials. Biometrics. ,vol. 44, pp. 229- 241 ,(1988) , 10.2307/2531910
Toby N. Weingarten, Juraj Sprung, Antolin Flores, Ana M. Oviedo Baena, Darrell R. Schroeder, David O. Warner, Opioid requirements after laparoscopic bariatric surgery. Obesity Surgery. ,vol. 21, pp. 1407- 1412 ,(2011) , 10.1007/S11695-010-0217-9
Karen A. Brown, Isabelle Morin, Chantal Hickey, John J. Manoukian, Gillian M. Nixon, Robert T. Brouillette, Urgent adenotonsillectomy: an analysis of risk factors associated with postoperative respiratory morbidity. Anesthesiology. ,vol. 99, pp. 586- 595 ,(2003) , 10.1097/00000542-200309000-00013
Olutoyin A. Olutoye, Chris D. Glover, John W. Diefenderfer, Michael McGilberry, Matthew M. Wyatt, Deidre R. Larrier, Ellen M. Friedman, Mehernoor F. Watcha, The Effect of Intraoperative Dexmedetomidine on Postoperative Analgesia and Sedation in Pediatric Patients Undergoing Tonsillectomy and Adenoidectomy Anesthesia & Analgesia. ,vol. 111, pp. 490- 495 ,(2010) , 10.1213/ANE.0B013E3181E33429
Ahmed Atef, Ahmed Aly Fawaz, Peritonsillar infiltration with tramadol improves pediatric tonsillectomy pain European Archives of Oto-Rhino-Laryngology. ,vol. 265, pp. 571- 574 ,(2008) , 10.1007/S00405-007-0479-6
Mehernoor F. Watcha, Manuel Ramirez-Ruiz, Paul F. White, M. Barry Jones, Richard G. Lagueruela, Raghu P. Terkonda, Perioperative effects of oral ketorolac and acetaminophen in children undergoing bilateral myringotomy Canadian Journal of Anaesthesia-journal Canadien D Anesthesie. ,vol. 39, pp. 649- 654 ,(1992) , 10.1007/BF03008224
C. H. WATTERS, C. C. PATTERSON, H. M. L. MATHEWS, W. CAMPBELL, Diclofenac sodium for post‐tonsillectomy pain in children Anaesthesia. ,vol. 43, pp. 641- 643 ,(1988) , 10.1111/J.1365-2044.1988.TB04147.X
Britt K. Erickson, Dirk R. Larson, Jennifer L. St. Sauver, Ryan A. Meverden, Laura J. Orvidas, Changes in incidence and indications of tonsillectomy and adenotonsillectomy, 1970-2005. Otolaryngology-Head and Neck Surgery. ,vol. 140, pp. 894- 901 ,(2009) , 10.1016/J.OTOHNS.2009.01.044