1. Intranasal dexmedetomidine and rectal ketamine for young children undergoing burn wound procedures
- Author
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Fredrik Huss, Morten Kildal, Filip Grehn, Andrea Frestadius, and Filip Fredén
- Subjects
Anestesi och intensivvård ,medicine.drug_class ,Sedation ,medicine.medical_treatment ,Critical Care and Intensive Care Medicine ,medicine ,Humans ,Hypnotics and Sedatives ,Ketamine ,Dexmedetomidine ,Adverse effect ,Child ,Administration, Intranasal ,Retrospective Studies ,Pain, Postoperative ,Anesthesiology and Intensive Care ,business.industry ,General Medicine ,Intravenous anesthesia ,Anesthesia ,Sedative ,Procedural sedation and analgesia ,Child, Preschool ,Emergency Medicine ,Airway management ,Surgery ,medicine.symptom ,business ,Burns ,medicine.drug - Abstract
Background: Safe and effective methods for sedation and analgesia in pediatric burn patients are strongly warranted. This retrospective study of electronic health care records aims to evaluate the safety and efficacy of intranasal dexmedetomidine combined with rectal ketamine as procedural sedation for young children undergoing dressing changes and debridement of burn wounds. Methods: Documentation was analyzed from 90 procedures in 58 pediatric patients aged 120 min. Conclusion: The drug combination intranasal dexmedetomidine and rectal ketamine is a safe and reliable approach for procedural sedation and analgesia in pediatric patients undergoing burn wound procedures, producing a clinically stable sedative condition requiring only basic monitoring.
- Published
- 2022