Premedication is important in pediatric anesthesia. This meta-analysis aimed to investigate the role of dexmedetomidine as a premedicant for pediatric patients. A systematic literature search was conducted to identify randomized controlled trials comparing dexmedetomidine premedication with midazolam or ketamine premedication or placebo in children. Two reviewers independently performed the stu...

background : emergence agitation is a transient confusional state that usually occurs within 10 to 30 minutes of recovery from general anesthesia. it may lead to serious consequences and increasing hospital costs. this study evaluates the effect of gabapentin on emergence agitation in patients undergoing breast cancer surgery. methods : this randomized, double blind controlled trial enrolled 10...

Emergence agitation preventive medicine should be combined with pediatric anesthesia because of the high frequency of emergence agitation. However, it is challenging to determine the most appropriate medication that can be introduced into pediatric anesthesia for the sake of emergence agitation prevention. We reviewed and retrieved the data from PubMed and Embase. Various medications were asses...

gence agitation, UK-based anaesthetists (58%) preferred propofolandopioids forprevention andwouldwait for spontaneous resolution (54.4%). Parental presence for treatment of emergence agitation was allowed in more than 60% in UK responses and more than 40% in Italian responses. The majority of Italian respondents (66%) discuss before operation the possible presentation of emergence agitation, wh...

Emergence delirium (ED) also referred to as emergence agitation (EA) is a well documented phenomenon occurring in children and adults in the immediate postoperative period. With the recent popularity of the newer inhalation agents desflurane and sevoflurane, numerous clinical studies have been published questioning the association of these anesthetics with an increased incidence of emergence de...

conclusions administration of gabapentin before surgery can reduce pain after lgbp. furthermore, it is not accompanied by significant short-term adverse effects. results the mean pain score in the group receiving gabapentin was significantly lower than the placebo group (p < 0.001). indications and dose of opioid consumption between the two groups were not statistically significant. incidence o...

BACKGROUND We conducted a randomized trial to evaluate the opioid-sparing effect of an intraoperative infusion of dexmedetomidine (DEX) after craniotomy. METHODS Sixty adult patients scheduled for craniotomy were divided randomly into group A (DEX infusion at 0.5 μg/kg/h for 10 min and then adjusted to 0.2 to 0.5 μg/kg/h from tracheal intubation to incision suturing) and group B (0.9% saline ...

PURPOSE To compare the effects of intravenous infusion of ketamine and propofol anesthesia in children undergoing strabismus surgery. METHODS Sixty pediatric patients aged 4-11 years were enrolled for the study. Patients in Group K were infused ketamine 1-3 mg/kg/hr (n = 30) and patients in Group P were infused with propofol 6-9 mg/kg/hr (n = 30). After giving fentanyl 1 mug/kg and rocuronium...