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Use of Dexmedetomidine in Pediatric Cardiac Anesthesia by Daniela Kiski; Edward Malec; Christoph Schmidt is a Medicine article available to read on EtoBox.

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## Purpose of review: In recent years, ultrafast-track anesthesia with on-table extubation and concepts of accelerated postoperative care have gained increasing support in pediatric congenital cardiac surgery. it is believed that such approaches might ideally combine economic benefits with a striving for continuous improvement of patient outcomes. the present review summarizes the role of dexmedetomidine (dex) in this setting. ## Recent findings: Dex is a clinical multipurpose drug that mediates its diverse responses through the activation of α2-adrenoreceptors. in pediatric cardiac surgery it has various applications. used as a premedication, dex provides arousable sedation and anxiolysis. as an intraoperative adjunctive agent of balanced general anesthesia the primary objectives for its administration are attenuation of the neuro-humoral stress response and facilitation of early extubation. during icu treatment dex spares opioids, prevents the risk of postoperative delirium or emergence agitation and impacts on important patient-centered outcomes, such as duration of mechanical ventilation, restart of enteral nutrition or length of icu stay. ## Summary: Due to a favorable mix of

Who reads Use of Dexmedetomidine in Pediatric Cardiac Anesthesia?

Author

Daniela Kiski; Edward Malec; Christoph Schmidt

Publisher

Lippincott Williams and Wilkins; Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins; Lippincott Williams & Wilkins Ltd.; Ovid Technologies (Wolters Kluwer Health) (ISSN 0952-7907)

Published

2019

Language

EN

Field

Medicine (Health Sciences)