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Anestesia en México
versión On-line ISSN 2448-8771versión impresa ISSN 1405-0056
Resumen
GARCIA-GONZALEZ, JL; LUEVANO-RODRIGUEZ, I y GONZALEZ-HERNANDEZ, M. Eficacia de dexmedetomidina como medicación anestésica vs midazolam en pacientes pediátricos. Anest. Méx. [online]. 2016, vol.28, n.2, pp.5-10. ISSN 2448-8771.
Anesthetic medication should be mandatory in pediatric patients, and integral and fundamental in the practice of pediatric anesthesia. The medication can be administered by various routes (oral, nasal, intramuscular, sublingual and rectal). Midazolam is the most widely used drug. However, the use of dexmedetomidine in pediatric sedation in recent years has taken priority in different situations.
Methods:
A prospective pilot study, randomized, cross was designed. Sixty children of both sexes between 5-10 years for elective surgery were included. The sample was divided into two equal groups. The M Group received oral midazolam, 1 mg/k. Group D received intranasal dexmedetomidine 0.5 mg/k. The dose was administered 30 minutes before to entering the operating room. We included the scales for sedation, separation from parents and response to venepuncture. Consolidating the results as effective or not effective medication.
Results:
Obtained effective medication in 27 patients of group D and 16 patients in the group M. Group with a relative risk of 1.52. Three boys from the Group M were eliminated by spitting the drug and none of the Group D.
Conclusion:
Both drugs are a good choice for anesthetic medication. Dexmedetomidine present better separation of children from parents at the time of transfer to the operating room. But it is not enough to practice venipuncture without causing pain.
Palabras llave : intranasal dexmedetomidine; midazolam; the anesthetic medication in children.
