Congenital Maxillomandibular Synechiae: Anesthetic Approach with Ketamine and Dexmedetomidine Sedation for Surgical Division of Synechiae and Tracheostomy

[...]there was also a cleft hard palate. [...]it was decided to perform gastrostomy with tracheostomy in order to protect the patient from aspiration of regurgitated gastric contents and feeding material. In order to treat the patient effectively, it is very important to secure the airways and ensur...

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Bibliographic Details
Published in:Majallah-ʼi bīmārīhā-yi kūdakān-i Īrān = Iranian journal of pediatrics 2017-10, Vol.27 (5)
Main Author: Caliskan, Esra
Format: Article
Language:English
Subjects:
Airway management
Anesthesia
Cardiac arrhythmia
Defects
Delirium
Hernias
Mouth
Newborn babies
Ostomy
Pediatrics
Surgery
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Summary:[...]there was also a cleft hard palate. [...]it was decided to perform gastrostomy with tracheostomy in order to protect the patient from aspiration of regurgitated gastric contents and feeding material. In order to treat the patient effectively, it is very important to secure the airways and ensure adequate nutrition until enough mouth opening is provided. [...]we had decided for gastrostomy and tracheostomy in our patient. (5) showed that bolus doses of ketamine 1 mg.kg-1 and dexmedetomidine 1 µg.kg-1 followed by a continuous infusion of dexmedetomidine 0.7 - 1 µg.kg-1.h-1 provided excellent anesthetic conditions to perform caudal anesthesia and inguinal hernia repair in three high-risk infants.
ISSN:2008-2142
2008-2150
DOI:10.5812/ijp.59266