Pain represents a major treatment challenge in older people with dementia. The majority of healthy older people experience regular pain and around 50% take regular analgesics. Pain is likely to be equally prevalent in people with dementia, yet only a small minority are prescribed regular analgesics. This is a key issue since recent work has provided evidence that untreated pain may be a major c...

Fluoxetine is a commonly used drug for the treatment of major depression. Its use can be associated with undesirable side effects of suicidal ideation, akathisia, and/or agitation. If these side effects are not appreciated and recognized, then they can lead to errors in ongoing diagnoses or management including non-compliance This case represents another addition to the incidence of occurrence ...

Methods. A comprehensive literature search was conducted to identify clinical trials that focused on the prevention of EA in children anaesthetized with sevoflurane, desflurane, or both. The data from each trial were combined using the Mantel–Haenszel model to calculate the pooled odds ratio (OR) and 95% confidence interval. I statistics were used to assess statistics heterogeneity and the funn...

Background: Many pediatric anesthesiologists are interested in multimodal approaches, such as acupuncture, to help manage clinical conditions commonly encountered in the perioperative setting. Methods: A review of the web-based search engine PubMed was conducted to identify research articles that covered the use of acupuncture to prevent or treat perioperative conditions in pediatric patients. ...

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...

OBJECTIVE The present study aims to evaluate intravenous ketamine and inhalation sedation in children, their unwanted side-effects and surgeon satisfaction. METHODS In this study, data of 922 children aged between 1-18 who underwent tooth extraction under sedoanalgesia in our department between September 2015-January 2016 were gathered and anesthesia approaches, unwanted side effects and surg...

BACKGROUND Emergence agitation (EA) frequently occurs after desflurane anesthesia in children. Ketamine, because of its sedative and analgesic properties, might be useful for the management of separation anxiety and EA. We investigated the preventive effect of ketamine on separation anxiety and EA after desflurane anesthesia in children for brief ophthalmic surgery. METHODS Sixty children, ra...