Emergence agitation (EA) can be a distressing side effect of pediatric anesthesia. We retrospectively reviewed the records of 7 pediatric oncology patients who received low-dose ketamine in conjunction with propofol for total intravenous anesthesia (TIVA) repeatedly for radiation therapy. EA signs were observed in all 7 patients in association with propofol TIVA but did not recur in any of 123 ...

background: emergence delirium (ed) is a frequent postoperative complication in children. its prevalence is about 25-80% and is observed more commonly with rapid-acting volatile anesthetics than the older inhalation agents. methods: 30 patients aging between 2 to 8 years were included in this randomized double blind study. we compared the effect of combination of two anesthetic drugs, propofol-...

Abstract Cranioplasty is a procedure in which the bone flap replaced after decompressive craniotomy, once patient’s condition stabilizes. Rapid recovery important this surgery for recognizing early complications and immediate intervention. Newer inhalation agents such as desflurane sevoflurane are widely used neurosurgery. But not much research has been done anesthetic management elective crani...

BACKGROUND Emergence agitation (EA) in children is increased after sevoflurane anesthesia. Propofol and dexmedetomidine have been used for prophylactic treatment with controversial results. The aim of the present study was to compare the effect of a single dose of propofol or dexmedetomidine prior to termination of sevoflurane-based anesthesia on the incidence and severity of EA in children. ...

BACKGROUND Administration of dexmedetomidine (DEX) in the pediatric population for its sedative, analgesic, and anxiolytic properties has been widely reported, despite there being no label indication approved by the U.S. Food and Drug Administration for pediatric patients. Infusions of DEX, rather than bolus administration, are recommended to attenuate the hemodynamic response caused by the α2-...

BACKGROUND Sevoflurane is commonly usedin pediatric anesthesia due to its non-irritating airway properties, and rapid induction and emergence. However, it is associated with emergence agitation (EA) in children. EA may cause injury to the child or damage to the surgical site and is a cause of stress to both caregivers and families. The efficacy of remifentanil and additional alfentanil on EA in...

BACKGROUND The main goal of endodontic treatment is to achieve cleaning and shaping prior to the filling process. OBJECTIVE This study aimed to evaluate, using atomic absorption spectrometry, the release of Calcium ions after the use of different chelating agents and protocols of agitation. METHOD Ninety human canine teeth were randomly assigned to one of nine groups (n=10), as follows: 1) ...