| Dexmedetomidine/ketamine for diagnostic cardiac catheterization in a child with idiopathic pulmonary hypertension. | |
| | |
MedLine Citation:
|
PMID: 19833278 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The use of a combination of dexmedetomidine and ketamine to provide procedural sedation in a 12-year old boy with a diagnosis of idopathic pulmonary hypertension and a behavioral disorder, undergoing diagnostic cardiac catheterization, is presented. Following a loading dose of ketamine one mg/kg and dexmedetomidine one mcg/kg, an infusion of dexmedetomidine at one mcg/kg/hr was used with the patient breathing spontaneously. Stable hemodynamics were observed throughout the procedure and pulmonary vascular resistance was measured under three conditions. The dexmedetomidine infusion was continued for two hours post-catheterization, facilitating a smooth emergence. |
| | |
Authors:
|
Hamish M Munro; Donald E Felix; David G Nykanen |
Related Documents
:
|
18821628 - Multicenter trial: comparison of two different formulations and application systems of ... 11675908 - Midazolam for continuous sedation in japanese critical care patients: phase ii study. 7589618 - Follicular fluid levels of midazolam, fentanyl, and alfentanil during transvaginal oocy... 18294328 - The recovery time-course of cyp3a after induction by st john's wort administration. 9794648 - Nifurtimox plus pyrimethamine for treatment of murine toxoplasmosis. 18821628 - Multicenter trial: comparison of two different formulations and application systems of ... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of clinical anesthesia Volume: 21 ISSN: 1873-4529 ISO Abbreviation: J Clin Anesth Publication Date: 2009 Sep |
Date Detail:
|
Created Date: 2009-10-16 Completed Date: 2010-01-15 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
|
Languages: eng Pagination: 435-8 Citation Subset: IM |
Affiliation:
|
The Congenital Heart Institute, Arnold Palmer Hospital for Children, Orlando, FL 32806, USA. hamish.munro@orhs.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anesthetics, Dissociative
/
therapeutic use Child Dexmedetomidine / therapeutic use* Drug Therapy, Combination Heart Catheterization / methods* Hemodynamics / drug effects Humans Hypertension, Pulmonary / diagnosis Hypnotics and Sedatives / therapeutic use Ketamine / therapeutic use* Male Vascular Resistance / drug effects |
| Chemical | |
Reg. No./Substance:
|
0/Anesthetics, Dissociative; 0/Hypnotics and Sedatives; 113775-47-6/Dexmedetomidine; 6740-88-1/Ketamine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Does bilateral bispectral index monitoring (BIS) detect the discrepancy of cerebral reperfusion duri...
Next Document: Unexpected difficult intubation due to lingual tonsillar hyperplasia in a thoracotomy patient: intub...