Utility and Clinical Profile of Dexmedetomidine in Pediatric Cardiac Catheterization Procedures: A Matched Controlled Analysis.
- Resource Type
- Academic Journal
- Authors
- Riveros R; 1 Department of Pediatric Anesthesia, Cleveland Clinic, Cleveland, Ohio, USA.; 2 Department of Outcomes Research, Cleveland Clinic, Cleveland, Ohio, USA.; Makarova N; 2 Department of Outcomes Research, Cleveland Clinic, Cleveland, Ohio, USA.; 3 Department of Quantitative Health Science, Cleveland Clinic, Cleveland, Ohio, USA.; Riveros-Perez E; 4 Department of Anesthesiology and Perioperative Medicine, Augusta University, GA, USA.; Chodavarapu P; 2 Department of Outcomes Research, Cleveland Clinic, Cleveland, Ohio, USA.; Saasouh W; 2 Department of Outcomes Research, Cleveland Clinic, Cleveland, Ohio, USA.; Yılmaz HO; 2 Department of Outcomes Research, Cleveland Clinic, Cleveland, Ohio, USA.; Cuko E; 4 Department of Anesthesiology and Perioperative Medicine, Augusta University, GA, USA.; Babazade R; 5 Department of Anesthesia, University of Texas Medical Branch, Galveston, TX, USA.; Kimatian S; 1 Department of Pediatric Anesthesia, Cleveland Clinic, Cleveland, Ohio, USA.; Turan A; 2 Department of Outcomes Research, Cleveland Clinic, Cleveland, Ohio, USA.; 6 Department of General Anesthesia, Cleveland Clinic, Cleveland, Ohio, USA.
- Source
- Publisher: Sage Publications Country of Publication: United States NLM ID: 9807630 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1940-5596 (Electronic) Linking ISSN: 10892532 NLM ISO Abbreviation: Semin Cardiothorac Vasc Anesth Subsets: MEDLINE
- Subject
- Language
- English
Background: Dexmedetomidine is increasingly used in children undergoing cardiac catheterization procedures. We compared the percentage of surgical time with hemodynamic instability and the incidence of postoperative agitation between pediatric cardiac catheterization patients who received dexmedetomidine infusion and those who did not and the incidence of postoperative agitation.
Materials and Methods: We matched 653 pediatric patients scheduled for cardiac catheterization. Two separate multivariable linear mixed models were used to assess the association between dexmedetomidine use and intraoperative blood pressure and heart rate instability. A multivariate logistic regression was used for relationship between dexmedetomidine and postoperative agitation.
Results: No difference between the study groups was found in the duration of MAP ( P = .867) or heart rate (HR) instabilities ( P = .224). The relationship between dexmedetomidine use and the duration of negative hemodynamic effects does not depend on any of the considered CHD types (all P > .001) or intervention ( P = .453 for MAP and P = .023 for HR). No difference in postoperative agitation was found between the study groups ( P = .590).
Conclusion: Our study demonstrated no benefit in using dexmedetomidine infusion compared with other general anesthesia techniques to maintain hemodynamic stability or decrease agitation in pediatric patients undergoing cardiac catheterization procedures.