5 -4 (66) 2024 - Khamraeva G.Sh., Abdullaev Kh.N. - OPTIMIZATION OF SEDATION DURING MINIMALLY INVASIVE SURGICAL MANIPULATIONS IN CHILDREN WITH ONCOHEMATOLOGICAL DISEASES
OPTIMIZATION OF SEDATION DURING MINIMALLY INVASIVE SURGICAL MANIPULATIONS IN CHILDREN WITH ONCOHEMATOLOGICAL DISEASES
Khamraeva G.Sh. Center for the Development of Professional Qualifications of Medical Workers under the Ministry of Health of the Republic of Uzbekistan, Center for Pediatric Hematology, Oncology and Clinical Immunology Tashkent, Uzbekistan
Abdullaev Kh.N. Center for the Development of Professional Qualifications of Medical Workers under the Ministry of Health of the Republic of Uzbekistan, Center for Pediatric Hematology, Oncology and Clinical Immunology Tashkent, Uzbekistan
Nurullaeva D.N. Center for the Development of Professional Qualifications of Medical Workers under the Ministry of Health of the Republic of Uzbekistan, Center for Pediatric Hematology, Oncology and Clinical Immunology Tashkent, Uzbekistan
Resume
Current anti-tumor chemotherapy programs for pediatric oncohematological disorders treatment imply diagnostic and therapeutic procedures under sedation. Based on the international own experience, this paper lists recommendations for the optimal anesthesia method for different manipulations in oncohematology.
Keywords: anesthesia, sedation, oncohematology, children, dexmedetomidine, delirium.
First page
29
Last page
35
For citation: Khamraeva G.Sh., Abdullaev Kh.N., Nurullaeva D.N. - OPTIMIZATION OF SEDATION DURING MINIMALLY INVASIVE SURGICAL MANIPULATIONS IN CHILDREN WITH ONCOHEMATOLOGICAL DISEASES//New Day in Medicine 4(66)2024 29-35 https://newdayworldmedicine.com/en/article/3758
List of References
- Amigoni A., Vettore E., Brugnolaro V., Brugnaro L., Gaffo D., Masola M., Marzollo A., Pettenazzo A. High doses of benzodiazepine predict analgesic and sedative drug withdrawal syndrome in paediatric intensive care patients. // ActaPaediatr. 2014;103:e538–e543.doi:10.1111/apa.12777
- Ávila-Alzate J.A., Gómez-Salgado J., Romero-Martín M., Martínez-Isasi S., Navarro-Abal Y., Fernández-García D. Assessment and treatment of the withdrawal syndrome in paediatric intensive care units: Systematic review. // Medicine. 2020;99:e18502. doi: 10.1097/MD.0000000000018502.
- Basker S., Singh G., Jacob R. Clonidine in paediatrics—A review. Indian J. Anaesth. 2009;53:270–280.
- Blaudszun G., Lysakowski C., Elia N., Tramèr M.R. Effect of perioperative systemic α2 agonists on postoperative morphine consumption and pain intensity: Systematic review and meta-analysis of randomized controlled trials. Anesthesiology. 2012;116:1312–1322. doi: 10.1097/ALN.0b013e31825681cb.
- Bong CL, Lim E, Allen JC et al. A comparison of single-dose dexmedetomidine or propofol on the incidence of emergence delirium in children undergoing general anaesthesia for magnetic resonance imaging. Anaesthesia 2015; 70: 393e9.
- Bong CL, Tan J, Lim S et al. Randomised controlled trial of dexmedetomidine sedation vs general anaesthesia for inguinal hernia surgery on perioperative outcomes in infants. Br J Anaesth 2019; 122: 662e70
- Capino A.C., Miller J.L., Johnson P.N. Clonidine for sedation and analgesia and withdrawal in critically ill infants and children. Pharmacotherapy. 2016; 36:1290–1299. doi: 10.1002/phar.1850.
- Cimen ZS, Hanci A, Sivrikaya GU, Kilinc LT, Erol MK. Comparison of buccal and nasal dexmedetomidine premedication for pediatric patients. Paediatr Anaesth 2013; 23: 134e8.
- Chen KZ, Ye M, Hu CB, Shen X. Dexmedetomidine vs remifentanil intravenous anaesthesia and spontaneous ventilation for airway foreign body removal in children. Br J Anaesth 2014; 112: 892e7
- da Silva P.S., Reis M.E., Fonseca T.S., Fonseca M.C. Opioid and benzodiazepine withdrawal syndrome in PICU patients: Which risk factors matter? J. Addict. Med. 2016;10:110–116. doi: 10.1097/ADM.0000000000000197.
- Dominguez K.D., Lomako D.M., Katz R.W., Kelly H.W. Opioid withdrawal in critically ill neonates. Ann. Pharmacother. 2003;37:473–477. doi: 10.1345/aph.1C324.
- Erickson S.J., Millar J., Anderson B.J., Festa M.S., Straney L., Shehabi Y., Long D.A. Dexmedetomidine sedation in mechanically ventilated critically ill children: A pilot randomized controlled trial. Pediatr. Crit. Care Med. 2020;21:e731–e739. doi: 10.1097/PCC.0000000000002483.
- Fisher D., Grap M.J., Younger J.B., Ameringer S., Elswick R.K. Opioid withdrawal signs and symptoms in children: Frequency and determinants. Heart Lung. 2013;42:407–413. doi: 10.1016/j.hrtlng.2013.07.008.
- Gorges M, West N, Deyell R, Winton P, Cheung W, Lauder G. Dexmedetomidine and hydromorphone: a novel pain management strategy for the oncology ward setting during anti-GD2 immunotherapy for high-risk neuroblastoma in children. Pediatr Blood Cancer 2015; 62: 29e34
- Kaye A.D., Urman R.D., Rappaport Y., Siddaiah H., Cornett E.M., Belani K., Salinas O.J., Fox C.J. Multimodal analgesia as an essential part of enhanced recovery protocols in the ambulatory settings. J. Anaesthesiol. Clin. Pharmacol. 2019;35:S40–S45. doi: 10.4103/joacp.JOACP_51_18.
- Madden K., Burns M.M., Tasker R.C. Differentiating delirium from sedative/hypnotic-related iatrogenic withdrawal syndrome: Lack of specificity in pediatric critical care assessment tools. Pediatr. Crit. Care Med. 2017;18:580–588. doi: 10.1097/PCC.0000000000001153.
- Mason KP, Lonnqvist PA. Bradycardia in perspective € d not all reductions in heart rate need immediate intervention. Paediatr Anaesth 2015; 25: 44e51 7. Li A, Yuen VM, Goulay-Dufay¨ S et al. Pharmacokinetic and pharmacodynamic study of intranasal and intravenous dexmedetomidine. Br J Anaesth 2018; 120: 960e8
- Mason K.P., O’Mahony E., Zurakowski D., Libenson M.H. Effects of dexmedetomidine sedation on the EEG in children. Paediatr. Anaesth. 2009;19:1175–1183. doi: 10.1111/j.1460-9592.2009.03160.x.
- Mason K.P., Park R.S., Sullivan C.A., Lukovits K., Halpin E.M., Imbrescia S.T., Cavanaugh D., Prescilla R., Fox V.L. The synergistic effect of dexmedetomidine on propofol for paediatric deep sedation: A randomised trial. Eur. J. Anaesthesiol. 2020. doi: 10.1097/EJA.0000000000001350.
- Mason KP, Zgleszewski S, Forman RE, Stark C, DiNardo JA. An exaggerated hypertensive response to glycopyrrolate therapy for bradycardia associated with high-dose dexmedetomidine. Anesth Analg 2009; 108: 906e8
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