Dexmedetomidina y analgesia perioperatoria en niños

Rebollar, Ramón Eizaga; Palacios, M.V. García; Riobó, M. del Carmen Fernández; Morera, Luis Miguel Torres

doi:10.1016/j.redar.2021.03.013

Cited by 7 publications

(2 citation statements)

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“…Es importante mencionar que la mayoría de los fármacos analgésicos utilizados en niños, no siempre cuentan con los permisos de las instituciones reguladoras locales. Su uso generalmente es extrapolado de estudios realizados en población adulta y no siempre están disponibles las presentaciones más adecuadas [4], [5], [7], [11], [14], [16], [18].…”

Section: -Técnicas Farmacológicasunclassified

“…El registro realizado por PRAN (Pediatric Regional Anesthesia Network) con más de 100.000 bloqueos regionales incluyendo neuroaxiales y periféricos concluyeron que el uso de anestesia regional en niños es seguro, con mínimas fallas en relación con el uso de catéteres y esta ha sido el efecto adverso más común 4% [18], [21] que es más seguro con anestesia general o sedado que despierto. Los niños despiertos tienen 7 veces más probabilidad de complicaciones [21].…”

Section: Coadyuvantesunclassified

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Estrategias analgésicas para cirugía ambulatoria en niños

2021

Rev. chil. anest.

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During the last decades, there has been a significant growth in ambulatory surgeries. Literature, unfortunately, tells us that more than 75% of children have pain during the postoperative period, when they have been discharged, and 40% of these children have mild to severe pain. Caregivers turn to the surgeon, pediatrician or the clinic, places where usually there is no pain management specialist. Frequently, even when pain is evident, children get inadequate treatment. It is inadequate to say that children don't remember or don't respond to a painful experience at the same level as adults do. Many of the transmission and perception nerve tracts are developed in early life, being present and in function since week 24 of intrauterine gestation. The mistreated pain has immediate and long-term consequences. For clinicians, it is of utmost importance the knowledge of these consequences, summarizing, lifestyle deterioration, extended usage of (analgesics) painkillers and onset of persistent or chronic pain. Toddlers are not able to describe their pain or their subjective experience, due to this, the caregiver must learn how to evaluate properly. This evaluation is intended for every pediatric patient who meets the criteria for an ambulatory surgery. The main objective is to highlight the importance of a safe and effective analgesic management. The most appropriate method to treat postoperative severe pain is multimodal, which involves nonpharmacological, pharmacological, and local anesthetic techniques. The patients' selection, the early anesthetic strategy planning and caregivers' education are the keys for success.

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