Pain management following myringotomy and tube placement: intranasal dexmedetomidine versus intranasal fentanyl.

ABSTRACT:

Purpose

Despite the brevity of the procedure, bilateral myringotomy and tympanostomy tube placement (BMT) can result in significant postoperative pain and discomfort. As the procedure is frequently performed without intravenous access, non-parenteral routes of administration are frequently used for analgesia. The current study prospectively compares the efficacy of intranasal (IN) dexmedetomidine with IN fentanyl for children undergoing BMT.

Methods

This prospective, double-blinded, randomized clinical trial included pediatric patients undergoing BMT. The patients were randomized to receive either IN dexmedetomidine (1 μg/kg) or fentanyl (2 μg/kg) after the induction of general anesthesia with sevoflurane. All patients received rectal acetaminophen (40 mg/kg) and the first 5

SUBMITTER: Dewhirst E 

PROVIDER: S-EPMC4160729 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature