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329925

Dexmedetomidine or magnesium to control agitations in patients undergoing tonsillectomy: randomised controlled study

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Last updated: 29 Dec 2024

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Abstract

Background
Preoperative time is a very stressful time for most patients undergoing surgery, particularly young patients. The primary goal of an anaesthesiologist is to reduce patients’ anxiety before surgery. To lessen this stress response, many anaesthetic pre-medications are used. Magnesium chloride and dexmedetomidine are two of these pre-medications that work well as sedatives. This study examined dexmedetomidine and magnesium sulphate as a pre-anaesthetic medication for kids. Dexmedetomidine and magnesium will be compared for their efficacy and safety in treating children who experience emerging anxiety after having their tonsils removed in this trial. Forty-five children between the ages of 4 and 12 years who were having elective adenotonsillectomy surgery in this comparative prospective, double-blind, randomised controlled clinical research. Children were split up into three groups: group A was given dexmedetomidine, group B was given magnesium infusion, and group C was given normal saline 0.9% infusion.
Results
Ramsay and Cravero scores revealed that children who got dexmedetomidine infusion were less agitated than those who received magnesium sulphate or normal saline infusion ( value 0.01).
Conclusions
When comparing dexmedetomidine to magnesium sulphate, there are a few advantages to its use. It can be administered as an anaesthetic medication to minors undergoing adenotonsillectomy under general anaesthesia in order to lessen postoperative agitation.

DOI

10.1186/s42077-023-00384-w

Keywords

Dexmedetomidine, Magnesium sulphate, paediatric, Adenotonsillectomy

Authors

First Name

Beshoy Gamal Nazeem

Last Name

Saad

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Affiliation

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Email

beshogemyy@gmail.com

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First Name

Basem Boles Gabriale

Last Name

Saad

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Orcid

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First Name

Ashraf EL Said Abd EL Rahman EL

Last Name

Agamy

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Mona Ahmed Abd Elmotalb

Last Name

Ammar

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Khaled Moustafa Ali

Last Name

Khalaf

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Affiliation

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Volume

15

Article Issue

1

Related Issue

44743

Issue Date

2023-01-01

Receive Date

2023-10-24

Publish Date

2023-11-03

Print ISSN

1687-7934

Online ISSN

2090-925X

Link

https://asja.journals.ekb.eg/article_329925.html

Detail API

https://asja.journals.ekb.eg/service?article_code=329925

Order

329,925

Publication Type

Journal

Publication Title

Ain-Shams Journal of Anesthesiology

Publication Link

https://asja.journals.ekb.eg/

MainTitle

Dexmedetomidine or magnesium to control agitations in patients undergoing tonsillectomy: randomised controlled study

Details

Type

Article

Created At

20 Dec 2024