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[9002918.] رقم البحث : 9002918 - |
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Dexmedetomidine versus midazolam as an adjuvant sedating agent for bone marrow aspiration in pediatric patients. / |
| تخصص البحث : General |
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SECI Oncology Journal / |
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ندي طلعت فرغلي محمد |
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محمد حسين محمد الجاسر - مؤلف رئيسي |
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Sedation, Bone marrow biopsy, ketamine, Midazolam, Dexmeditomidine |
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Background: Bone marrow aspiration/biopsy, in patients with hematological cancer, is a painful procedure and
may be repeated at regular intervals, so we compared the effects of two different sedative agents (Midazolam
and Dexmedetomidine) on haemodynamic, sedation and recovery profile in child patients undergoing bone
marrow aspiration/biopsy under conscious sedation with ketamine.
Methods: 100 Child aged 3–12 years with haematological diseases were enrolled in this randomized, double
blind study, divided into two groups:
group I: Patients received midazolam (IV infusion) 0.05 mg/kg. group II: Patients received Dexmedetomidine
(IV infusion) 0.75 µg/kg and all patients received Ketamine 1 mg/kg intravenously (IV). We started
Dexmedetomidine or midazolam infusion over 10 minutes through a peripheral venous cannula, and then 5
minutes from the start, ketamine was administered over 10–20 seconds. In both groups’ hemodynamics, sedation
times and Ramsay scores are obtained.
Results: Both dexmedetomidine -ketamine and midazolam-ketamine combinations produce stable
hemodynamics and satisfactory induction conditions in patients with hematological cancer diseases undergoing
bone marrow aspiration. These combinations provide effective sedation with only few side effects and minor
hemodynamic fluctuations. With longer sedation time and recovery time were recorded in dexmedetomidine
group versus midazolam group.
Conclusion: Dexmedetomidine ketamine is a better sedative combination than midazolam-ketamine and both
preserve hemodynamics stable.
Trial registeration.gov NCT03647579 |
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