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Strabismus surgery for children is a very common procedure, with a high incidence of emergence delerium in the recovery room. A combination of intravenous ketamine/dexmedetomidine, or ketodex, has been previously shown to reduce emergence delerium in children undergoing adenotonsillectomy. Here, we study its application in strabismus surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control | pediatric patients undergoing outpatient strabismus surgery, and not receiving ketodex | ||
| study | pediatric patients undergoing outpatient strabismus surgery, and receiving ketodex |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexmedetomidine | Drug | see descriptions |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Pediatric Anesthesia Emergence Delirium scale scores | A low total score would indicate less emergence delirium | up to 6 hours in recovery room |
| Measure | Description | Time Frame |
|---|---|---|
| wong-baker or numeric pain scores, depending on age | A low total score would indicate less pain | up to 6 hours in recovery room |
| discharge time | time the patient is actually discharged from recovery room |
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Inclusion Criteria:
Exclusion Criteria:
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Healthy children, aged 0-18 years, undergoing outpatient strabismus surgery under general anesthesia
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| Name | Affiliation | Role |
|---|---|---|
| Khaled Dajani, MD | Ochsner Health System | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ochsner Main Campus | Jefferson | Louisiana | 70121 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25770644 | Background | Hadi SM, Saleh AJ, Tang YZ, Daoud A, Mei X, Ouyang W. The effect of KETODEX on the incidence and severity of emergence agitation in children undergoing adenotonsillectomy using sevoflurane based-anesthesia. Int J Pediatr Otorhinolaryngol. 2015 May;79(5):671-6. doi: 10.1016/j.ijporl.2015.02.012. Epub 2015 Feb 19. |
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| ID | Term |
|---|---|
| D000071257 | Emergence Delirium |
| D013285 | Strabismus |
| ID | Term |
|---|---|
| D003693 | Delirium |
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
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| ID | Term |
|---|---|
| D020927 | Dexmedetomidine |
| D007649 | Ketamine |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| up to 24 hours |
| D009422 |
| Nervous System Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D015835 | Ocular Motility Disorders |
| D003389 | Cranial Nerve Diseases |
| D005128 | Eye Diseases |
| D003510 |
| Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |