Intranasal dexmedetomidine and intravenous ketamine for procedural sedation in a child with alpha-mannosidosis: a magic bullet?


Journal

Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759

Informations de publication

Date de publication:
03 Sep 2019
Historique:
received: 05 04 2019
accepted: 22 08 2019
entrez: 5 9 2019
pubmed: 5 9 2019
medline: 27 3 2020
Statut: epublish

Résumé

Procedural sedation is increasingly needed in pediatrics. Although different drugs or drugs association are available, which is the safest and most efficient has yet to be defined, especially in syndromic children with increased sedation-related risk factors. we report the case of a five-year-old child affected by alpha-mannosidosis who required procedural sedation for an MRI scan and a lumbar puncture. We administered intranasal dexmedetomidine (4 μg/kg) 45 min before intravenous cannulation, followed by one bolus of ketamine (1 mg/kg) for each procedure. The patient maintained spontaneous breathing and no desaturation or any complication occurred. intranasal dexmedetomidine and intravenous ketamine could be a feasible option for MRI and lumbar puncture in children with alpha-mannosidosis needing sedation.

Sections du résumé

BACKGROUND BACKGROUND
Procedural sedation is increasingly needed in pediatrics. Although different drugs or drugs association are available, which is the safest and most efficient has yet to be defined, especially in syndromic children with increased sedation-related risk factors.
CASE REPORT METHODS
we report the case of a five-year-old child affected by alpha-mannosidosis who required procedural sedation for an MRI scan and a lumbar puncture. We administered intranasal dexmedetomidine (4 μg/kg) 45 min before intravenous cannulation, followed by one bolus of ketamine (1 mg/kg) for each procedure. The patient maintained spontaneous breathing and no desaturation or any complication occurred.
CONCLUSION CONCLUSIONS
intranasal dexmedetomidine and intravenous ketamine could be a feasible option for MRI and lumbar puncture in children with alpha-mannosidosis needing sedation.

Identifiants

pubmed: 31481093
doi: 10.1186/s13052-019-0711-1
pii: 10.1186/s13052-019-0711-1
pmc: PMC6720406
doi:

Substances chimiques

Anesthetics, Dissociative 0
Hypnotics and Sedatives 0
Dexmedetomidine 67VB76HONO
Ketamine 690G0D6V8H

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

119

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Auteurs

Matteo Trevisan (M)

Department of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy.

Sara Romano (S)

Department of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy. sara.romano17@gmail.com.

Egidio Barbi (E)

Department of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy.
Department of Radiology, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.

Irene Bruno (I)

Department of Radiology, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.

Flora Maria Murru (FM)

Department of Pediatrics, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy. Via dell'Istria 65/1, 34131, Trieste, Italy.

Giorgio Cozzi (G)

Pediatric Emergency Department, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo" - Trieste, Italy. Via dell'Istria 65/1, 34131, Trieste, Italy.

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Classifications MeSH