Home > Journals > Indian Journal of Anesthesia and Analgesia

Indian Journal of Anesthesia and Analgesia

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Effect of Dexmedetomidine on Emergence Characteristics in Children Undergoing Adenotonsillectomy Using Sevoflurane Anaesthesia

James Chacko, Additional Professor, Department of Anaesthesiology, Government Medical College, Thrissur-680596 Kerala, India. , James Chacko* , Vineetha G. Gopal** , Shaji K.R.***

Author Information

Licence:



Indian Journal of Anesthesia and Analgesia 4(2):p 441-446, April - June 2017. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4217.13

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: Sevoflurane, a widely used volatile anaesthetic in children is associated with an increased risk of emergence agitation. Agitation can lead to increased bleeding from the operative sites, pulling out drains or catheters and often a major cause of dissatisfaction for parents and health care providers. Dexmedetomidine, a newer alpha 2 adrenoreceptor agonist, hassedative, analgesic and anxiolytic actions A i m :This study was to evaluate the effect of a single dose of dexmedetomidine given before extubation, on reducing emergence agitation. Method and Materials: In this prospective study, 60 children aged 3–8 years, scheduled for adenotonsillectomy were divided into two groups.Induction and maintenance of anaesthesia was with sevoflurane. One among the two groups received dexmedetomidine 0.3mcg in 10ml normal saline 10 minutes before extubation and the other group did not receive dexmedetomidine. Emergence agitation was assessed on a 5 point Watcha scale.Adverse airway events during extubation like coughing or breath holding and adverse hemodynamic effects such as bradycardia, hypotension and the time taken for recovery were also assessed.  Results: Incidence and severity of emergence agitation was significantly reduced in children who received dexmedetomidine prior to extubation (p value <0.05). No significant difference was noted in the incidence of adverse airway events, adverse hemodynamic effects and time taken for recovery. Conclusions: A single dose of dexmedetomidine 0.3 mcg, given prior to extubation significantly reduces the emergence agitation seen after sevoflurane anaesthesia. Administration of dexmedetomidine was not associated with any adverse effects on hemodynamics or recovery.
 

 

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4217.13

Keywords

Sevoflurane; Dexmedetomidine; Emergence Characteristics; Adenotonsillectomy.

Article Level Metrics

Last Updated

Monday 13 July 2026, 06:17:13 (IST)

5648

Accesses

3
678
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share