在接受开放心脏手术的儿童中,与米达佐拉姆相比,经外科手术期间使用德克斯梅德托米丁:试点随机对照试验
Debbie A Long1,2,3, Kristen S Gibbons3, Christian Stocker2
1School of Nursing, Centre for Healthcare Transformation, Queensland University of Technology, Australia.
概括
与米达佐拉姆相比,德克斯梅德托米丁在接受开放心脏手术的婴儿中提供了更多的轻度镇静. 这项试点研究确定了对儿科先天性心脏病患者的镇静剂进行更大规模试验的可行性.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 对于小儿开放心脏手术的最佳镇静剂仍在调查中.
- 先天性心脏病 (CHD) 需要专门的麻醉管理.
- 在这个人群中比较德克斯梅德托米丁和米达佐拉姆的证据有限.
研究的目的:
- 评估德克斯梅托米丁与米达佐拉姆在接受心脏病开放手术的婴儿中的可行性和安全性.
- 为了比较这些药物的有效性,保持轻度镇静.
主要方法:
- 进行了一项双盲试点随机对照试验 (RCT).
- 婴儿 (≤12个月) 接受了他们的第一个CHD手术修复被录取.
- 参与者在手术前接受了德克斯梅托米丁或米达佐拉姆.
主要成果:
- 与米达佐拉姆相比,德克斯梅德托米丁与在光镇静中花费的时间显著增加 (镇静行为量表[SBS]-1至+1).
- 高招聘,保留和协议遵守率证实了可行性.
- 在临床,安全,神经发育或与健康相关的生活质量 (HRQoL) 的结果中没有发现显著差异.
结论:
- 德克斯梅德托米丁在接受心脏病开放手术的婴儿中显示出作为有效镇静剂的潜力.
- 该研究成功地确定了在这个脆弱人群中盲目的RCT的可行性.
- 需要在更大的临床试验中进行进一步的研究来证实这些发现.
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