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Dexmedetomidine for EEG sedation in children with behavioral disorders
Author(s) -
Sfriso Francesca,
Bonardi Claudia Maria,
Viaggi Francesco,
Sartori Stefano,
Boniver Clementina,
Martinolli Francesco,
Da Dalt Liviana,
Frigo Anna Chiara,
Mazza Alessandro,
Amigoni Angela
Publication year - 2020
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/ane.13293
Subject(s) - dexmedetomidine , sedation , medicine , sedative , anesthesia , bolus (digestion) , adverse effect , electroencephalography , bradycardia , heart rate , surgery , psychiatry , blood pressure
Objective To evaluate the efficacy and safety of sedation with dexmedetomidine, a highly selective α2‐agonist with sedative effect, for EEG recording in children with behavioral disorders. Material and Methods Prospective observational study on children with behavioral disorders undergoing EEG at the Pediatric Hospital in Padova, Italy. A 2 mcg/kg intravenous bolus of dexmedetomidine was administered, followed by a 1‐2 mcg/kg/h infusion. If necessary, bolus was repeated up to 3 times to reach the target level of sedation, assessed by Pediatric Sedation State Scale. Patients were fully monitored before, during and after the procedure until complete recovery. EEG recording quality, and caregivers' satisfaction were collected. Any adverse effect was registered using SIVA score. Results For this preliminary study, 19 patients were enrolled. EEG was successfully completed in all of them. Mean total dose of dexmedetomidine was 3.7 ± 1.7 mcg/kg. Adequate sedation was achieved within 11.9 ± 8 minutes. Mean time to first awakening was 30.9 ± 36.9 minutes and time to complete recovery 113.3 ± 92.7 minutes. Adverse effects (hypotension, bradycardia) were reported in 10 patients, all classified as “minor.” EEG recording quality was good or excellent. Parents' satisfaction was high in all the interviewed families. Conclusions Intravenous dexmedetomidine as a single drug showed an excellent efficacy and good safety profile for EEG recording in children with behavioral disorders.