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Oral transmucosal fentanyl citrate for preanaesthetic medication of paediatric cardiac surgery patients
Author(s) -
FRIESEN R. H.,
CARPENTER E.,
MADIGAN C. K.,
LOCKHART C. H.
Publication year - 1995
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1995.tb00236.x
Subject(s) - medicine , fentanyl , anesthesia , oral surgery , surgery
Summary The safety and efficacy of oral transmucosal fentanyl citrate (OTFC) as a preanaesthetic medication were evaluated in 42 children aged two to twelve years scheduled to undergo general anaesthesia for open cardiac surgery. Patients were randomly assigned to receive either a placebo lozenge or a lozenge of 15–20 μg·kg −1 ) OTFC 45 min preoperatively and were managed in a double‐blinded manner. Heart rate, respiratory rate (RR), blood pressure, and digital pulse oximetry ( S po 2 ) were monitored throughout the study. Scoring systems were utilized to evaluate sedation, anxiety, cooperation, and ease and quality of parental separation and anaesthetic induction. Adverse effects were noted. Preoperatively, sedation was observed in both groups, but children receiving OTFC had significantly less distress at time of separation from parents. Clinically significant decreases in RR and S po 2 were observed more frequently in children in the OTFC group than in the placebo group. The authors conclude that, in paediatric cardiac surgical patients, OTFC induces preoperative sedation and facilitates separation of the patients from their parents, but is associated with decreases in respiratory rate and S po 2 that may be of clinical importance.