Source:http://linkedlifedata.com/resource/pubmed/id/11916786
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2002-3-27
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pubmed:abstractText |
The effects of clonidine on minimum alveolar concentration for tracheal extubation (MAC-ex) have not been elucidated. Clonidine may lead to prolonged emergence from anesthesia. We investigated the effects of oral clonidine premedication on MAC-ex and examined the emergence properties of sevoflurane in children. Sixty ASA physical status I pediatric patients, aged from 2 to 9 yr, were randomly divided into one of three groups and received placebo, clonidine 2 microg/kg, or clonidine 4 microg/kg (n = 20 each) orally, 100 min before the induction of anesthesia. The induction of anesthesia, tracheal intubation, and maintenance of anesthesia were performed with sevoflurane in air and oxygen. MAC-ex was defined according to the modification of Dixon's up-and-down method, with 0.25% as a step size. In addition, in the Control and 4 microg/kg groups, the time from tracheal extubation to spontaneous eye opening (eye-opening time) and the time from tracheal extubation to leaving the operating room (awakening time) were recorded. MAC-ex for sevoflurane (mean +/- SD) was 1.63% +/- 0.13%, 1.04% +/- 0.26%, and 0.66% +/- 0.09% respectively in the Control group, 2 microg/kg group, and 4 microg/kg group. Significant differences were observed among the three groups. The eye-opening times were 5.7 +/- 3.5 min in the Control group and 5.1 +/- 1.0 min in the 4 microg/kg group. The awakening times were 9.7 +/- 3.7 min in the Control group and 9.2 +/- 3.8 min in the 4 microg/kg group. No significant differences were observed among the groups. IMPLICATIONS: Oral clonidine premedication decreased MAC for tracheal extubation for sevoflurane dose dependency and did not prolong emergence from anesthesia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic alpha-Agonists,
http://linkedlifedata.com/resource/pubmed/chemical/Anesthetics, Inhalation,
http://linkedlifedata.com/resource/pubmed/chemical/Clonidine,
http://linkedlifedata.com/resource/pubmed/chemical/Methyl Ethers,
http://linkedlifedata.com/resource/pubmed/chemical/sevoflurane
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0003-2999
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
94
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
863-6, table of contents
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:11916786-Adrenergic alpha-Agonists,
pubmed-meshheading:11916786-Anesthesia, General,
pubmed-meshheading:11916786-Anesthesia Recovery Period,
pubmed-meshheading:11916786-Anesthetics, Inhalation,
pubmed-meshheading:11916786-Child,
pubmed-meshheading:11916786-Child, Preschool,
pubmed-meshheading:11916786-Clonidine,
pubmed-meshheading:11916786-Device Removal,
pubmed-meshheading:11916786-Double-Blind Method,
pubmed-meshheading:11916786-Humans,
pubmed-meshheading:11916786-Intubation, Intratracheal,
pubmed-meshheading:11916786-Methyl Ethers,
pubmed-meshheading:11916786-Preanesthetic Medication,
pubmed-meshheading:11916786-Pulmonary Alveoli
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pubmed:year |
2002
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pubmed:articleTitle |
The reduction in minimum alveolar concentration for tracheal extubation after clonidine premedication in children.
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pubmed:affiliation |
Department of Anesthesiology, Institute of Clinical Medicine, University of Tsukuba, Tsukuba City, Ibaraki, Japan.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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