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Specifically, parents notified the physician or nurse for further evaluation once patients fell asleep after receiving medication. Parents were taught to help children awaken once the examination was finished. While we mention the role of parents in the concluding paragraph of the discussion, we wish to emphasize the extent to which we relied on parental help in collecting the data on dexmedetomidine drug effect.","publication_date":"2019,11,27","publication_name":"Pediatric Anesthesia","grobid_abstract_attachment_id":"107955784"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Single lumen, dual curvature tube for left bronchial intubation in pediatric patients","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [43200655]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" 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data-landing_url="https://www.academia.edu/110002126/Single_lumen_dual_curvature_tube_for_left_bronchial_intubation_in_pediatric_patients" data-login_uri="https://www.academia.edu/registrations/google_one_tap" data-moment_callback="onGoogleOneTapEvent" id="g_id_onload"></div><div class="ds-top-related-works--grid-container"><div class="ds-related-content--container ds-top-related-works--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="0" data-entity-id="48670366" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/48670366/Pediatric_Procedural_Sedation_Using_Dexmedetomidine_A_Report_From_the_Pediatric_Sedation_Research_Consortium">Pediatric Procedural Sedation Using Dexmedetomidine: A Report From the Pediatric Sedation Research Consortium</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="39751852" href="https://independent.academia.edu/KiranHebbar">Kiran Hebbar</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Hospital Pediatrics, 2016</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Pediatric Procedural Sedation Using Dexmedetomidine: A Report From the Pediatric Sedation Research Consortium","attachmentId":67162326,"attachmentType":"pdf","work_url":"https://www.academia.edu/48670366/Pediatric_Procedural_Sedation_Using_Dexmedetomidine_A_Report_From_the_Pediatric_Sedation_Research_Consortium","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/48670366/Pediatric_Procedural_Sedation_Using_Dexmedetomidine_A_Report_From_the_Pediatric_Sedation_Research_Consortium"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="19963314" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/19963314/A_PROSPECTIVE_EVALUATION_OF_DEXMEDETOMIDINE_FOR_NON_INVASIVE_PROCEDURAL_SEDATION_IN_CHILDREN">A PROSPECTIVE EVALUATION OF DEXMEDETOMIDINE FOR NON-INVASIVE PROCEDURAL SEDATION IN CHILDREN</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="40835792" href="https://louisville.academia.edu/JohnBerkenbosch">John Berkenbosch</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Pediatric Critical Care Medicine, 2005</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A PROSPECTIVE EVALUATION OF DEXMEDETOMIDINE FOR NON-INVASIVE PROCEDURAL SEDATION IN CHILDREN","attachmentId":41254461,"attachmentType":"pdf","work_url":"https://www.academia.edu/19963314/A_PROSPECTIVE_EVALUATION_OF_DEXMEDETOMIDINE_FOR_NON_INVASIVE_PROCEDURAL_SEDATION_IN_CHILDREN","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/19963314/A_PROSPECTIVE_EVALUATION_OF_DEXMEDETOMIDINE_FOR_NON_INVASIVE_PROCEDURAL_SEDATION_IN_CHILDREN"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="72584217" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/72584217/Dexmedetomidine_vs_Midazolam_for_Sedation_in_Mechanically_Ventilated_Children_A_Randomized_Controlled_Trial">Dexmedetomidine vs Midazolam for Sedation in Mechanically Ventilated Children: A Randomized Controlled Trial</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="108848264" href="https://aiims1.academia.edu/DaisyKhera">Daisy Khera</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Indian Pediatrics</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Dexmedetomidine vs Midazolam for Sedation in Mechanically Ventilated Children: A Randomized Controlled Trial","attachmentId":81456099,"attachmentType":"pdf","work_url":"https://www.academia.edu/72584217/Dexmedetomidine_vs_Midazolam_for_Sedation_in_Mechanically_Ventilated_Children_A_Randomized_Controlled_Trial","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/72584217/Dexmedetomidine_vs_Midazolam_for_Sedation_in_Mechanically_Ventilated_Children_A_Randomized_Controlled_Trial"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="73955014" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/73955014/Phase_IV_Open_Label_Safety_Study_Evaluating_the_Use_of_Dexmedetomidine_in_Pediatric_Patients_Undergoing_Procedure_Type_Sedation">Phase IV, Open-Label, Safety Study Evaluating the Use of Dexmedetomidine in Pediatric Patients Undergoing Procedure-Type Sedation</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="56877409" href="https://independent.academia.edu/GregoryHammer">Gregory Hammer</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Frontiers in Pharmacology</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Phase IV, Open-Label, Safety Study Evaluating the Use of Dexmedetomidine in Pediatric Patients Undergoing Procedure-Type Sedation","attachmentId":82284680,"attachmentType":"pdf","work_url":"https://www.academia.edu/73955014/Phase_IV_Open_Label_Safety_Study_Evaluating_the_Use_of_Dexmedetomidine_in_Pediatric_Patients_Undergoing_Procedure_Type_Sedation","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/73955014/Phase_IV_Open_Label_Safety_Study_Evaluating_the_Use_of_Dexmedetomidine_in_Pediatric_Patients_Undergoing_Procedure_Type_Sedation"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="24441231" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/24441231/The_Pediatric_Sedation_Unit_A_Mechanism_for_Pediatric_Sedation">The Pediatric Sedation Unit: A Mechanism for Pediatric Sedation</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="47116267" href="https://independent.academia.edu/farhadimahdi">mahdi farhadi</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Objectives. We have created a pediatric sedation unit (PSU) in response to the need for uniform, safe, and appropriately monitored sedation and/or anal-gesia for children undergoing invasive and noninvasive studies or procedures in a large tertiary care medical center. The operational characteristics of the PSU are described in this report, as is our clinical experience in the first 8 months of operation. Methods. A retrospective review of quality assurance data was performed. These data included patient demo-graphics and chronic medical diagnoses, procedure, or study performed; sedative or analgesic medication given; complications (defined prospectively); and sedation and monitoring time. Patient-specific medical records related to the procedure and sedation were reviewed if a complication was noted in the quality assurance data. Results. Briefly, the PSU was staffed with an inten-sivist and pediatric intensive care unit nurses. Patients were admitted to the PSU and assessed medically for risk factors during sedation. Continuous heart rate, respiratory rate, and pulse oximetry monitoring were used, and blood pressure was determined every 5 minutes. After sedation and stabilization, with monitoring continued, the patient was transported to the site to undergo the procedure or study. The pediatric intensive care unit nurse remained with the patient at all times. All necessary emergency equipment was transported with the patient. After the procedure or study was completed, the patient was returned to the PSU for recovery to predetermined parameters. We were able to analyze 458 episodes of sedation for this review. Procedures and studies included radiologic examinations, cardiac catheterization, orthopedic manipulations , solid organ and bone marrow biopsy, gastroin-testinal endoscopy, bronchoscopy, evoked potential measurements , and others. Patients were 2 weeks to 32 years of age. The average time from initiation of sedation to last dose of medication administered was 84 minutes. The average time from initiation of sedation to full recovery was 120 minutes. Sedative and analgesia medications use was not standardized; however, the majority of children needing sedation received propofol or midazo-lam. For patients requiring analgesia, ketamine or fenta-nyl was added. In 79 of 458 (12%) sedation episodes, complications were documented. Mild hypotension (4.4%), pulse oximetry <93% (2.6%), apnea (1.5%), and transient airway obstruction (1.3%) were the most common complications noted. Cancellation of 11 (2.4%) procedures was attributable to complications. No long-term morbidity or mortality was seen. Conclusions. Many children require sedation or anal-gesia during procedures or studies. Safe sedation is best ensured by appropriate presedation risk assessment and with monitoring by a care provider trained in resuscita-tive measures who is not involved in performing the procedure itself. Uniformity of care in a large institution is a standard met by the creation of a centralized service, with active input from the department of anesthesiology. We present the PSU as a model for achieving these goals. Pediatrics 1998;102(3). URL: http://www.pediatrics.org/ cgi/content/full/102/3/e30; conscious sedation, child, propofol, anesthesia.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The Pediatric Sedation Unit: A Mechanism for Pediatric Sedation","attachmentId":44771328,"attachmentType":"pdf","work_url":"https://www.academia.edu/24441231/The_Pediatric_Sedation_Unit_A_Mechanism_for_Pediatric_Sedation","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/24441231/The_Pediatric_Sedation_Unit_A_Mechanism_for_Pediatric_Sedation"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="115964143" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/115964143/Dexmedetomidine_for_procedural_sedation_in_children">Dexmedetomidine for procedural sedation in children</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="5800088" href="https://independent.academia.edu/amitaray">amita ray</a></div><p class="ds-related-work--metadata ds2-5-body-xs">The Cochrane library, 2017</p><p class="ds-related-work--abstract ds2-5-body-sm">This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:The primary objective of this review is to evaluate and compare the efficacy and safety of dexmedetomidine as a sedative with other pharmacological methods for procedural sedation in children.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Dexmedetomidine for procedural sedation in children","attachmentId":112225858,"attachmentType":"pdf","work_url":"https://www.academia.edu/115964143/Dexmedetomidine_for_procedural_sedation_in_children","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/115964143/Dexmedetomidine_for_procedural_sedation_in_children"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="13185213" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/13185213/Intranasal_dexmedetomidine_following_failed_chloral_hydrate_sedation_in_children">Intranasal dexmedetomidine following failed chloral hydrate sedation in children</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="32440677" href="https://ucla.academia.edu/MichaelIrwin">Michael Irwin</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Anaesthesia, 2014</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" 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translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="13" data-entity-id="101005147" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/101005147/Comparative_study_between_dexmedetomidine_and_fentanyl_for_sedation_during_mechanical_ventilation_in_post_operative_paediatric_cardiac_surgical_patients">Comparative study between dexmedetomidine and fentanyl for sedation during mechanical ventilation in post-operative paediatric cardiac surgical patients</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="223808888" href="https://independent.academia.edu/MohammedAhmed1527">Mohammed Ahmed</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Indian Journal of Anaesthesia, 2012</p><div 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