Abstract:
Background
Fast-track strategies in pediatric cardiac surgery aim to achieve early extubation and reduce ICU and hospital length of stay. Dexmedetomidine may facilitate fast tracking by providing hemodynamic stability and opioid-sparing effects.
Methods
Forty pediatric patients (2–10 years) undergoing congenital heart surgery with CPB were randomized into dexmedetomidine or control groups. Recovery profile and postoperative outcomes were assessed.
Results
Dexmedetomidine significantly improved hemodynamic stability, reduced opioid consumption, enabled earlier extubation, and shortened ICU and hospital stays (P < 0.05).
Conclusion
Dexmedetomidine is a valuable adjuvant for fast-track anesthesia in pediatric cardiac surgery.
Biography:
Professor of Anesthesia & ICU & Pain management
Faculty of Medicine, Mansoura University, Egypt
Professor of Pediatric Cardiothoracic Anesthesia, Mansoura University Children Hospital (MUCH).
• Master’s degree Anesthesia & ICU & Pain management (1999)
• M.D. Anesthesia & ICU & Pain management (2004)
(I had all my training, teaching and practice at Mansoura University Tertiary Hospitals over a period of 29 years)
Consultant of Anesthesia and Intensive Care Unit
HOD of Anesthesia Department, Manager of OT and Intensive Care Unit
Kalba Hospital, EHS, UAE (from 07/01/2019 to 30/07/2024)
Consultant of Anesthesia, SKHF (from 05/08/2024 until now)
Sheikh Khalifa Hospital Fujairah (SKHF), UAE (current job)
• I Have 43 International Publications
• I Have been a speaker and chairperson in many international conferences
• I have Membership of the following Organizations:
• Egyptian Society of Anesthesia (EGSA).
• Egyptian Cardiovascular Anesthesia Society (ECTAS).
• European Resuscitation Council (ERC).
• Egyptian Medical Society of Echocardiography.
• Egyptian Society for Regional Anesthesia and Pain Medicine
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