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Challenges in paediatric ambulatory anesthesia
Current Opinion in Anesthesiology, 05/25/2012
Hanna AH et al. – Children with obstructive sleep apnea under 3 years of age and those with severe obstructive sleep apnea and comorbidities are not candidates for ambulatory surgery. Polysomnography has specific preoperative indications. Dexmedetomidine can decrease emergence agitation and has an opioid–sparing effect. Intravenous acetaminophen is presented as an opioid–sparing analgesic. Dexamethasone is effective in preventing postoperative nausea without increased risk of bleeding. Surgical techniques may affect postoperative pain.