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Ketamine and midazolam sedation for pediatric gastrointestinal endoscopy in the Arab world

World Journal of Gastroenterology 2011年第31期17卷 3630-3635页

作者： mohamad-iqbal s.miqdady Wail A Hayajneh Ruba Abdelhadi Mark A Gilger Pediatric Department Medical SchoolJordan University of Science and Technology Pediatric Institute Sheikh Khalifa Medical Citymanaged by Cleveland ClinicAbu Dhabi Pediatric Department University of Texas Health Science CenterSan AntoniaTXSan Antonia Pediatric Department Baylor College of Medicine

AIM:To evaluate the safety and effectiveness of intravenous ketamine-midazolam sedation during pediatric endoscopy in the Arab ***:A retrospective cohort study of all pediatric endoscopic procedures performed between 2002-2008 at the shared endoscopy suite of King Abdullah University Hospital,Jordan University of science & Technology,Jordan was *** children were > 1 year old and weighed > 10 kg with American society of Anesthesiologists class 1 or *** was performed in terms of sedation-related complications(desaturation,respiratory distress,apnea,bradycar-dia,cardiac arrest,emergence reactions),adequacy of sedation,need for sedation reversal,or failure to complete the ***:A total of 301 patients(including 160 males) with a mean age of 9.26 years(range,1-18 years) were *** were premedicated with atropine;and 79.4%(239/301) had effective and uneventful *** 248(82.4%) of the 301 patients received a mean dose of 0.16 mg/kg(range,0.07-0.39) midazolam and 1.06 mg/kg(range,0.31-2.67) ketamine,respectively within the recommended dosage *** maximum midazolam dose was exceeded in 17.6% patients [34 female(F):19 male(M),P = 0.003] and ketamine in 2.7%(3 M:5 F).Maximum midazolam dose was more likely to be exceeded than ketamine(P saturation occurred in 37(12.3%) patients,and was reversible by supplemental oxygen in all except 4 who continue to have desaturation despite supplemental ***(1.3%) patients had respiratory distress and 6(2%) were difficult to sedate and required a 3rd sedative;12(4%) required reversal and 7(2.3%) failed to complete the *** developed apnea,bradycardia,arrest,or emergence ***:Ketamine-midazolam sedation appears safe and effective for diagnostic pediatric gastrointestinal endoscopy in the Arab world for children aged > 1 year and weighing > 10 kg without co-morbidities.

关键词： Pediatric endoscopy sedation Ketamine Arab

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Advances and challenges of gastrostomy insertion in children

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世界胃肠外科杂志:英文版(电子版) 2023年第9期15卷 1871-1878页

作者： Rana Bitar Amer Azaz David Rawat Mohamed Hobeldin mohamad miqdady seifeleslam Abdelsalam Pediatric Gastroenterology Sheikh Khalifa Medical CityAbu Dhabi 767451United Arab Emirates Faculty of Medicine Khalifa UniversityAbu Dhabi 767451United Arab Emirates Pediatric Gastroenterology Barts Health NHS TrustLondon E11BBUnited Kingdom Pediatric surgery Sheikh Khalifa Medical CityAbu Dhabi 767451United Arab Emirates

When oral feeding cannot provide adequate nutritional support to children,enteral tube feeding becomes a *** overall aim is to ultimately promote appropriate growth,improve the patient’s quality of life and increase carer *** tube feeding is considered appropriate on a short-term ***,gastrostomy feeding offers a more convenient and safer feeding option especially as it does not require frequent replacements,and carries a lower risk of *** tube feeding should be considered when nasogastric tube feeding is required for more than 2-3 wk as per the EsPEN guidelines on artificial enteral *** techniques can be used to insert gastrostomies in children including endoscopic,image guided and surgical gastrostomy insertion whether open or *** technique has its own advantages and *** timing of gastrostomy insertion,device choice and method of insertion is dependent on the local expertise,patient requirements and family preference,and should be individualized with a multidisciplinary team *** aim to review gastrostomy insertion in children including indications,contraindications,history of gastrostomy,insertion techniques and complications.

关键词： Laparoscopic gastrostomy Percutaneous endoscopic gastrostomy Laparo-scopic-assisted gastrostomy Laparoscopic-assisted percutaneous endoscopic gastrostomy Radiologic gastrostomy Open gastrostomy

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