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Deep Sedation for Pediatric Parotid Sialendoscopy in Juvenile Recurrent Parotitis

Sialendoscopy is a minimally invasive diagnostic and therapeutic tool for juvenile recurrent parotitis (JRP); the procedure is under general anesthesia, but local anesthesia has been used for sialendoscopy in children >8 years. Based on the experience in children with sedation for gastrointestina...

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Autores principales: Capaccio, Pasquale, Palermo, Andrea, Lucchinelli, Paolo, Marchesi, Tiziana, Torretta, Sara, Gaffuri, Michele, Marchisio, Paola, Pignataro, Lorenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828661/
https://www.ncbi.nlm.nih.gov/pubmed/33451162
http://dx.doi.org/10.3390/jcm10020276
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author Capaccio, Pasquale
Palermo, Andrea
Lucchinelli, Paolo
Marchesi, Tiziana
Torretta, Sara
Gaffuri, Michele
Marchisio, Paola
Pignataro, Lorenzo
author_facet Capaccio, Pasquale
Palermo, Andrea
Lucchinelli, Paolo
Marchesi, Tiziana
Torretta, Sara
Gaffuri, Michele
Marchisio, Paola
Pignataro, Lorenzo
author_sort Capaccio, Pasquale
collection PubMed
description Sialendoscopy is a minimally invasive diagnostic and therapeutic tool for juvenile recurrent parotitis (JRP); the procedure is under general anesthesia, but local anesthesia has been used for sialendoscopy in children >8 years. Based on the experience in children with sedation for gastrointestinal endoscopy, we investigated the reliability and safety of deep sedation for sialendoscopy in JRP. Six children (3 females, 6–13 years) with episodes of parotid swelling underwent interventional (duct dilation and steroid irrigation) sialendoscopy with intravenous bolus of 1 mg/kg propofol and 1 mcg/kg fentanyl, and continuous infusion of 2 mg/kg/h propofol. Sialendoscopy under deep sedation was successfully performed in all the patients; the procedure was well tolerated, without any adverse effects. One event of full awakening was registered and promptly solved without needing to interrupt the procedure. Effectiveness of sialendoscopy under deep sedation was subjectively attested by high positive scores obtained at post-operative standardized questionnaires administered to the patients and their parents, and objectively by the lack of clinical recurrences during the follow-up. The combination of propofol and fentanyl seems to be a reliable and safe means of sedating children with JRP undergoing sialendoscopy.
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spelling pubmed-78286612021-01-25 Deep Sedation for Pediatric Parotid Sialendoscopy in Juvenile Recurrent Parotitis Capaccio, Pasquale Palermo, Andrea Lucchinelli, Paolo Marchesi, Tiziana Torretta, Sara Gaffuri, Michele Marchisio, Paola Pignataro, Lorenzo J Clin Med Article Sialendoscopy is a minimally invasive diagnostic and therapeutic tool for juvenile recurrent parotitis (JRP); the procedure is under general anesthesia, but local anesthesia has been used for sialendoscopy in children >8 years. Based on the experience in children with sedation for gastrointestinal endoscopy, we investigated the reliability and safety of deep sedation for sialendoscopy in JRP. Six children (3 females, 6–13 years) with episodes of parotid swelling underwent interventional (duct dilation and steroid irrigation) sialendoscopy with intravenous bolus of 1 mg/kg propofol and 1 mcg/kg fentanyl, and continuous infusion of 2 mg/kg/h propofol. Sialendoscopy under deep sedation was successfully performed in all the patients; the procedure was well tolerated, without any adverse effects. One event of full awakening was registered and promptly solved without needing to interrupt the procedure. Effectiveness of sialendoscopy under deep sedation was subjectively attested by high positive scores obtained at post-operative standardized questionnaires administered to the patients and their parents, and objectively by the lack of clinical recurrences during the follow-up. The combination of propofol and fentanyl seems to be a reliable and safe means of sedating children with JRP undergoing sialendoscopy. MDPI 2021-01-13 /pmc/articles/PMC7828661/ /pubmed/33451162 http://dx.doi.org/10.3390/jcm10020276 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Capaccio, Pasquale
Palermo, Andrea
Lucchinelli, Paolo
Marchesi, Tiziana
Torretta, Sara
Gaffuri, Michele
Marchisio, Paola
Pignataro, Lorenzo
Deep Sedation for Pediatric Parotid Sialendoscopy in Juvenile Recurrent Parotitis
title Deep Sedation for Pediatric Parotid Sialendoscopy in Juvenile Recurrent Parotitis
title_full Deep Sedation for Pediatric Parotid Sialendoscopy in Juvenile Recurrent Parotitis
title_fullStr Deep Sedation for Pediatric Parotid Sialendoscopy in Juvenile Recurrent Parotitis
title_full_unstemmed Deep Sedation for Pediatric Parotid Sialendoscopy in Juvenile Recurrent Parotitis
title_short Deep Sedation for Pediatric Parotid Sialendoscopy in Juvenile Recurrent Parotitis
title_sort deep sedation for pediatric parotid sialendoscopy in juvenile recurrent parotitis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828661/
https://www.ncbi.nlm.nih.gov/pubmed/33451162
http://dx.doi.org/10.3390/jcm10020276
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