Comparative Evaluation of Analgesic Effectiveness of Various Anesthelic Drugs in Combination with Dexmedetomidine in Children after Cardiac Surgery

ABSTRACT: In pediatric practice, for postoperative pain therapy, in addition to analgesia, sedation must also be taken into account in order to prevent the development of delirium and irritation to discomfort. Therefore, the purpose of our work was to evaluate the efficacy and safety of various forms of non–opioid drugs in combination with dexmedetomidine in children with congenital heart defects after cardiac surgery. The study included 60 children aged 2 to 4 years with congenital heart defects operated on for radical corrections of congenital heart defects in conditions of artificial circulation. The patients were divided into 2 groups, identical in anthropometric data. All patients underwent sedation and analgesia with dexmedetomidine, paracetamol and diclofenac. After the conducted examinations and observations, it was concluded that the use of non–opioid analgesics in combination with dexmedetomidine gives good results in the postoperative period, without causing any special complications from organs and systems.