How is the patient premedicated for adenotonsillectomy?
The goals of premedication are anxiolysis, analgesia,
and drying of secretions.
Antisialogogues are valuable for patients
undergoing adenotonsillectomy. A dry airway assists assessment and manipulation
by both anesthesiologist and surgeon. Patients with obstructive sleep apnea should
be carefully premedicated. Oral midazolam, a common premedicant used in
pediatrics, may significantly compromise airway dynamics in the child with
obstructive sleep apnea.
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