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Preincision initiation of dexmedetomidine maximally reduces the risk of junctional ectopic tachycardia in children undergoing ventricular septal defect repairs

Journal of Cardiothoracic and Vascular Anesthesia Aug 15, 2017

Gautam NK, et al. – The incidence of junctional ectopic tachycardia (JET) was assessed in cases wherein dexmedetomidine (DEX) infusion was initiated before surgical incision and cardiopulmonary bypass (CPB) versus those with initiation after CPB. In patients undergoing congenital heart surgeries involving repair of ventricular septal defect, a reduced risk of postoperative JET was significantly associated with preincision initiation of DEX and its continued use during the immediate postoperative period.
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