Evaluation of Dexmedetomidine Hydrochloride's Efficacy for Preoperative Sedation in Pediatric Patients Undergoing Emergency Cosmetic Suturing for Facial Trauma - Report - MDSpire

Evaluation of Dexmedetomidine Hydrochloride's Efficacy for Preoperative Sedation in Pediatric Patients Undergoing Emergency Cosmetic Suturing for Facial Trauma

  • By

  • Wenbin Gao

  • Xianpu Song

  • Yanhua Feng

  • Chuo Liu

  • April 24, 2026

  • 0 min

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Clinical Report: Evaluation of Dexmedetomidine Hydrochloride's Efficacy for Preoperative Sedation in Pediatric Patients

Overview

This study evaluates the efficacy and safety of intranasal dexmedetomidine hydrochloride for preoperative sedation in pediatric patients undergoing emergency cosmetic suturing for facial trauma. Results indicate improved sedation outcomes and cooperation during procedures without serious adverse reactions.

Background

Facial trauma in children is common and can lead to significant psychological and aesthetic concerns if not treated properly. Effective sedation is crucial for enhancing cooperation during emergency cosmetic suturing, which is essential for optimal aesthetic outcomes. Dexmedetomidine hydrochloride offers a promising non-invasive sedation option that warrants further investigation.

Data Highlights

GroupSedation Failure RateAgitation IncidenceHeart Rate (bpm)Mean Arterial Pressure (mmHg)
Study Group8.0% (8/100)Significantly lowerLowerLower
Control Group0%HigherHigherHigher

Key Findings

  • Intranasal dexmedetomidine resulted in an 8.0% sedation failure rate, all managed effectively with rescue dosing.
  • Preoperative cooperation was significantly better in the dexmedetomidine group compared to the control group.
  • The incidence of agitation was significantly lower in the study group (P < 0.01).
  • Vital signs were more stable in the dexmedetomidine group, with lower heart rates and mean arterial pressure (P < 0.05).
  • No serious adverse reactions were reported in either group.

Clinical Implications

The findings support the use of intranasal dexmedetomidine as a safe and effective sedation option for pediatric patients undergoing emergency cosmetic suturing. Clinicians should consider its benefits in improving cooperation and stabilizing vital signs during procedures.

Conclusion

Intranasal dexmedetomidine hydrochloride is an effective sedation method for children undergoing emergency cosmetic suturing, enhancing procedural cooperation and maintaining stable vital signs.

References

  1. Intensive Care Medicine, 2025 -- Dexmedetomidine's Efficacy in Managing Hyperactive Delirium Among Non-Intubated ICU Patients: Results from the 4D Randomized Clinical Trial
  2. Critical Care (Springer), 2026 -- Continuous ketamine infusion for surgical patients in the intensive care unit: a systematic review and meta-analysis of randomized controlled trials with GRADE assessment
  3. Impact of Dexmedetomidine on Systemic Inflammatory Response and Postoperative Outcomes Following Laparoscopic Pancreaticoduodenectomy: A Double-blind Randomized Trial
  4. Drugs - Real World Outcomes -- Evolving Practices in Procedural Sedation with Local Anesthesia for Catheter Ablation, Gastrointestinal Endoscopy, and Endoscopic Surgery in Japan: A Retrospective Analysis of Clinical Data from 2012 to 2015
  5. AAPD Best-Practice Guideline, 2025 -- Monitoring Sedation
  6. Intranasal dexmedetomidine for procedural sedation in children: a systematic review and meta-analysis
  7. Minimal Sedation Use for Laceration Repair in the Pediatric Emergency Department
  8. https://www.aapd.org/globalassets/media/policies_guidelines/bp_monitoringsedation25.pdf
  9. Intranasal dexmedetomidine for procedural sedation in children: a systematic review and meta-analysis
  10. Minimal Sedation Use for Laceration Repair in the Pediatric Emergency Department - ScienceDirect

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