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Correspondence

Indian Pediatr 2021;58: 690

Dexmedetomidine vs Midazolam for Sedation in Mechanically Ventilated Children: Few Concerns: Authors' Reply

 

Krishna Mohan Gulla and Rakesh Lodha*

Division of Pediatric Pulmonology and Intensive Care, Department of Pediatrics, AIIMS, New Delhi.

Email: [email protected]



We thank the readers for their interest in our study [1]. The analysis was a per-protocol analysis; the same is highlighted in the study flow chart.

The errors in discussion section in the values of adverse events in dexmedetomidine group as well as the sample size are typographical errors.

The authors have opined that not giving bolus dose of dexmedetomidine could have been a contributory factor in non-establishment of non-inferiority of dexmedetomidine as compared to midazolam in our study. The median (IQR) duration of dexmedetomidine infusion was 26 (14, 48) hours and even without bolus dose, the serum levels of the drug are likely to be in the therapeutic range to cause desired sedation. Moreover, the frequency of adverse events in the dexmedetomidine group argue against the lack of therapeutic levels. Hence, we feel that bolus dose of dexmedetomidine would not have changed the outcomes.

REFERENCES

1. Gulla KM, Sankar J, Jat KR, et al. Dexmedetomidine vs midazolam for sedation in mechanically ventilated children: A randomized controlled trial. Indian Pediatr. 2021;58:117-122.

 

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