Early intravenous cannulation in children during sevoflurane induction

Schwartz, Donald; Connelly, Neil Roy; Gutta, Srinivasa; Freeman, Katharine; Gibson, Charles Stanley

doi:10.1111/j.1460-9592.2004.01315.x

Cited by 27 publications

(43 citation statements)

References 10 publications

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“…Movement has been reported during sevoflurane anesthesia when i.v. access was attempted (28). Two factors increase the probability of movement in response to stimulation at induction of anesthesia: early puncture of the skin and limited depth of anesthesia.…”

Section: Inhalational Anesthesia In Pediatrics (By Jerrold Lerman)mentioning

confidence: 99%

Inhalational anesthesia vs total intravenous anesthesia (TIVA) for pediatric anesthesia

Lerman

Jöhr

2009

Pediatric Anesthesia

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Section: Inhalational Anesthesia In Pediatrics (By Jerrold Lerman)mentioning

confidence: 99%

Inhalational anesthesia vs total intravenous anesthesia (TIVA) for pediatric anesthesia

Lerman

Jöhr

2009

Pediatric Anesthesia

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“…Also, during sevoflurane induction of anesthesia, it has been recommended to insert the i.v. line 2 min after the loss of lid reflex to ensure an adequate level of anesthesia and to decrease the incidence of laryngospasm (47). Laryngoscopy and tracheal intubation should also be attempted after deepening the level of anesthesia in order to avoid laryngospasm.…”

Section: Preventionmentioning

confidence: 99%

Laryngospasm: review of different prevention and treatment modalities

Al-Alami

Ayoub

Baraka

2008

Pediatric Anesthesia

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“…Additionally, parents and children often report discomfort from multiple needle marks and bruises. One study described the number of intravenous attempts observed during mask induction with sevoflurane; however, clear fluid fasting time was not considered in the analysis . Other studies have reported factors associated with difficult vascular access outside the operating room; however, these studies did not include anesthetized children .…”

Section: Introductionmentioning

confidence: 99%

Duration of preoperative clear fluid fasting and peripheral intravenous catheterization in children: A single‐center observational cohort study of 9693 patients

Gálvez

Simpao

et al. 2019

Pediatric Anesthesia

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Background Children routinely undergo inhalational induction of general anesthesia. Intravenous line placement typically occurs after induction of anesthesia and can be challenging, particularly in infants and young children. Aims We conducted a retrospective observational study to determine whether there was an association between clear liquid fasting time and the number of peripheral intravenous catheter insertion attempts in anesthetized children. The secondary aim was to identify factors associated with multiple attempts to insert intravenous lines. Methods After institutional research board approval, we retrieved a data set of all children between 0 months and 18 years who received general anesthesia at our hospital between January 1, 2016, and September 30, 2017. Data included age, gender, weight, race, ASA status, gestational age, number of peripheral intravenous catheter insertion attempts, any assistive device for insertion, and insertion site. Inclusion criteria were mask induction, ASA status 1 or 2, nonemergency, ambulatory surgical procedures, and placement of a single intravenous line during the anesthetic. Results A total of 9693 patients were included in the study. Of which 8869 patients required one insertion attempt and 824 underwent multiple insertion attempts. 50% of patients in the single insertion attempt group had clear liquid fasting time <6.9 hours compared to 51.8% of patients requiring multiple attempts. Logistic regression model adjusted for age, ASA status, gender, and BMI did not find an association between duration of clear liquid fasting time and rate of multiple insertion attempts for intravenous catheters (OR: 0.99, 95% CI: 0.98‐1.01, P = .47). Conclusion Clear liquid fasting time was not associated with multiple insertion attempts for intravenous line insertion in children receiving general anesthesia. Factors such as patient age, ethnicity, time of day of induction of anesthesia, and American Society of Anesthesiologists Physical Status classification show a greater association with the risk of multiple intravenous line insertion attempts.

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Early intravenous cannulation in children during sevoflurane induction

Cited by 27 publications

References 10 publications

Inhalational anesthesia vs total intravenous anesthesia (TIVA) for pediatric anesthesia

Inhalational anesthesia vs total intravenous anesthesia (TIVA) for pediatric anesthesia

Laryngospasm: review of different prevention and treatment modalities

Duration of preoperative clear fluid fasting and peripheral intravenous catheterization in children: A single‐center observational cohort study of 9693 patients

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