Parental Satisfaction With Anesthesia Without Intravenous Access for Myringotomy

Abstract

To evaluate the effect of intravenous (IV) access in children undergoing bilateral myringotomy with pressure-equalizing tube placement. Design: One hundred healthy children were enrolled in this randomized controlled study. One group received IV access; the other group did not. Anesthesia in both groups was induced through a mask and maintained with oxygen, nitrous oxide, and sevoflurane. Spontaneous ventilation was maintained. All children received fentanyl, 1 µg/kg intramuscularly. Children with IV access received 20 mL/kg of lactated Ringer's solution. Parents were telephoned the day after surgery to report on pain and vomiting, as well as their satisfaction with anesthesia. Setting: Tertiary care children's hospital with all procedures performed by attending pediatric otolaryngologists and otolaryngology residents. Anesthesia was administered by a pediatric anesthesiologist and a trainee.

Is Intravenous Access Necessary in Pediatric Patients Undergoing Ophthalmologic Examinations Under Anesthesia? A Prospective Observational Study

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Can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?

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Anesthetic complications during general anesthesia without intravenous access in pediatric ophthalmologic clinic: assessment of 5216 cases

“…In a survey of infants and parents following myringotomies, the group without IV exhibited greater satisfaction and lower pain scores than those with IV placement. 4 The results of our survey also suggest that pain management was successful in other institutions where routine IV is not placed, as seen in Table 5. Therefore, we believe that IV access for the purpose of administering analgesic drugs is not typically necessary for EUA and similar procedures.…”