Quality of recovery in children: sevoflurane versus propofol

Picard, Valérie; Dumont, Lionel; Pellégrini, M

doi:10.1034/j.1399-6576.2000.440315.x

Cited by 116 publications

(112 citation statements)

References 12 publications

(13 reference statements)

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“…The degree of postoperative pain, sore throat and throat discomfort were not evaluated, even though these can affect the incidence of agitation. 19,20 Paediatric pain is difficult to quantify and may mimic postoperative emergence agitation. 20 The age range of the patients in the present study was wide, ranging from 2 to 7 years, resulting in a large difference in the ability to express pain.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Use of Laryngeal Mask Airway and Its Removal in a Deeply Anaesthetized State Reduces Emergence Agitation after Sevoflurane Anaesthesia in Children

Lee

et al. 2011

J Int Med Res

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Section: Discussionmentioning

confidence: 99%

“…This estimate was based on a previous report comparing the incidence of emergence agitation after sevoflurane and propofol anaesthesia, 20 with a 25% decrease in incidence regarded as clinically significant.…”

Section: Statistical Analysesmentioning

confidence: 99%

Use of Laryngeal Mask Airway and Its Removal in a Deeply Anaesthetized State Reduces Emergence Agitation after Sevoflurane Anaesthesia in Children

Lee

et al. 2011

J Int Med Res

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“…Ancak, sevofluran ve propofol anestezisinin karşılaştı-rıldığı bir başka çalışmada, propofol anestezisi alan çocuklarda, derlenme daha hızlı olmasına karşın, postoperatif ajitasyon insidansı sevofluran grubunda belirgin olarak daha yüksek bulunmuştur. (17,18) Mayer ve ark. 'nın (19) sevofluran indüksiyonu sonrasında anestezi idamesinde desfluran ve sevofluranı karşılaştırdığı bir çalışmada da, desfluran alan grupta derlenmenin daha hızlı olduğu, postoperatif ajitasyonunun ise sevofluran grubunda anlamlı olarak yüksek olduğu gösterilmiştir.…”

Section: Gereç Ve Yöntemunclassified

The Effect of Gabapentin Premedication on the Emergence Delirium in Pediatric Patients Undergoing Circumcision Under Sevoflurane Anesthesia

Dönmez¹,

Salman²,

Sülemanji³

et al. 2012

J Turk Anaesth Int Care

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ÖZETAmaç: Gabapentin anksiyolitik ve analjezik etkileri nedeniyle kullanılan antiepileptik bir ajandır. Gabapentinin perioperatif dönemde kullanımı son yıllarda çalışılmıştır.Biz bu çalışmada gabapentinin sevofluran anestezisi altında sünnet yapılan çocuklarda postoperatif analjezik tüketi-mine ve derlenme ajitasyonu üzerine etkisini incelemeyi amaçladık.Gereç ve Yöntem: Yaşları 3'ten büyük 25 ASA I-II grubu sünnet yapılacak çocuk, bu prospektif randomize çalışmaya dahil edildi. Gabapentin grubuna(grup G,n=12) 15 mg kg -1 gabapentin 10 mL salin içinde operasyondan ½ sa önce verildi. Kontrol grubuna (grup K, n=13) ise 10 mL salin verildi. Sevofluran tek anestetik ajan olarak kullanıldı. Cerrahiden önce tüm çocuklara penil blok uygulandı. Vital parametreler, preoperatif anksiyete skorları, göz açma süresi, Modifiye Aldrete skorları ve derlenme ajitasyon skorları kaydedildi. Postoperatif 24. saatte toplam analjezik tüketim, aile memnuniyeti ve yan etkiler sorgulandı.Bulgular: Demografik veriler, preoperatif anksiyete skorları, vital parametreler, Modifiye Aldrete skorları, operasyon süresi, göz açma süresi, postoperatif ağrı skorları, 24 saatlik toplam analjezik tüketim, aile memnuniyeti skoru gruplar arasında benzerdi. Postoperatif 10. dk. derlenme skoru gabapentin grubunda anlamlı olarak düşüktü.Sonuç: Kısıtlı sayıda hasta üzerinde yapılan bu çalışmada, preoperatif oral gabapentinin postoperatif ağrı ve total analjezik tüketimi üzerine etkisi gösterilememiştir. Postoperatif 10. dk. derlenme skoru anlamlı olarak düşüktür.Anahtar kelimeler: Gabapentin, deliryum, pediatri SUMMARY The Effect of Gabapentin Premedication on the Emergence Delirium in Pediatric Patients Undergoing Circumcision Under Sevoflurane AnesthesiaObjective: Gabapentin, an anticonvulsant drug, has been used for its analgesic and anxiolytic properties. The use of gabapentin in the perioperative setting has been studied in recent studies involving adults. In this study, we aimed to investigate the effect of gabapentine on the postoperative analgesic consumption and emergence delirium of pediatric patients undergoing circumcision under sevoflurane anesthesia.Material and Methods: Twenty-five ASA I-II children >3 years of age undergoing circumcision under sevoflurane anesthesia were included in this prospective randomized study. Gabapentin 15 mg kg -1 dissolved in 10 mL saline was given to group G (n=12) children orally 30 min. prior to surgery. Control group (n=13) received 10 mL of saline. Sevoflurane is used as sole anesthetic agent. Penile block was performed to all patients before surgery. Vital signs, preoperative anxiety scores, time to eye openning, Modified Aldrete scores, emergence agitation scores were recorded. All parents were contacted 24 hours after surgery to evaluate pain, total analgesic consumption at 24 hr, family satisfaction, and any side effects.Results: Demographic data, preoperative anxiety scores, vital signs, Modified Aldrete scores, operation time, time to eye opening, postoperative pain scores and total analgesic consumpti...

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“…4,17 However, anesthesia with propofol also favors rapid emergence, but with lower agitation incidence rates than those observed with sevoflurane. 27 Furthermore, gradually reducing the concentration of sevoflurane, resulting in more prolonged emergence, did not result in a reduction in the incidence of agitation associated with this agent. 28 Emergence agitation -da Silva LM et al…”

Section: Inhaled and Intravenous Anestheticsmentioning

confidence: 99%

Agitação no despertar da anestesia em crianças: aspectos atuais

Silva¹,

Braz²,

Módolo³

2008

J. Pediatr. (Rio J.)

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Objective: Postoperative agitation in children is a well-documented clinical phenomenon with incidence ranging from 10% to 67%. There is no definitive explanation for this agitation. Possible causes include rapid awakening in unfamiliar settings, pain (wounds, sore throat, bladder distension, etc.), stress during induction, hypoxemia, airway obstruction, noisy environment, anesthesia duration, child's personality, premedication and type of anesthesia. The purpose of this paper is to discuss the possible causes of postoperative agitation in children, providing a foundation for better methods of identifying and preventing this problem.Sources: MEDLINE and PubMed were searched using the following words: emergence, agitation, incidence, etiology, diagnosis, treatment, children, pediatric, anesthesia. Summary of the findings:This study includes a review of potential agitation trigger factors and a proposal for a standardized diagnostic score system, in addition to measures to improve prevention and treatment. Conclusion:No single factor can identified as the cause of postoperative agitation, which should therefore be considered a syndrome made up of biological, pharmacological, psychological and social components, and which anesthesiologists and pediatric intensive care specialists should be prepared to identify, prevent and intervene appropriately as necessary.

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Quality of recovery in children: sevoflurane versus propofol

Abstract: In children, recovery from anaesthesia with sevoflurane results in a higher incidence of agitation compared with propofol.

Cited by 116 publications

References 12 publications

Use of Laryngeal Mask Airway and Its Removal in a Deeply Anaesthetized State Reduces Emergence Agitation after Sevoflurane Anaesthesia in Children

Use of Laryngeal Mask Airway and Its Removal in a Deeply Anaesthetized State Reduces Emergence Agitation after Sevoflurane Anaesthesia in Children

The Effect of Gabapentin Premedication on the Emergence Delirium in Pediatric Patients Undergoing Circumcision Under Sevoflurane Anesthesia

Agitação no despertar da anestesia em crianças: aspectos atuais

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