Anesthesia management in pediatric adenoidectomy using plasma radiofrequency ablation Surgery
Conditions
Interventions
A single-center, prospective, randomized controlled study was conducted, selecting 256 children who underwent plasma radiofrequency adenoidectomy at Gaoming District People's Hospital in Foshan City f
Sponsors
Gaoming District People's Hospital in Foshan
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. ASA physical status I-II 2. Age 3-12 years 3. No difficult airway, Mallampati grade I-II 4. No upper respiratory tract infection in the past month 5. No neurological, cardiopulmonary, hepatic, or renal systemic diseases 6. Routine blood tests, coagulation function, electrolytes, hepatic and renal function tests, chest X-rays, and electrocardiograms show no significant abnormalities 7. Children scheduled for pediatric plasma radiofrequency adenoidectomy 8. Informed consent from the patient's family
Exclusion criteria
Exclusion criteria: Certainly! Here's the paragraph transformed into a numbered list: 1. BMI = 25 kg/m² 2. Upper respiratory tract infection, cardiopulmonary insufficiency within one month 3. Perioperative allergies 4. Unpredicted difficult airway 5. Failed intubation on the first attempt 6. Severe complications in children, such as hemorrhagic shock, anaphylactic shock, cardiac arrest, etc. 7. Changes in surgical or anesthesia plans due to medical conditions 8. Withdrawal from the study at the request of the patient's family 9. Loss to follow-up of the subjects
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Anesthesia effects: Anesthesia time, awakening time (the interval from cessation of inhalation anesthesia to eye-opening on verbal command), and PACU stay time measured using data collected from patient medical records at one time point 2. ED situation: Emergence delirium measured using the Pediatric Anesthesia Emergence Delirium (PAED) scale, which includes five items: eye contact, purposeful movement, awareness of the surrounding environment, restlessness, and inconsolability after surgery 3. Postoperative pain intensity measured using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale every 10 minutes during the first 30 minutes in the PACU 4. Parental satisfaction was measured using self-reported data on a numerical rating scale (NRS, range 0-10) 24 hours after surgery 5. Adverse reactions included dizziness, hallucinations, restlessness, laryngospasm, nausea and vomiting, hypertension (an increase in mean arterial pressure of more than 30% above baseline), and tachycardia (heart rate >120 beats per minute) measured using data collected from case reports at one time point 6. Behavioral changes three days after surgery measured using the 27-item Post-Hospital Behavior Questionnaire (PHBQ) through telephone interviews on the third day after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures. | — |
Countries
China
Contacts
Public ContactMin Wang
Outcome results
None listed