Agitation
Conditions
Keywords
emergence agitation, pediatric patient, fentanyl, incidence of emergence agitation, severity of emergence agitation, adverse outcome from intervention
Brief summary
The propose of this study is to determine the effect of intravenous fentanyl prior the end of surgery on the incidence and severity of EA in pediatric patient.
Detailed description
Emergence agitation (EA) is a common self limiting problem after emerging from general anesthesia (GA) especially in pediatric patients. The incidence of EA in Thai population, the incidences of EA 43.2% in pediatric patients aged between 2-9 years. There have been many studies tried to reduce the incidence of EA in various ways such as Preoperative anxiety reduction method and medication. Premedication, Sedative drugs and narcotic drugs were used to reduce the incidence of EA.
Interventions
In intervention group patient received fentanyl 1 mcg/kg intravenous 15 minutes before the end of surgery.
Patient in this group received NSS (0.1ml/kg)intravenous route 15 minutes before the end of surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged between 2-9 years * IPD patient * Receiving Chloral hydrate 50mg/kg (BW\<20 kgs)or midazolam 0.1 mg /kg (BW\>20 kgs)Per oral for premedication * Scheduled for one kind of these surgeries; Otolaryngology, Ophthalmology, Urology, Orthopedic,General surgery, Plastic surgery and Cardiac catheterization.
Exclusion criteria
* ASA physical status IV-V * History of drug allergy:thiopental, fentanyl cisatracurium, chloral hydrate and diazepam
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the incidence of emergence agitation | pt was observed since emerging from anesthesia up to 60 minutes |
Secondary
| Measure | Time frame |
|---|---|
| severity of emergence agitation | pt was observed since emerging from anesthesia up to 60 minutes |
| adverse effect from intravenous fentanyl prior the end of surgery | pt was observed since emerging from anesthesia upto 60 minutes |
| post operative pain | pt was observed since emerging from anesthesia up to 60 minutes |
Countries
Thailand