Anesthesia
Conditions
Keywords
Right lateral, Induction, Children, Anesthesia
Brief summary
The quality of induction with sevoflurane, along with its ability to generate optimal conditions for Laryngeal Mask Airway (LMA) insertion without supplemental opioids or muscle relaxants, has also been well documented. An ideal inhalation induction technique besides being rapid and comfortable for the patient should be economical. To achieve rapidity, use of vital capacity breaths with 8% sevoflurane is a more popular method of induction compared with the conventional incremental induction.
Detailed description
100 pediatric patients (age range, 1 to 8 years) scheduled for lower abdominal surgery under anesthesia will be included. All children in both groups will be premedicated with midazolam, 0.5 mg/kg orally, about 30 minutes before the induction of anesthesia. A parent or guardian accompanied the child into the operating room to allow the child to remain calm and cooperative for inhalation induction. Before induction, pulse oximetry and electrocardiogram monitoring will be attached. For each group, inhalation induction was initiated using a face mask using tidal volume and vital capacity breathing in high sevoflurane concentration (8%).
Interventions
PROCEDUREsupine position
Anesthesia induction with sevoflurane for the patient while he is in supine position.
PROCEDURERight lateral position
Anesthesia induction with sevoflurane for the patient while he is in right lateral position.
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 8 Years
Healthy volunteers
No
Inclusion criteria
* Children aged 1 years to 8 years * Children with ASA class I/II and their willingness to participate in the study
Exclusion criteria
* Known seizure disorder * Craniofacial abnormalities/difficult airway * Cardiopulmonary or neuromuscular defects * Hepatic or renal insufficiency * Expected difficult intravenous (IV) cannulation (eg, dark complexion, obese) * Catching colds during the past four weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Induction time | an expected 30 minutes | The time from starting induction of anesthesia until successful insertion of the LMA (seconds) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| LMA trials (Number of patients in each group required insertion of an LMA more than once) | an expected 60 minutes | Number of patients in each group required insertion of an LMA more than once |
| Blood pressure | Duration of from starting induction of anesthesia till LMA an expected average of 60 minutes | Systolic, diastolic and mean blood pressure mm Hg |
| Heart rate | Duration of from starting induction of anesthesia till LMA an expected average of 60 minutes | Heart rate beats per minute |
| Oxygen saturation | Duration of from starting induction of anesthesia till LMA an expected average of 60 minutes | Oxygen saturation % |
Countries
Egypt
Outcome results
None listed