Catheterization
Conditions
Keywords
Sevoflurane, Catheterization, Anesthetics Inhalation, child
Brief summary
This interventional simple-blind,randomized trial has included 90 children of American Society of Anesthesiologist (ASA) physical status I or II aged between 1 to 12 years of either sex, scheduled for for outpatient minor surgery under general anesthesia. This study examined whether one should make iv attempts during the early induction period (at 60 seconds) or lately (90 or 120 s) and waiting until the child receives additional sevoflurane inhalation anesthesia.
Detailed description
We conducted a prospective randomized study, after obtaining Institutional review board approval, which didn't require written parental consent. Children age 1-12 years, undergoing elective general anesthesia via an inhalation induction were randomized to one of three groups of 30 patients each one, for iv placement, either 60s (group E), 90 or 120 s (group L) following loss of lid reflex. Movement on iv placement and incidence of laryngospasm were determined. Difficulty with iv placement was also recorded. Statistical analysis included contingency testing, ANOVA, and non parametric testing. A P-value \<0.05 was considered significant.
Interventions
OTHERDifficulty of catheterization in group 60 s
OTHERDifficulty of catheterization in group 90 s
OTHERDifficulty of catheterization in group 120 s
Sponsors
Leila mansali stambouli
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
particippant, investigator, outcomes assessor
Intervention model description
randomized and crossover assignemnt
Eligibility
Sex/Gender
ALL
Age
1 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* children with American Society of Anesthesiologist (ASA) physical status I or II * age between 1 and 12 years of either sex, * were scheduled for outpatient minor surgery under general anesthesia
Exclusion criteria
* age \<1 and \>12 years * patients with full stomach * a history of gastric reflux * history of convulsions, cardiovascular or neuromuscular disease * suspected difficult airway and hyper-reactive airway disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success of intravenous insertion | from the end of study period of time after the loss of eyelash reflex to successful cannulation less than 30 seconds | success insertion of intravenous cannula was achieved at the first attempt less than 30 seconds |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| limb movement | from the end of study period of time after the loss of eyelash reflex to successful cannulation less than 30 seconds | The movement was classified using the scale: (0 No movement, 1 movement) The incidence of laryngospasm was defined as the sudden complete or partial loss of air exchange with concurrent loss of a capnographic wave. The movement was classified using the scale: (0 No movement, 1 movement) The incidence of laryngospasm was defined as the sudden complete or partial loss of air exchange with concurrent loss of a capnographic wave. • The movement was classified using the scale: (0 No movement, 1 movement) • The movement was classified using the scale: (0 No movement, 1 movement) The limb movement was classified using the scale:0 No movement, 1 movement) |
Other
| Measure | Time frame | Description |
|---|---|---|
| laryngospasm | from the end of study period of time after the loss of eyelash reflex to successful cannulation less than 30 seconds | laryngospasm was defined as the sudden complete or partial loss of air exchange with concurrent loss of a capnographic wave. |
Outcome results
None listed