Best Technique for Pediatric Anesthesia
Conditions
Brief summary
Compare recovery profile from TIVA and that of total inhalational anesthesia in ambulatory pediatric tonsillectomy and which strategy is more safe and less cost and more smooth in pediatric anesthesia.
Detailed description
Complications in pediatric anesthesia can happen even in our modern hospitals with the most advanced equipment and skilled anesthesiologists. Typical complications in pediatric anesthesia are respiratory problems , medication errors , difficulties with intravenous puncture , and pulmonal aspiration. In postoperative setting , nausea and vomiting , pain , emergence delirium can be mentioned as typical complications. The choice of anesthetic agent and techniques can influence the occurrence of these complications and thus delay in discharge.
Interventions
DRUGPropofol
All children will undergo anesthesia via Propofol bolus injection in induction then Propofol infusion in maintenance of anesthesia and will be given after total recovery, Cetal suppositories as postoperative analgesia
DRUGSevoflurane
All children will undergo anesthesia via Sevoflurane will be given during induction then through maintenance of anesthesia and will be given after total recovery, Cetal suppositories as post operative analgesia
Sponsors
Assiut University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
4 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* child between 4 to 10 years * without co morbidity * ASA score 1 * mallampati score 1 and 2
Exclusion criteria
* child below 4 years and above 10 years * child with co morbidity * ASA score above 1 * mallampati score 3 and 4
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| level of consciousness score | About 20 minutes after stopping anesthesia and emergence from anesthesia begin | * Awake =2 * Arousal with minimal stimulation =1 * Responsive only to tactile stimulation =0 * No score 0 is required & High score mean more safe and better method of anesthesia . |
| physical activity score | About 20 minutes after stopping anesthesia and emergence from anesthesia begin | * Able to move on command =2 * Some weakness in movement = 1 * Unable to voluntarily move = 0 * No score 0 is required & High score mean more safe and better method of anesthesia . |
| hemodynamic stability score | About 20 minutes after stopping anesthesia and emergence from anesthesia begin | * Blood pressure \< 15% of baseline MAP value =2 * Blood pressure 15%-30% of baseline MAP value =1 * Blood pressure \< 30% below baseline MAP value =0 * No score 0 is required & High score mean more safe and better method of anesthesia . |
| respiratory stability score | About 20 minutes after stopping anesthesia and emergence from anesthesia begin | * Able to breathe deeply = 2 * Tachypnea with good coughs =1 * Dyspneic with weak cough = 0 * No score 0 is required & High score mean more safe and better method of anesthesia . |
| Oxygen saturation score | About 20 minutes after stopping anesthesia and emergence from anesthesia begin | * Maintain value \> 90% on room air = 2 * Requires supplemental O2 to maintain value \> 90% = 1 * So2 \< 90% with supplemental O2 = 0 * No score 0 is required & High score mean more safe and better method of anesthesia . |
| post operative pain score | About 20 minutes after stopping anesthesia and emergence from anesthesia begin | * None or mild = 2 * Moderate to severe pain controlled =1 * Persistent severe pain = 0 * No score 0 is required & High score mean more safe and better method of anesthesia . |
| post operative emetic score | About 20 minutes after stopping anesthesia and emergence from anesthesia begin | * None or mild nausea with no active vomiting = 2 * Transient vomiting =1 * Persistent moderate to severe nausea and vomiting=0 * No score 0 is required & High score mean more safe and better method of anesthesia . |
Outcome results
None listed