Children, Hernia, Inguinal
Conditions
Keywords
BIS, TIVA, İNFUSİON, İNGUİNAL HERNİA
Brief summary
This study compares the effects of anesthesia using target-controlled infusion (TCI) and inhalation methods on pediatric patients undergoing inguinal hernia repair. The main outcomes include intraoperative hemodynamic stability and postoperative recovery characteristics. Sixty children were randomized to receive either total intravenous anesthesia (TIVA) via the Eleveld model or inhalation anesthesia with sevoflurane. The study aims to evaluate which method is safer and more effective in pediatric surgical anesthesia.
Detailed description
This prospective, randomized, controlled study was conducted to evaluate the effects of two anesthesia techniques-target-controlled infusion using total intravenous anesthesia and inhalation anesthesia-on intraoperative hemodynamic stability and postoperative recovery quality in pediatric patients undergoing elective inguinal hernia repair. A total of 60 patients aged 3 to 12 years were randomly assigned to either the TIVA group, which received propofol via TCI using the Eleveld pharmacokinetic model, or the inhalation group, which received sevoflurane-based anesthesia. Standard monitoring included bispectral index (BIS), oxygen saturation (SpO₂), heart rate, and blood pressure measurements. Recovery was assessed using modified Aldrete scoring. A consistent anesthesia depth (BIS 40-60) and standardized ventilatory strategies were maintained for all participants. The aim of this study is to provide comparative data on the safety, efficacy, and recovery profiles of both anesthesia methods in the context of pediatric surgical care.
Interventions
DEVICETarget Controlled İnfusion
TCI (Target-Controlled Infusion) is a method used to maintain the dose and rate of anesthesia drugs within a target concentration range set by the anesthetist. This system delivers drugs intravenously to the patient using a computer-controlled pump. The anesthetist adjusts the drug concentration to achieve the desired depth of anesthesia. This method provides more precise control over anesthesia and facilitates maintaining the depth of anesthesia within the desired range.
In the inhalation anesthesia group, maintenance sevoflurane anesthesia will be applied after routine induction.
Sponsors
TC Erciyes University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
3 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Children aged 3-12 years * Patients weighing over 10 kilograms * Patients who will undergo inguinal hernia surgery * ASA (American Society of Anesthesiologists) classification I and II pediatric patients.
Exclusion criteria
* Absence of systemic illness. * ASA (American Society of Anesthesiologists) classification III pediatric patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Aldrete Scoring System | after surgery 1 hours | The effects on recovery were monitored within the first hour of the postoperative period using the Modified Aldrete Scoring System (MASS). Totally 0-10 points can be given by MASS. Higher scores predicts better recovery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| blood pressure (mmHg) | after surgery 1 hours | The blood pressure of the patients will be measured and recorded in mmHg at five-minute intervals from the beginning until the first postoperative hour. |
| heart rate (Beats/minute) | after surgery 1 hours | The heart rate of the patients will be measured and recorded in mmHg at five-minute intervals from the beginning until the first postoperative hour. |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTORÖzlem OZ GERGİN, MD
TC Erciyes University
Outcome results
None listed