Comparison of three scoring criteria to assess discharge from post anesthesia care unit in paediatric patients undergoing laparoscopic surgery under general anesthesia:An Observational Study

After receiving approval from the Institutional Ethical Committee and registration in CTRI, Children who satisfy the specified criteria will be chosen to take part in the study. Written and informed consent will be mandatory from the parents/guardians of patients who are taking part in the study. Assent will be acquired from children who are above the age of seven. A thorough preoperative assessment will be performed the day before the procedure. Younger children will get premedication consisting of Inj. Midazolam and Inj. Ketamine as per the Institutional protocol. The child will be administered IV Fentanyl and IV Propofol as per the Institutional protocol for induction. The initiation of neuromuscular paralysis will be achieved using either Inj. Atracurium or Inj. Rocuronium, based on the discretion of the overseeing anesthesiologist. The maintenance of anaesthesia will be accomplished by utilising a mixture of oxygen and sevoflurane. The reversal of the neuromuscular blockade will be accomplished with intravenous administration of Neostigmine and Glycopyrrolate. The child will be relocated to the Post-Anesthesia Care Unit (PACU). Every patient will be assessed for the time taken to discharge from the Post-Anesthesia Care Unit (PACU) using all the three scores. The time duration required to attain a score of ≥9 in the Modified Aldrete score, ≥9 in the Modified postanesthetic discharge score, and ≥12 in the White’s fast-track score will be documented. The quantity of opioids and antiemetics administered throughout the perioperative period will be documented. All adverse complications will be recorded in the Post-Anesthesia Care Unit (PACU) and 24 hours after being discharged from the PACU.