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The Effect of Magnesium Supplementation During General Anesthesia on the Quality of Postoperative Recovery in Children

Not Applicable
Completed
Conditions
Emergence Delirium
Interventions
Drug: Saline
Registration Number
NCT03132701
Lead Sponsor
Seoul National University Hospital
Brief Summary

Evaluation of prevention of emergence delirium and analgesic effect of magnesium on children

Detailed Description

Children \< 8 years old who scheduled for elective opthalmic surgery are randomly assigned to Magnesium (Mg) group and control group. Before anesthetic induction, modified Yale Preoperative Anxiety Scale (m-YPAS) is assessed. Routine anesthetic induction is performed, and neuromuscular blocker is not used. Laryngeal mask airway is inserted and controlled ventilation is started.

In Mg group, Mg of 30 mg/kg is administered for 10 minutes and then continuously infused (10mg/kg/hr) until 5 minutes before surgery end. In control group, the similar volume of saline is infused.

Pediatric Anesthesia Emergence Delirium (PAED) scale and pain score (Modified Children's Hospital of Eastern Ontario Pain Scale, CHEOPS) will be measured immediately after and 30 minutes after surgery.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
66
Inclusion Criteria
  • Children aged between 2 and 7 years
  • American Society of Anesthesiologist physical status 1 and 2
  • Children scheduled for opthalmic surgery
Exclusion Criteria
  • Allergy history to any drugs
  • Risk of malignant hyperthermia
  • Neuromuscular disease
  • With arrhythmia
  • Any pulmonary, cardiac, hepatic and renal disease
  • Obesity

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control groupSalineSaline is administered with same volume of Mg of magnesium group until 5 minutes before surgery ends
Magnesium groupMagnesiumMg is administered with dose of 30 mg/kg for 10 minutes and then 10 mg/kg/hr until 5 minutes before surgery ends
Primary Outcome Measures
NameTimeMethod
Emergence delirium30 minutes after anesthesia

Pediatric Anesthesia Emergence Delirium (PAED) scale

Secondary Outcome Measures
NameTimeMethod
Pain scoreAt each two points: during emergence in operating room and 30 minutes after surgery ends

Modified Children's Hospital of Eastern Ontario Pain Scale, CHEOPS)

NauseaAt each two points: during emergence in operating room and 30 minutes after surgery ends

visual analogue scale

Duration of post-anesthetic care unit (PACU) stayDuring 1 hour after surgery at PACU

Duration of post-anesthetic care unit (PACU) stay

vomitingAt each two points: during emergence in operating room and 30 minutes after surgery ends

number

Trial Locations

Locations (1)

SNUH

🇰🇷

Seoul, Jongro Gu, Korea, Republic of

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