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Anesthesia for the Child with Mild Upper Respiratory Tract Infection: Comparison of intravenous vs. topical lidocaine

Phase 2
Conditions
Acute nasopharyngitis.
Coryza (acute)Nasal catarrh, acute Nasopharyngitis
Registration Number
IRCT138812083436N1
Lead Sponsor
Shahid Beheshti University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
130
Inclusion Criteria

All pediatric patients between 1-6 y-old whose parents mentioned mild URI symptoms (nasal discharge or congestion, cough, sneeze) started within last two weeks
No evidence of bacterial infection (axillary temperature more than 38, ill appearance evaluated by anesthesiologist in charge, purulent discharge or sputum)
No evidence of lower respiratory infection (crackle or wheeze)
No evidence of medical condition (respiratory, cardiac or neurologic)
Patients candidate for anesthesia to receive full ophthalmologic examination. These procedures were necessary to perform and further delay would have deleterious consequences.
Exclusion criteria:
Those with a probable difficult airway
Hypersensitivity to drugs
Patients who received hydrocortisone, dexamethasone or extra atropine and vasopressor
Those who required muscle relaxant due to unpredicted surgery plan change
or procedures lasting more than an hour

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cough. Timepoint: Induction, maintenance, emergence, recovery. Method of measurement: observation and questionnaire.
Secondary Outcome Measures
NameTimeMethod
Desaturation (SPO2 less than 90% for more than one minute). Timepoint: induction, maintenace, emergence and recovery (continuous). Method of measurement: pulsoximetry.;Apnea (no airflow for more than 10 seconds). Timepoint: induction, maintenace, emergence and recovery. Method of measurement: Observation.;Laryngospasm (inspiratory stridor). Timepoint: induction, maintenance, emergence and recovery (every 5 minutes). Method of measurement: observation and questionnaire.;Bronchospasm (inspiratory or expiratory wheeze). Timepoint: induction, maintenance, emergence and recovery (every 5 minutes). Method of measurement: observation and questionnaire.;Vomiting. Timepoint: induction, maintenance, emergence and recovery (every 5 minutes). Method of measurement: observation and questionnaire.;Cardiac event (any medication for cardiac support). Timepoint: induction, maintenance, emergence and recovery. Method of measurement: questionnaire.
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