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Bispectral Index to Guide Intubation in Pediatric Anesthesia

Not Applicable
Completed
Conditions
Anesthesia
Interventions
Registration Number
NCT02806596
Lead Sponsor
University of Liege
Brief Summary

This prospective study aimed to determine the minimal level of Bispectral index needed for quality laryngoscopy before ear, nose and throat surgery in children.

Detailed Description

* Children will received intra-rectal premedication based on midazolam 0.4mg

* Children will be monitored according to standard guidelines

* One blinded anesthesiologist will be in charge of anesthesia induction and the other one will be in charge of data collection (end tidal sevoflurane concentration, sevoflurane minimal alveolar concentration, bispectral index) and guidance of induction according to the predetermined bispectral index (up and down allocation)

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • American Society Anesthesiology physical status classification system :1 or 2
  • scheduled ear, nose and throat surgery in a one day program
  • oral intubation required
Exclusion Criteria
  • parents refusal
  • recent respiratory infection
  • epilepsy
  • suspected difficult intubation

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
sevofluraneSevoflurane* induction of anesthesia using sevoflurane administered with facial mask at inspired concentration of 6% (in a mixture of oxygen and nitrous oxyde) * intervention : titration of inspired sevoflurane concentration until targeted bispectral index
Primary Outcome Measures
NameTimeMethod
laryngeal conditions of intubation5 minutes

specific conditions will be assessed and scored : jaw relaxation, vocal cord position, cough at intubation

Secondary Outcome Measures
NameTimeMethod
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