Comparison of the Effect of Anesthesia Applied by Target Controlled Infusion Method and Inhalation Anesthesia Method on Patient Outcomes in Pediatric Patients Undergoing Laparoscopic Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- TC Erciyes University
- Enrollment
- 60
- Primary Endpoint
- Modified Aldrete Scoring System
Study Overview
Brief Summary
Comparison of Target Controlled Infusion Anesthesia and Inhalation Anesthesia in Pediatric Laparoscopic Surgeries
Detailed Description
In pediatric age group patients undergoing laparoscopic surgery, total intravenous anesthesia (TIVA) and inhalation anesthesia methods are used as anesthesia methods in the intraoperative period; It is compared in terms of its effects on blood pressure, pulse, postoperative awakening time and awakening agitation.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 3 Years to 12 Years (Child)
- Sex
- All
- Accepts 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 and above pediatric patients.
Arms & Interventions
Total Intravenous Anesthesia Group
Patients will undergo anesthesia induction as routine after premedication. Once the target BIS level is reached (40-60) and muscle relaxation is achieved, the airway will be secured with an appropriately sized endotracheal tube or laryngeal mask (LMA).
The effect zone target concentration of propofol will be adjusted to 3 mcg/ml with the HKI device.
Patients will receive controlled ventilation with 50% oxygen/air, and mechanical ventilation parameters will be adjusted so that the end tidal carbon dioxide level (EtCO2) is 35-45 mmHg.
Intervention: Target Controlled Infusion (Device)
Inhalation Anesthesia Group
Patients will undergo anesthesia induction as routine after premedication. The level of sevoflurane, an inhalation gas, will be adjusted so that BIS values are between 40-60. Patients will receive controlled ventilation with 50% oxygen/air, and mechanical ventilation parameters will be adjusted so that the end tidal carbon dioxide level (EtCO2) is 35-45 mmHg.
Intervention: Inhalation anesthetic (Drug)
Outcomes
Primary Outcomes
Modified Aldrete Scoring System
Time Frame: Aftet surgery 1 hour
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 Outcomes
- Heart rate (beats/minute)(After surgey 1 hour)
- Blood pressure (mmHg)(After surger 1 hour)
Investigators
Özlem ÖZ GERGİN
Principal Investigator
TC Erciyes University