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The Effect of Remifentanil Infusion During Emergence on the Incidence of Emergence Delirium

Not Applicable
Conditions
Delirium
Interventions
Drug: Placebo
Registration Number
NCT02108795
Lead Sponsor
Yeungnam University College of Medicine
Brief Summary

The aim of the present study is to assess the effect of postoperative remifentanil infusion on the incidence of emergence agitation in preschool-aged children undergoing strabismus surgery with sevoflurane anaesthesia.

Detailed Description

Patients are randomly assigned to one of two groups. Anesthesia is maintained with sevoflurane and remifentanil infusion. All patients received a predetermined concentrations of remifentanil according to their group assignments (control group, remifentanil 0 ug/kg/min; remifentanil group, remifentanil 0.05 ug/kg/min) from 10 minutes before the end of surgery to discharge from postanesthetic care unit. emergence agitation is assessed during the emergence phase.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
86
Inclusion Criteria
  • American Society of Anesthesiologists physical status I and II
  • preschool-aged children undergoing strabismus surgery
Exclusion Criteria
  • psychological disorders
  • emotional disorders
  • abnormal cognitive development
  • developmental delay
  • allergy to the drugs in our protocol

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
controlPlaceboNormal saline 0.2 ml/kg/hour is infused to the patients
remifentanil groupRemifentanilRemifentanil 0.05 ug/kg/min is infused to the patients.
Primary Outcome Measures
NameTimeMethod
the scale of emergence agitationup to 30 minutes after arrival in postanesthetic care unit, and 30 minutes after discharge from postanesthetic care unit.

A blinded observer record emergence agitation at just after laryngeal mask removal, 5 minutes after arrival in postanesthetic care unit, 10 minutes after arrival in postanesthetic care unit, 15 minutes after arrival in postanesthetic care unit, 30 minutes after arrival in postanesthetic care unit, and 30 minutes after discharge from postanesthetic care unit.

Secondary Outcome Measures
NameTimeMethod
the effect of remifentanil on the emergenceup to 30 minutes after the discharge form postanesthetic care unit

A blinded observer record duration of anaesthesia, eye-opening time, time to remove laryngeal mask airway, respiratory depression, nausea, and vomiting at the end of surgery, 5 minutes after arrival in postanesthetic care unit, 10 minutes after arrival in postanesthetic care unit, 15 minutes after arrival in postanesthetic care unit, 30 minutes after arrival in postanesthetic care unit, and 30 minutes after discharge from postanesthetic care unit.

Trial Locations

Locations (1)

Department of Anesthesiology and Pain Medicine, Yeungnam University hospital

🇰🇷

Daegu, Korea, Republic of

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