Postoperative Discomfort and Emergence Delirium In Children Receiving Dental Treatment Under General Anesthesia: Comparison Of Nasal Tracheal Intubation and Laryngeal Mask Airway
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Postoperative discomfort
Study Overview
Brief Summary
The aim of this prospective, randomised, controlled clinical trial was to compare immediate postoperative discomfort, emergence delirium and recovery time of the patients intubated using either laryngeal mask airway or nasotracheal intubation.
Detailed Description
A total of 70 children aged 3 to 7 years received full mouth dental rehabilitation under general anesthesia. Children were randomly grouped into Laryngeal mask airway (LMA) group (n=35) and nasotracheal intubation (NTI) groups (n=35). In LMA group LMA was inserted after anesthesia induction using 8% sevoflurane. In NTI group rocuronium and remifentanil were given intravenously during %8 sevoflurane induction and the patients were intubated by a nasotracheal tube. After completion of the dental treatments patients were transferred to the post anesthesia care unit (PACU). Duration of dental operation ,duration of anesthesia, recovery time, postoperative discomfort, emergence delirium, pediatric dentist's access were recorded.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Outcomes Assessor)
Masking Description
Outcomes assessor
Eligibility Criteria
- Ages
- 3 Years to 7 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Aged 3-7 years,
- •ASA I and II
- •Lack of chairside cooperation for dental treatment in clinical setting.
Exclusion Criteria
- •A history of of anticipated difficult entubation ,
- •Patient with pharyngeal pathology patients with known pulmonory or cardiovascular disease,
- •When the expected dental procedure was more than two hours
- •Mental retardation and those whose parents did not consent to their participation in the study.
Arms & Interventions
Laryngeal mask airway
Laryngeal mask airway insertion
Intervention: Laryngeal mask airway (Device)
Nasotracheal intubation
Nasotracheal tube insertion
Intervention: Nasotracheal intubation (Device)
Outcomes
Primary Outcomes
Postoperative discomfort
Time Frame: Postoperative 1 hour
Sore throat
Secondary Outcomes
No secondary outcomes reported
Investigators
SULTAN KELES
Assist. Prof.Dr.
Aydin Adnan Menderes University