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The Effect of Dexmedetomidine on Decreasing Emergence Agitation and Delirium in Pediatric Patients Undergoing Strabismus Surgery

Not Applicable
Completed
Conditions
Strabismus
Interventions
Drug: placebo group
Registration Number
NCT01512355
Lead Sponsor
Yonsei University
Brief Summary

Postoperative agitation in children is a well-documented clinical phenomenon with incidence ranging from 10% to 67%. Recently, dexmedetomidine has been investigated extensively in the pediatric population and there is now increasing evidence to support the use of this drug as sedative and anesthetic adjunct in children. The purpose of this study is to determine whether prophylactic use of intraoperative dexmedetomidine to prevent of emergence delirium.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
88
Inclusion Criteria
  • the patient undergoing the strabismus surgery in severance hospital
Exclusion Criteria
  • delayed development
  • mental retardation
  • cerebral palsy
  • preoperative EKG abnormality e.g. cardiovascular conduction disorder

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
placeboplacebo group-
dexmedetomidineDexmedetomidine-
Primary Outcome Measures
NameTimeMethod
objective pain scoreimmediate postoperative period up to 1hour after surgery

1. Objective pain score(OPS) Blood pressure 0\~2 points crying 0\~2points movement 0\~2points agitation 0\~2points posture 0\~2points complain of pain(where appropiraate by age) 0\~2points total 0\~10 points

pediatric anesthesia emergence delirium (PAED) scaleimmediate postoperative period up to 1hour after surgery

2. pediatric anesthesia emergence delirium (PAED) scale The Child makes eye contact with the caregiver 0\~4 The child's actions are purposeful. 0\~4 The child is aware of his'her surroundings. 0\~4 The child is restless. 0\~4 The child is insonsolable. 0\~4 total 0\~20 points

5-point agitation scaleimmediate postoperative period up to 1hour after surgery

3. Scoring system for emergence agitation (behavior score)

1. Sleeping

2. Awake and calm

3. Irritable and crying

4. Inconsolable crying

5. Severe restlessness and disorientation

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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