Comparison of Emergence and Recovery Profile After Total Intravenous Anesthesia ( TIVA ) Vs Inhalational Anesthesia in Opioid Free Pediatric Tonsillectomy
Overview
- Phase
- Not Applicable
- Intervention
- Propofol
- Conditions
- Best Technique for Pediatric Anesthesia
- Sponsor
- Assiut University
- Enrollment
- 120
- Primary Endpoint
- physical activity score
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Compare recovery profile from TIVA and that of total inhalational anesthesia in ambulatory pediatric tonsillectomy and which strategy is more safe and less cost and more smooth in pediatric anesthesia.
Detailed Description
Complications in pediatric anesthesia can happen even in our modern hospitals with the most advanced equipment and skilled anesthesiologists. Typical complications in pediatric anesthesia are respiratory problems , medication errors , difficulties with intravenous puncture , and pulmonal aspiration. In postoperative setting , nausea and vomiting , pain , emergence delirium can be mentioned as typical complications. The choice of anesthetic agent and techniques can influence the occurrence of these complications and thus delay in discharge.
Investigators
Ahmed Mahmoud Sayed
Principal Investigator
Assiut University
Eligibility Criteria
Inclusion Criteria
- •child between 4 to 10 years
- •without co morbidity
- •ASA score 1
- •mallampati score 1 and 2
Exclusion Criteria
- •child below 4 years and above 10 years
- •child with co morbidity
- •ASA score above 1
- •mallampati score 3 and 4
Arms & Interventions
Group ( p )
This group will undergo anesthesia via total intravenous anesthesia using Propofol in induction and maintenance
Intervention: Propofol
Group ( s )
This group undergo anesthesia via total inhalational anesthesia using sevoflurane in induction and maintenance
Intervention: Sevoflurane
Outcomes
Primary Outcomes
physical activity score
Time Frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
* Able to move on command =2 * Some weakness in movement = 1 * Unable to voluntarily move = 0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
hemodynamic stability score
Time Frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
* Blood pressure \< 15% of baseline MAP value =2 * Blood pressure 15%-30% of baseline MAP value =1 * Blood pressure \< 30% below baseline MAP value =0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
respiratory stability score
Time Frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
* Able to breathe deeply = 2 * Tachypnea with good coughs =1 * Dyspneic with weak cough = 0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
level of consciousness score
Time Frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
* Awake =2 * Arousal with minimal stimulation =1 * Responsive only to tactile stimulation =0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
post operative pain score
Time Frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
* None or mild = 2 * Moderate to severe pain controlled =1 * Persistent severe pain = 0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
Oxygen saturation score
Time Frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
* Maintain value \> 90% on room air = 2 * Requires supplemental O2 to maintain value \> 90% = 1 * So2 \< 90% with supplemental O2 = 0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
post operative emetic score
Time Frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
* None or mild nausea with no active vomiting = 2 * Transient vomiting =1 * Persistent moderate to severe nausea and vomiting=0 * No score 0 is required \& High score mean more safe and better method of anesthesia .