The Effect of Scalp Nerve Block on the Emergence Agitation in Children Undergoing Nevus Surgery During Sevoflurane Anesthesia
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 发起方
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- change of Watcha behavior scale for emergence agitation (4 point)
研究概览
简要总结
Emergence agitation is a common problem in children during recovery from sevoflurane anesthesia. Pain is considered as a cause of postoperative emergence agitation and compounding factor of agitation assessment in children. The purpose of this study was to investigate the effect of scalp nerve block on the emergence agitation in children undergoing nevus surgery during sevoflurane anesthesia.
详细描述
Forty-four children, 1-7 years old, undergoing nevus surgery on head were enrolled. Anesthesia was induced with thiopental sodium and rocuronium, and maintained with sevoflurane. Patients were randomly assigned two groups: the control group received IV remifentanil 1 μg/kg, and the block group received scalp nerve block with 0.25% ropivacaine 2-3 ml. Time to tracheal extubation, recovery time, hemodynamic change, FLACC score, and Watcha behavior scale for emergence agitation were assessed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 1 Year 至 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA I-II patients undergoing general anesthesia for nevus surgery
排除标准
- •developmental disorder
- •neurologic disorder
- •coaguloparthy
- •allergy to local anesthetics
研究组 & 干预措施
Nerve block
Scalp nerve block was performed with 0.25% ropivacaine.
干预措施: Ropivacaine (Drug)
Nerve block
Scalp nerve block was performed with 0.25% ropivacaine.
干预措施: Sevoflurane (Drug)
Control
Remifentanil was administered intravenously.
干预措施: Remifentanil (Drug)
Control
Remifentanil was administered intravenously.
干预措施: Sevoflurane (Drug)
结局指标
主要结局
change of Watcha behavior scale for emergence agitation (4 point)
时间窗: from immediately after PACU arrival to 10 min, 20 min, and 30 min after arrival
次要结局
未报告次要终点
研究者
Jong Yeop Kim
Associate professor
Ajou University School of Medicine