Right Lateral Positioning and Its Effect on Induction of General Anesthesia for Children
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Induction time
研究概览
简要总结
The quality of induction with sevoflurane, along with its ability to generate optimal conditions for Laryngeal Mask Airway (LMA) insertion without supplemental opioids or muscle relaxants, has also been well documented. An ideal inhalation induction technique besides being rapid and comfortable for the patient should be economical. To achieve rapidity, use of vital capacity breaths with 8% sevoflurane is a more popular method of induction compared with the conventional incremental induction.
详细描述
100 pediatric patients (age range, 1 to 8 years) scheduled for lower abdominal surgery under anesthesia will be included. All children in both groups will be premedicated with midazolam, 0.5 mg/kg orally, about 30 minutes before the induction of anesthesia. A parent or guardian accompanied the child into the operating room to allow the child to remain calm and cooperative for inhalation induction. Before induction, pulse oximetry and electrocardiogram monitoring will be attached. For each group, inhalation induction was initiated using a face mask using "tidal volume" and "vital capacity" breathing in high sevoflurane concentration (8%).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 1 Year 至 8 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children aged 1 years to 8 years
- •Children with ASA class I/II and their willingness to participate in the study
排除标准
- •Known seizure disorder
- •Craniofacial abnormalities/difficult airway
- •Cardiopulmonary or neuromuscular defects
- •Hepatic or renal insufficiency
- •Expected difficult intravenous (IV) cannulation (eg, dark complexion, obese)
- •Catching colds during the past four weeks
结局指标
主要结局
Induction time
时间窗: an expected 30 minutes
The time from starting induction of anesthesia until successful insertion of the LMA (seconds)
次要结局
- Heart rate(Duration of from starting induction of anesthesia till LMA an expected average of 60 minutes)
- LMA trials (Number of patients in each group required insertion of an LMA more than once)(an expected 60 minutes)
- Blood pressure(Duration of from starting induction of anesthesia till LMA an expected average of 60 minutes)
- Oxygen saturation(Duration of from starting induction of anesthesia till LMA an expected average of 60 minutes)
研究者
Sayed Kaoud Abd-Elshafy
Associate Professor (Anesthesiology and Critical Care)- College of Medicine-Assiut University
Assiut University