Comparison of Emergence and Recovery Profile After Total Intravenous Anesthesia ( TIVA ) Vs Inhalational Anesthesia in Opioid Free Pediatric Tonsillectomy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 120
- 主要终点
- physical activity score
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 4 Years 至 10 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •child between 4 to 10 years
- •without co morbidity
- •ASA score 1
- •mallampati score 1 and 2
排除标准
- •child below 4 years and above 10 years
- •child with co morbidity
- •ASA score above 1
- •mallampati score 3 and 4
研究组 & 干预措施
Group ( p )
This group will undergo anesthesia via total intravenous anesthesia using Propofol in induction and maintenance
干预措施: Propofol (Drug)
Group ( s )
This group undergo anesthesia via total inhalational anesthesia using sevoflurane in induction and maintenance
干预措施: Sevoflurane (Drug)
结局指标
主要结局
physical activity score
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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 .
次要结局
未报告次要终点
研究者
Ahmed Mahmoud Sayed
Principal Investigator
Assiut University