Comparison between Incidence of Emergence Agitation in Pre-school Age Group with that of Older Children undergoing Sevoflurane Anaesthesia
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 11
Abstract
Background: Emergence agitation (EA) is a known fact after general anaesthesia which is observed more in children and that too after sevoflurane anaesthesia. Dexmedetomidine and propofol are both known to reduce EA when used in prophylactic doses. The aim of our study was to compare the incidence of EA in preschool age group (< 5 years) with that of older children (> 5 12 years) in both dexmedetomidine and propofol group. Methods: Total 100 children having age less than 12 years and belonging to ASA I and II were included in the study. All of them received sevoflurane as inhalational anaesthetic agent. They were randomly divided in to two groups. About 5 minutes before the end of surgery, patients in group A received 0.3 µg/kg dexmedetomidine and group B patients received 1mg/kg propofol. The incidence of EA in both the groups was measured with Aono’s four point scale upon arrival in the post anaesthesia care recovery room. The database was analyzed using stata 12, epiinfo software and p value of < 0.05 was considered as level of significance. Results: The incidences of EA in < 5 years age group in group A and B was 21.05% and 40.91% respectively whereas; it was 3.23% and 21.43% in > 5 12 years age group. Conclusion: The incidences of EA were higher in preschool ( 5 years) age group as compared to older children (> 5 12 years) age group in both group A and B who received dexmedetomidine at a dose of 0.3 ug/kg and propofol at a dose of 1mg/kg respectively.
Authors and Affiliations
Rahul Podder
Comparative Study of Epidural Butorphanol & Epidural Fentanyl for the Relief of Post Operative Pain in Lower Abdominal & Lower Limb Surgery
Background and Aim: Post operative pain relief is an essential part of responsibility for an anaesthesiologist. Epidural opioids acting through the spinal cord receptors improve the quality and duration of analgesia. The...
Comparative Study of Conventional Versus Nasal-18 Method for Fiberoptic Nasal Intubation
Background: Fiberoptic nasal intubation (FONI) is an effective technique for establishing airway access in patients with both anticipated and unanticipated difficult airways. Utilization of fiberscope without the use of...
Intrathecal Clonidine as an Adjuvant to Isobaric Levobupivacaine in Gynaecological Surgeries: A Randomized Control Trial
Postoperative pain management is one of the vital duty of an anaesthesiologist apart from managing the patient intraoperatively. Patients presenting for gynaecological surgeries receive subarachnoid block with hyperbaric...
Efficacy of Dexmedetomidine Compared to Clonidine as an Adjuvant to Ropivacaine in Ultrasound Guided Supraclavicular Brachial Plexus Block
Background: Regional block has evolved with passage of time from being a blind process to the use of ultrasound giving an “eye” to the process. Evolution of technology and pharmacology has helped anesthesiologist in many...
Supraclavicular Versus Infraclavicular Approach of Subclavian Vein Cannulation in ICU Patients
Background: Subclavian vein is generally preferred in ICU for central venous access. Infraclavicular and supraclavicular approaches are the two techniques of subclavian venous catheterisation. Infraclavicular approach to...