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
Keywords
Related Articles
- EP ID EP549545
- DOI 10.21088/ijaa.2349.8471.51118.18
- Views 81
- Downloads 0
A Comparative Study of Post Operative Side Effects between Spinal Bupivacaine Plus Buprenorphine and Combined Femoral and Sciatic Nerve Block Plus Spinal Bupivacaine Used for Analgesia
Aim and objective: The aim of this study was to compare postoperative side effects produced by spinal bupivacaine plus buprenorphine with femoral and sciatic nerve blocks plus spinal bupivacaine. Settings and Design: Ran...
Comparative Clinical Study of 0.5% Lignocaine Alone and Combination of 0.25% Lignocaine Withpentazocine and Pancuronium In Intravenous Regional Anaesthesia for Upper Limb Orthopaedic Surgeries
Background and Objective: Intravenous regional anaesthesia with conventional large dose of local anaestheticis associated with serious systemic toxicity when the tourniquet deflates unexpectedly during the procedure or w...
Prediction of Difficult Intubation in Apparently Normal Patients by Combining Modified Mallampatti Test and Thyromental Distance
Context: Difficult intubation is associated with serious complications, more so when there is failure of intubation. Inability to secure the airway during general anaesthesia remains one of the leading causes of morbidit...
A Comparison of Injection of 0.375% Ropivacaine before and after the Bifurcation of Sciatic Nerve for Ultrasound Guided Popliteal Block
Introduction: Lower limb surgeries were performed under popliteal block. Over the years Sciatic nerve has been blocked pre bifurcation by using peripheral nerve stimulator and blind techniques. But thanks to the Ultrasou...
A Comparative Study: Ultrasound Guided Transverse Abdominis Plane Block versus Caudal Block in Paediatric Patients for Lower Abdominal Surgeries
Background: Paediatric patients undergoing lower abdominal surgeries require adequate pain relief peri operatively, which is often neglected. Various methods of pain relief in paediatric patients are systemic opioids, NS...