Effects of intravenous and mask induction on post-operative emergence delirium in pediatric patients undergoing tonsillectomy with or without adenoidectomy

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dc.contributor.authorPeker, Kevser
dc.contributor.authorPolat, Reyhan
dc.date.accessioned2021-01-14T18:10:51Z
dc.date.available2021-01-14T18:10:51Z
dc.date.issued2020
dc.departmentKKÜ
dc.descriptionpeker, kevser/0000-0003-4306-5536
dc.description.abstractBackground Emergence delirium occurs in children during recovery from general anesthesia. The aim of the study was to examine the effects of mask and intravenous sevoflurane anesthesia induction on emergence delirium in children undergoing tonsillectomy with or without adenoidectomy. Methods This single-blinded, prospective, randomized clinical trial was conducted in the operating room and the post-operative recovery area at a university hospital. Sixty-seven children (aged 3-12 years) were randomly assigned to receive either mask induction (group M) or intravenous induction (group IV). Vascular access was provided in group M after 8% sevoflurane and 60% nitrous oxide in oxygen were given through a mask. In the IV cohort, an intravenous cannula was inserted prior to induction. The incidence of emergence delirium was assessed using the Pediatric Anesthesia Emergence Delirium (PAED) scale after arrival in the post-anesthesia care unit. Post-operative pain was assessed using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale. Results PAED scores were significantly higher in group M at 5 min (group M = 12.2 +/- 4.215, group IV = 9.1 +/- 4.0; mean difference = 3.094, 95% CI [1.108; 5.081]; P = 0.003), at 15 min (group M = 8.0 +/- 2.6, group IV = 5.1 +/- 2.3; mean difference = 2.942, 95% CI [1.586-4.301]; P < 0.001), and at 30 min (group M = 5.1 +/- 2.8, group IV = 2.5 +/- 1.8; mean difference = 2.620, 95% CI [1.457; 3.783]; P < 0.001) than in group IV. The FLACC scale scores were similar between the two groups. Conclusion Mask induction for pediatric patients undergoing tonsillectomy with or without adenoidectomy increased Pediatric Anesthesia Emergence Delirium scores more than intravenous induction.en_US
dc.identifier.citationBu makale açık erişimli değildir.en_US
dc.identifier.doi10.1007/s11845-020-02197-4
dc.identifier.endpage1068en_US
dc.identifier.issn0021-1265
dc.identifier.issn1863-4362
dc.identifier.issue3en_US
dc.identifier.pmid32048203
dc.identifier.scopus2-s2.0-85079436450
dc.identifier.scopusqualityQ1
dc.identifier.startpage1061en_US
dc.identifier.urihttps://doi.org/10.1007/s11845-020-02197-4
dc.identifier.urihttps://hdl.handle.net/20.500.12587/12799
dc.identifier.volume189en_US
dc.identifier.wosWOS:000516134600001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSPRINGER LONDON LTDen_US
dc.relation.ispartofIRISH JOURNAL OF MEDICAL SCIENCE
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectIntravenous inductionen_US
dc.subjectMask inductionen_US
dc.subjectPediatric emergence deliriumen_US
dc.titleEffects of intravenous and mask induction on post-operative emergence delirium in pediatric patients undergoing tonsillectomy with or without adenoidectomyen_US
dc.typeArticle

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