Parental satisfaction with anesthesia without intravenous access for myringotomy

Archives of Otolaryngology--head & Neck Surgery
Michael S HaupertMaria M Zestos

Abstract

To evaluate the effect of intravenous (i.v.) access in children undergoing bilateral myringotomy with pressure-equalizing tube placement. One hundred healthy children were enrolled in this randomized controlled study. One group received i.v. access; the other group did not. Anesthesia in both groups was induced through a mask and maintained with oxygen, nitrous oxide, and sevoflurane. Spontaneous ventilation was maintained. All children received fentanyl, 1 microg/kg intramuscularly. Children with i.v. access received 20 mL/kg of lactated Ringer's solution. Parents were telephoned the day after surgery to report on pain and vomiting, as well as their satisfaction with anesthesia. Tertiary care children's hospital with all procedures performed by attending pediatric otolaryngologists and otolaryngology residents. Anesthesia was administered by a pediatric anesthesiologist and a trainee. The groups were similar in age, weight, and incidence of vomiting. Children with i.v. access spent more time than those without (mean +/- SD minutes) in the operating room (21 +/- 8 vs 17 +/- 7; P =.02), in phase 2 recovery (75 +/- 67 vs 51 +/- 24; P =.02), and in the hospital (119 +/- 67 vs 88 +/- 30; P =.005). These children also required more ...Continue Reading

Citations

Jan 5, 2011·Paediatric Anaesthesia·Graham Wilson, Thomas Engelhardt
Oct 19, 2012·The Cochrane Database of Systematic Reviews·Linda ShieldsElaine Pascoe
Aug 28, 2020·Pediatric Health, Medicine and Therapeutics·Mohammed HakimRalph J Beltran
Oct 5, 2021·A&A Practice·Mark S TeenRoshan S Patel

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