Perioperative anxiety and postoperative behavioural disturbances in children: comparison between induction techniques

European Journal of Anaesthesiology
N BalU Aypar

Abstract

This study was designed to determine if subhypnotic propofol reduces postoperative behavioural disturbances in children undergoing sevoflurane induction compared with intravenous propofol induction for elective adenoidectomy and tonsillectomy. Following Ethics Committee approval and parental informed consent, ASA I-II, 120 children (2-10 yr) were recruited. Parents were not allowed to accompany their child. Unpremedicated children were randomly allocated to groups receiving inhalation induction with sevoflurane, 2-2.5 mg kg-1 intravenous propofol induction or inhalation induction with sevoflurane followed by subhypnotic dose of propofol (1 mg kg-1). Anaesthesia was maintained with 2-4% sevoflurane, O2 and N2O. Anxiety on arrival to operating theatre, at anaesthesia induction and 30 min after emergence was assessed. Parents completed a state-trait anxiety inventory test preoperatively and a post hospitalization behaviour questionnaire a week later to assess children's postoperative behavioural disturbances. Kruskal-Wallis test, Wilcoxon signed rank sum test, Bonferroni's test, Paired t-test, t-test, Pearson and Spearman's rank correlation test, chi2-test were used for statistical analysis. The anxiety level at induction was high...Continue Reading

References

Mar 1, 1990·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J C BevanR Carranza
Jan 1, 1996·Paediatric Anaesthesia·L H KotiniemiI K Moilanen
Dec 1, 1996·Archives of Pediatrics & Adolescent Medicine·Z N KainD V Cicchetti
May 13, 1999·Anesthesia and Analgesia·Z N KainM B Hofstadter
Mar 19, 2003·Paediatric Anaesthesia·Agnes T Watson, Anil Visram
Nov 1, 1953·A.M.A. American Journal of Diseases of Children·J E ECKENHOFF
Sep 24, 2004·Paediatric Anaesthesia·Aideen KeaneyBarry Lyons
Nov 25, 2004·Anesthesia and Analgesia·Zeev N KainHeping Zhang

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Citations

Jul 9, 2008·Journal of Clinical Monitoring and Computing·Alexander ZegermanAvi A Weinbroum
Mar 10, 2010·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Marie Proczkowska-BjörklundCarl Göran Svedin
Sep 13, 2014·The Cochrane Database of Systematic Reviews·David CostiPhilippa Middleton
Mar 21, 2019·Current Opinion in Anaesthesiology·David Sommerfield, Britta S von Ungern-Sternberg
Dec 11, 2019·Minerva anestesiologica·Carine ZeeniMarie T Aouad
Jan 8, 2011·Paediatric Anaesthesia·Marzena ZielinskaAndrew Wolf

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