Recovery characteristics of total intravenous anesthesia with propofol versus sevoflurane anesthesia: a prospective randomized clinical trial

Journal of Pain Research
Ozlem Kocaturk, Sultan Keles

Abstract

Pediatric dental procedures are performed under anesthesia because children may be uncooperative in the dental clinic due to their young age. Emergence delirium (ED), which involves a variety of behavioral disturbances that are frequently observed in children following emergence from general anesthesia, remains an unclear phenomenon. The aim of this randomized controlled trial is to compare the incidence of ED in children who underwent full mouth dental rehabilitation under either sevoflurane (SEVO) anesthesia or propofol-based total intravenous anesthesia (TIVA). One hundred and twenty children with American Society of Anesthesiologists status I-II, aged ≥3 and ≤6 years, undergoing dental rehabilitation were assigned to receive either TIVA or SEVO. ED and postoperative pain were evaluated by a blinded investigator using the Pediatric Anesthesia Emergence Delirium scale and the Face, Legs, Activity, Cry, Consolability scale every 5 min. The recovery time, satisfaction levels of parents or guardians, extubation time, duration of the operation, and type of dental procedure were also recorded. Data of 116 subjects were analyzed. The incidence of ED was higher after SEVO than after TIVA (65.5 vs 3.4%, P=0.00). Greater postoperative...Continue Reading

Citations

Mar 21, 2019·Current Opinion in Anaesthesiology·David Sommerfield, Britta S von Ungern-Sternberg
Dec 11, 2019·Minerva anestesiologica·Carine ZeeniMarie T Aouad
Jun 14, 2019·Proceedings·Ömer Faruk Boran, Selman Sarıca
Jan 12, 2021·Plastic and Reconstructive Surgery. Global Open·Bradley R HallPerry J Johnson

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NCT03330613

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GPower
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