Korean J Anesthesiol.  2005 Aug;49(2):177-182. 10.4097/kjae.2005.49.2.177.

The Effect of Inhalation Induction with Sevoflurane on Postoperative Emotional Changes in Children

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea. jhbae@chungbuk.ac.kr

Abstract

BACKGROUND: This study was designed to determine whether sevoflurane induction without painful procedures, such as intravenous catheter (IVC) insertion, has any emotional benefit compared with intravenous induction using a prepared IVC.
METHODS
Children undergoing outpatient surgery were randomized to 2 groups: inhalation induction with sevoflurane (sevoflurane group, n = 24) or intravenous induction with thiopental sodium (control group, n = 21). In the sevoflurane group an IVC was inserted after chidren had been anesthetized by sevoflurane inhalation, while in the control group, an IVC was placed in the preoperative holding area. Total time and the number of IVC insertion attempts were recorded in both groups. Anesthesia times, agitation scores and the views of medical staff on technique benefits were also noted. Patients and parents were interviewed the following day.
RESULTS
Time required for IVC insertion was significantly greater in the control group. No statistically significant differences were found in terms of; the number of attempts required for IVC insertion, anesthesia induction times, extubation times, recovery times, or agitation scores. Though interviews with patients and parents produced similar results in both groups, medical staff satisfaction levels were significantly higher in the sevoflurane group.
CONCLUSION
Inhalation induction with sevoflurane had no beneficial effect on postoperative emotional changes. However, this method provides benefit to both children and medical staff because it avoids stressful, time-wasting, painful experiences.

Keyword

child; emotional change; inhalation induction; intravenous access; sevoflurane

MeSH Terms

Ambulatory Surgical Procedures
Anesthesia
Catheters
Child*
Dihydroergotamine
Humans
Inhalation*
Medical Staff
Parents
Thiopental
Dihydroergotamine
Thiopental
Full Text Links
  • KJAE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error