Appropriate anesthesia regimen to control sevoflurane-induced emergence agitation in children ; propofol-lidocaine and thiopental sodium-lidocaine : a randomized controlled trial
Joint Authors
Rahimzadeh, Poupak
Faiz, Sayyid Hamid Rida
Alibouyah, Mahmud Rida
Dasian, Azadah
Sayarifard, Azadah
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 16, Issue 7 (31 Jul. 2014), pp.1-6, 6 p.
Publisher
Publication Date
2014-07-31
Country of Publication
United Arab Emirates
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background : Emergence Agitation (EA) is a common problem in pediatric anesthesia.
The current study evaluated the effect of intravenous lidocaine combined with propofol or thiopental sodium to control EA by sevoflurane in children.
Objectives : The current study aimed to compare the effectiveness of two anesthesia regimen propofol–lidocaine and thiopental sodium lidocaine to control sevoflurane-induced emergence agitation in children.
Patients and Methods : The study enrolled 120 children aged 12 to 36 months with retinoblastoma who underwent induction of anesthesia with sevoflurane for Eye Examination Under Anesthesia (EUA).
Sampling was done at Rasoul-Akram Hospital in Tehran, Iran.
The subjects were randomly assigned into four groups including: group one (thiopental sodium-lidocaine [TL]), group two (thiopental sodium-saline [TS]), group three (propofol-lidocaine [PL]), and group four (propofol-saline [PS]).
Emergence agitation was assessed by using a five-point scoring scale, every 10 minutes during the first 30 minutes after admission to the recovery room.
Results : EA occurred in 24 cases (20 %) of children.
Incidence of EA in the TS, TL, PS, and PL groups were 21 (70 %), 2 (6.7 %), 1 (3.3 %), and 0 (0 %), respectively (P < 0.001).
Nausea and vomiting after anesthesia did not occur in any of the patients.
After removal of the endotracheal tube, laryngospasm complication occurrence in the TS group (10 cases) was higher than the other groups and no statistically significant difference was observed (P = 0.1).
Conclusions : Propofol–lidocaine anesthesia regimen was more effective to control the pediatric emergence agitation than the other combinations.
American Psychological Association (APA)
Rahimzadeh, Poupak& Faiz, Sayyid Hamid Rida& Alibouyah, Mahmud Rida& Dasian, Azadah& Sayarifard, Azadah. 2014. Appropriate anesthesia regimen to control sevoflurane-induced emergence agitation in children ; propofol-lidocaine and thiopental sodium-lidocaine : a randomized controlled trial. Iranian Red Crescent Medical Journal،Vol. 16, no. 7, pp.1-6.
https://search.emarefa.net/detail/BIM-387280
Modern Language Association (MLA)
Rahimzadeh, Poupak…[et al.]. Appropriate anesthesia regimen to control sevoflurane-induced emergence agitation in children ; propofol-lidocaine and thiopental sodium-lidocaine : a randomized controlled trial. Iranian Red Crescent Medical Journal Vol. 16, no. 7 (Jul. 2014), pp.1-6.
https://search.emarefa.net/detail/BIM-387280
American Medical Association (AMA)
Rahimzadeh, Poupak& Faiz, Sayyid Hamid Rida& Alibouyah, Mahmud Rida& Dasian, Azadah& Sayarifard, Azadah. Appropriate anesthesia regimen to control sevoflurane-induced emergence agitation in children ; propofol-lidocaine and thiopental sodium-lidocaine : a randomized controlled trial. Iranian Red Crescent Medical Journal. 2014. Vol. 16, no. 7, pp.1-6.
https://search.emarefa.net/detail/BIM-387280
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5-6
Record ID
BIM-387280