Bispectral Index to Guide Intubation in Pediatric Anesthesia

University of Liege

Status: Completed

Conditions: Anesthesia

Treatments: Drug: Sevoflurane

Study type: Interventional

Funder types: Other

Identifiers

NCT02806596

BIS02ch

Details and patient eligibility

About

This prospective study aimed to determine the minimal level of Bispectral index needed for quality laryngoscopy before ear, nose and throat surgery in children.

Full description

• Children will received intra-rectal premedication based on midazolam 0.4mg
• Children will be monitored according to standard guidelines
• One blinded anesthesiologist will be in charge of anesthesia induction and the other one will be in charge of data collection (end tidal sevoflurane concentration, sevoflurane minimal alveolar concentration, bispectral index) and guidance of induction according to the predetermined bispectral index (up and down allocation)

Enrollment: 60 patients

Sex: All

Ages: 2 to 8 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• American Society Anesthesiology physical status classification system :1 or 2
• scheduled ear, nose and throat surgery in a one day program
• oral intubation required

Exclusion criteria

• parents refusal
• recent respiratory infection
• epilepsy
• suspected difficult intubation

Trial design

60 participants in 1 patient group

sevoflurane

Other group

Description:

* induction of anesthesia using sevoflurane administered with facial mask at inspired concentration of 6% (in a mixture of oxygen and nitrous oxyde) * intervention : titration of inspired sevoflurane concentration until targeted bispectral index

Treatment:

Drug: Sevoflurane