Intravenous Cannulation In Children During Sevoflurane Induction

Leila mansali stambouli

Status: Completed

Conditions: Catheterization

Treatments: Other: Difficulty of catheterization in group 60 s; Other: Difficulty of catheterization in group 90 s; Other: Difficulty of catheterization in group 120 s

Study type: Interventional

Funder types: Other

Identifiers

NCT03254303

OMB: 0925-0586

Details and patient eligibility

About

This interventional simple-blind,randomized trial has included 90 children of American Society of Anesthesiologist (ASA) physical status I or II aged between 1 to 12 years of either sex, scheduled for for outpatient minor surgery under general anesthesia. This study examined whether one should make iv attempts during the early induction period (at 60 seconds) or lately (90 or 120 s) and waiting until the child receives additional sevoflurane inhalation anesthesia.

Full description

We conducted a prospective randomized study, after obtaining Institutional review board approval, which didn't require written parental consent. Children age 1-12 years, undergoing elective general anesthesia via an inhalation induction were randomized to one of three groups of 30 patients each one, for iv placement, either 60s (group E), 90 or 120 s (group L) following loss of lid reflex. Movement on iv placement and incidence of laryngospasm were determined. Difficulty with iv placement was also recorded. Statistical analysis included contingency testing, ANOVA, and non parametric testing. A P-value <0.05 was considered significant.

Enrollment: 90 patients

Sex: All

Ages: 1 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• children with American Society of Anesthesiologist (ASA) physical status I or II
• age between 1 and 12 years of either sex,
• were scheduled for outpatient minor surgery under general anesthesia

Exclusion criteria

• age <1 and >12 years
• patients with full stomach
• a history of gastric reflux
• history of convulsions, cardiovascular or neuromuscular disease
• suspected difficult airway and hyper-reactive airway disease

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Triple Blind

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90 participants in 3 patient groups

60s (group E)

Other group

Description:

The Time of catheterization at 60s (group E) was applied in this study group,after sevoflurane inhalation induction, 30 children have a catheterization after a time of 60 seconds following the eye closure and the loss of lid reflex.Difficulty with intravenous catheterization, limb movement and laryngospasm were recorded.Difficulty of catheterization in group 60 s

Treatment:

Other: Difficulty of catheterization in group 60 s

90s (groupe L)

Other group

Description:

In this study group,after sevoflurane inhalation induction, 30 children have a catheterization after a time of 90 seconds following the eye closure and the loss of lid reflex.Difficulty with intravenous catheterization, limb movement and laryngospasm were recorded.Difficulty of catheterization in group 90 s

Treatment:

Other: Difficulty of catheterization in group 90 s

120s (groupe L)

Other group

Description:

In this study group,after sevoflurane inhalation induction, 30 children have a catheterization after a time of 120 seconds following the eye closure and the loss of lid reflex.Difficulty with intravenous catheterization, limb movement and laryngospasm were recorded.Difficulty of catheterization in group 120 s

Treatment:

Other: Difficulty of catheterization in group 120 s