Right Lateral Positioning and Its Effect on Induction of General Anesthesia for Children

A

Assiut University

Status and phase

Completed
Phase 2

Conditions

Anesthesia

Treatments

Procedure: Right lateral position
Procedure: supine position

Study type

Interventional

Funder types

Other

Identifiers

NCT02654184
IRB000087118

Details and patient eligibility

About

The quality of induction with sevoflurane, along with its ability to generate optimal conditions for Laryngeal Mask Airway (LMA) insertion without supplemental opioids or muscle relaxants, has also been well documented. An ideal inhalation induction technique besides being rapid and comfortable for the patient should be economical. To achieve rapidity, use of vital capacity breaths with 8% sevoflurane is a more popular method of induction compared with the conventional incremental induction.

Full description

100 pediatric patients (age range, 1 to 8 years) scheduled for lower abdominal surgery under anesthesia will be included. All children in both groups will be premedicated with midazolam, 0.5 mg/kg orally, about 30 minutes before the induction of anesthesia. A parent or guardian accompanied the child into the operating room to allow the child to remain calm and cooperative for inhalation induction. Before induction, pulse oximetry and electrocardiogram monitoring will be attached. For each group, inhalation induction was initiated using a face mask using "tidal volume" and "vital capacity" breathing in high sevoflurane concentration (8%).

Enrollment

100 patients

Sex

All

Ages

1 to 8 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Children aged 1 years to 8 years
  • Children with ASA class I/II and their willingness to participate in the study

Exclusion criteria

  • Known seizure disorder
  • Craniofacial abnormalities/difficult airway
  • Cardiopulmonary or neuromuscular defects
  • Hepatic or renal insufficiency
  • Expected difficult intravenous (IV) cannulation (eg, dark complexion, obese)
  • Catching colds during the past four weeks

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

100 participants in 2 patient groups

Supine group
Active Comparator group
Description:
Anesthesia induction with sevoflurane for the patient while he is in supine position.
Treatment:
Procedure: supine position
Right lateral group
Active Comparator group
Description:
Anesthesia induction with sevoflurane for the patient while he is in right lateral position position.
Treatment:
Procedure: Right lateral position

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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