Emergence agitation (EA) is highly prevalent in children after surgery. Risk factors for EA are Eye, nose and throat (ENT) surgery, preoperative anxiety, postoperative pain. There are several preventive strategies but none of them completely prevent EA. Topical application of ropivacaine can reduce post-tonsillectomy pain. Therefore, it might reduce the incidence of postoperative EA.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
84
1\*2 gauze is soaked with 5 cc of 0.9 % normal saline, applied in tonsillar fossae for 3 min, then removed.
1\*2 gauze is soaked with 5 cc of 0.75% ropivacaine, applied in tonsillar fossae for 3 min, then removed.
Paediatric anesthesia emergence delirium scale (PAED) score at PACU admission
PAED score is assessed
Time frame: 1 min after postanesthesia care unit (PACU) admission
Face legs activity cry consolability (FLACC) score
FLACC score is assessed.
Time frame: 1 min after postanesthesia care unit (PACU) admission
PAED score 10 min after PACU admission
Time frame: 10 min after postanesthesia care unit (PACU) admission
PAED score 20 min after PACU admission
Time frame: 20 min after postanesthesia care unit (PACU) admission
PAED score 30 min after PACU admission
Time frame: 30 min after postanesthesia care unit (PACU) admission
FLACC score 10 min after PACU admission
Time frame: 10 min after postanesthesia care unit (PACU) admission
FLACC score 20 min after PACU admission
Time frame: 20 min after postanesthesia care unit (PACU) admission
FLACC score 30 min after PACU admission
Time frame: 30 min after postanesthesia care unit (PACU) admission
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