Intravenous Cannulation In Children During Sevoflurane Induction

University Hospital Fattouma Bourguiba90 enrolled

Overview

The early placement of an intravenous (iv) line in children anesthetized with halothane has been shown safe and acceptable compared with later placement. However, there's not well known with sevoflurane use (2). The aim of the investigator's study is to determine whether one should make iv attempts during the early induction period (at 60seconds) or lately (90 or 120 s) and waiting until the child receives additional sevoflurane inhalation anesthesia

the investigators 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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

TRIPLE

Enrollment

Conditions

Intravenous Cannulation Sevoflurane Induction Child

Interventions

Intravenous Cannulation (iv placement)OTHER

The aim of our study is to determine whether one should make intravenous attempts placement during the early induction period (at 60seconds) or lately (90 or 120 s) and waiting until the child receives additional sevoflurane inhalation anesthesia.

Eligibility

Sex: ALLMin age: 1 YearMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: * ASA I, II * Age from 1 to 12 years old * Ambulatory surgery under general anesthesia. Exclusion Criteria: * Age \<1 year or\> 12 years * non-ambulatory surgery, * contraindication for induction with sevoflurane

Outcomes

Primary Outcomes

Movement on iv placement

Number of children who presented movement on iv placement

Time frame: In the first 5 min after the anesthesic induction with sevoflurane

laryngospasm

The incidence of laryngospasm

Time frame: Time From Intravenous Cannulation to patient extubation

Data from ClinicalTrials.gov

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