Compare recovery profile from TIVA and that of total inhalational anesthesia in ambulatory pediatric tonsillectomy and which strategy is more safe and less cost and more smooth in pediatric anesthesia.
Complications in pediatric anesthesia can happen even in our modern hospitals with the most advanced equipment and skilled anesthesiologists. Typical complications in pediatric anesthesia are respiratory problems , medication errors , difficulties with intravenous puncture , and pulmonal aspiration. In postoperative setting , nausea and vomiting , pain , emergence delirium can be mentioned as typical complications. The choice of anesthetic agent and techniques can influence the occurrence of these complications and thus delay in discharge.
Study Type
OBSERVATIONAL
Enrollment
120
All children will undergo anesthesia via Propofol bolus injection in induction then Propofol infusion in maintenance of anesthesia and will be given after total recovery, Cetal suppositories as postoperative analgesia
All children will undergo anesthesia via Sevoflurane will be given during induction then through maintenance of anesthesia and will be given after total recovery, Cetal suppositories as post operative analgesia
level of consciousness score
* Awake =2 * Arousal with minimal stimulation =1 * Responsive only to tactile stimulation =0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
Time frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
physical activity score
* Able to move on command =2 * Some weakness in movement = 1 * Unable to voluntarily move = 0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
Time frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
hemodynamic stability score
* Blood pressure \< 15% of baseline MAP value =2 * Blood pressure 15%-30% of baseline MAP value =1 * Blood pressure \< 30% below baseline MAP value =0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
Time frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
respiratory stability score
* Able to breathe deeply = 2 * Tachypnea with good coughs =1 * Dyspneic with weak cough = 0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
Time frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
Oxygen saturation score
* Maintain value \> 90% on room air = 2 * Requires supplemental O2 to maintain value \> 90% = 1 * So2 \< 90% with supplemental O2 = 0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
Time frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
post operative pain score
* None or mild = 2 * Moderate to severe pain controlled =1 * Persistent severe pain = 0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
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Time frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin
post operative emetic score
* None or mild nausea with no active vomiting = 2 * Transient vomiting =1 * Persistent moderate to severe nausea and vomiting=0 * No score 0 is required \& High score mean more safe and better method of anesthesia .
Time frame: About 20 minutes after stopping anesthesia and emergence from anesthesia begin