Intravenous Access Clinical Trial
Official title:
Intravenous Access Time With the Corresponding Bispectral Index Value During Anesthesia Induction in Pediatric Patients
In pediatric patients with no vascular access, anesthesia induction is usually achieved with sevoflurane. The aim of investigators to evaluate the optimum intravenous access time and the corresponding bispectral index (BIS) value in pediatric surgery under sevoflurane anesthesia.
Patients undergoing anesthesia induction must have at least one vascular access opened for
administration of intravenous drugs and fluid. In pediatric patients, fear of needles and
anxiety about pain can cause discomfort. For this reason, inhalational anesthetics are
commonly used for anesthesia induction in children. An ideal inhalational anesthetic agent
should have a smooth and fast onset, little irritation to the respiratory tract, and no
undesirable side effects. Sevoflurane meets almost all these criteria, so it is commonly used
for anesthesia induction in pediatric patients.
Studies related to the induction of anesthesia with sevoflurane have mostly focused on the
ease of LMA insertion, the recovery characteristics, the hemodynamic variabilities,
comparison of high and low initial sevoflurane concentrations, and cost comparisons between
fixed 8% versus incremental techniques. However, after loss of consciousness, children
subjected to early intravenous cannulation during sevoflurane induction can display movement,
breath holding, coughing, and even laryngospasm. Only limited data are available in the
literature regarding intravenous access time at anesthesia induction. The aim of the present
study was to evaluate the bispectral index (BIS) values and sevoflurane concentrations during
induction of anesthesia and to determine the optimum intravenous access time in pediatric
patients.
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