Comparison of pharmacological and nonpharmacological preanaesthetic approach in children COCUKLARDA ANESTEZI ONCESI FARMAKOLOJIK VE NONFARMAKOLOJIK YAKLASIMIN KARSILASTIRILMASI


Celiker V., Akpek E., Asl M., AYPAR Ü.

Turk Anesteziyoloji ve Reanimasyon, vol.23, no.8, pp.390-394, 1995 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 8
  • Publication Date: 1995
  • Journal Name: Turk Anesteziyoloji ve Reanimasyon
  • Journal Indexes: Scopus
  • Page Numbers: pp.390-394
  • Keywords: ENT surgery, General anaesthesia, Pharmacological and nonpharmacological premedication
  • Lokman Hekim University Affiliated: Yes

Abstract

60 healthy children aged between 3.5-13 years undergoing short, elective, oral ENT surgery were studied. Group I (n=20) was premedicated with atropine 0.015 mg/kg + pethidine 1 mg/kg IM; group II (n=20) children were given information about the procedure and were given only atropine 0.015 mg/kg IV before anaesthesia induction, and group III (n=20) had no pharmacological premedication but only detailed information was given with kind cooperation. Children of all the groups were evaluated with their state of sedation at the operation room, their reaction to IV catheterization and their hemodynamic responses (observed as systolic and diastolic arterial blood pressure, heart rate and peripheric oxygen saturation) to IV catheterization, induction and intubation as compared to baseline measurements. None of the parameters were significantly different among the three groups. It was concluded that good relationship and detailed information about the procedure can well replace the pharmacological premedication for satisfactory hemodynamic and psychological responses of the children undergoing short ENT surgery.