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Comparison of propofol and fentanyl for the prevention of emergence agitation in children after sevoflurane anesthesia

Title
 Comparison of propofol and fentanyl for the prevention of emergence agitation in children after sevoflurane anesthesia
Other Titles
 소아 환자에서 세보플루란 마취 후 발생하는 각성시 흥분을 줄이기 위한 약제로서 프로포폴과 펜타닐의 효과 비교
Issue Date
2012
Publisher
 Graduate School, Yonsei University
Description
Dept. of Medicine/석사
Abstract
Propofol and fentanyl can be administered at the end of anesthesia to prevent emergence agitation (EA), although the superior efficacy between these agents has not been determined. This study was conducted to compare the preventive effects of EA between propofol and fentanyl administered at the end of sevoflurane anesthesia under the identical clinical conditions.Two hundred twenty-two children, 18–72 months of age, performed inguinal hernia repair under sevoflurane anesthesia received intravenous propofol 1 mg/kg (group P), fentanyl 1 ㎍/kg (group F) or saline (group S) at the end of anesthesia according to the random allocation. The incidence and severity of EA was evaluated with pediatric anesthesia emergence delirium (PAED) scale and Aono’s scale. Time to recovery and incidence of nausea/vomiting were assessed. The mean PAED score was 4.3 in group P and 4.9 in group F (P = 0.682 between two groups), which were lower than 9.0 in group S (P < 0.001). The proportion of patients with Aono’s scale ≥ 3 in group P (4.3%) and group F (12.1%) were comparable (adjusted P = 0.297) and lower than that of group S (38.6%) (adjusted P < 0.001). Nausea and vomiting was significantly more frequent in group F than in group P or group S (adjusted P = 0.003 and adjusted P < 0.001).Small dose of propofol and fentanyl at the end of anesthesia comparably reduced EA. Propofol was better than fentanyl regarding low incidence of vomiting.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/134239
Appears in Collections:
2. 학위논문 > 1. College of Medicine (의과대학) > 석사
Yonsei Authors
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