Abstract
Background: Emergence agitation (EA) was described at rst by Eckenhoff et al in the early 1960s. EA has been described as a dissociated state of consciousness in which the child is inconsolable, irritable, uncooperative, typically thrashing, crying, moaning or incoherent. Although EA is usually self-limited and occurs within the rst 30-minutes of recovery in PACU, but it can last up to 2 days and lead to physical damage, disconnection of intravenous catheters, removing of dressing or drainage tube and monitoring devices. Although, numerous medications have been studied to prevent or reduce EA in children, no special preventive method has been shown to be highly superior. Aims and objectives: The aim of this study is to compare the emergence characters of Desurane with Halothane. The primary objective is to compare the Emergence characters using PAED (Pediatric Anaesthesia Emergence Delirium) score. The secondary objective is : 1) To compare the recovery characters(Time to recover) using Steward Recovery Scores. 2) To compare the PACU discharge criteria meeting time with Modied Aldrete Score. 3) To assess post operative Pain, nausea, vomiting, shivering. Materials and Methods: This Randomized interventional study (single blinded) was conducted in Institute of child health and hospital for children, egmore from October 2019 to December 2019. 70 Pediatric patients based on the parent article, Comparison of Emergence and Recovery characteristics of Sevourane, Desurane, and Halothane in Pediatric Patients undergoing General Anaesthesia, authored by Welborn ,Hannallallah Published AnesthAnalg. 1996 Nov;83(5):917-20. Result: Recovery time, Emergence Agitation, Time to reach discharge criteria and post operative complications were compared. Post anaesthesia Emergence Agitation was higher in Desurane group compared to Halothane group which was statistically signicant. Desurane resulted in faster recovery, early Emergence than Halothane which was statistically signicant. This is due the fact that Desurane has very low Blood Gas Solubility index which results in rapid emergence and thus Emergence Agitation. Though time to reach discharge criteria was not much prolonged in Halothane group, study showed statistically signicant difference between two groups. Post operative complications is not statistically signicant between two groups. Conclusion: In our study Post anaesthesia Emergence Agitation was signicantly higher in Desurane group compared to Halothane group. Desurane anaesthesia resulted in rapid Emergence, early recovery compared to Halothane anaesthesia .
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