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| Effect of different anesthesia inductions on the emergence delirium of preschool children and the anxiety level of their parents during operation |
| XIE Yongguo DU Xueke CHEN Li′ni QIU Hang JIANG Xiaoqing MING Shaopeng▲ |
| Department of Anesthesiology, the Second Affiliated Hospital of Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning 530007, China |
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Abstract Objective To investigate the effect of different anesthesia inductions on the emergence delirium of preschool children and the anxiety level of their parents during operation. Methods From July 2018 to March 2019, 60 cases of children and their families to be circumcised under general anesthesia in the Second Affiliated Hospital of Guangxi Medical University were selected as study subjects. According to random number table method, they were divided into group K (30 cases) and group S (30 cases). Group K received intramuscular Ketamine for anesthesia induction before entering the operating room. Group S was included in anesthesia induction by inhaling 6% Sevoflurane + oxygen by mask after operating room. The modified Yale preoperative anxiety scale (M-YPAS), induction compliance checklist (ICC) scale, pediatric anesthesia emergence delirium (PAED) scale and modified children′s hospital of Eastern Ontario pain scale (m-CHEOPS) were compared between two groups. Scores of patients′ parents trait anxiety inventory (T-AI) scale and state anxiety inventory (S-AI) scale between two groups were compared. Results There were no significant differences in children′s m-YPAS score, m-CHEOPS score (P ＞ 0.05); ICC score and PAED score in group S were lower than those in group K (all P < 0.05). There was no significant difference in T-AI score of patients′ parents (P ＞ 0.05); and S-AI score of Group S was lower than that of group K (P < 0.05). ICC scores were positively correlated with S-AI scores and PAED scores (r = 0.450, 0.439, P = 0.004, 0.005). PAED scores were positively correlated with S-AI scores (r = 0.518, P = 0.001). Conclusion Compared with intramuscular Ketamine, induction with Sevoflurane is effective in reducing induction period ICC scores and post-operative PAED scores, as well as reduce anxiety levels in the families during the waiting period for surgery.
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