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The study purpose is to compare the effect of different Administration Routes of Pediatric Premedication (including oral administration, intramuscular injection, rectal perfusion, intranasal).
In this study, 80 cases of surgical or otolaryngology children undergoing elective surgery were divided into four groups:oral administration group, intramuscular group, rectal infusion group, intranasal group depending on the route of administration before anesthesia. By observing the difference of sedative effects, postoperative recovery, and postoperative psychological behavior among the four groups,compare the effect of four pre-anesthetic administration routes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Oral administration | Experimental | -Oral administration of a mixture at preoperative 30 minutes : ketamine 3 mg/kg, midazolam 0.5 mg/kg and atropine 0.02 mg/kg, plus 50% glucose solution to 0.5ml /kg. |
|
| Intramuscular injection | Experimental | -At preoperative 30 minutes intramuscular injection of atropine 0.02 mg/kg, 5 minutes before entering the operation room, intramuscular injection of ketamine 5 mg/kg. |
|
| Rectal perfusion | Experimental | -At preoperative 30 minutes rectal infusion of midazolam 0.5mg/kg |
|
| Dripping nose | Experimental | -At preoperative 30 minutes dripping nose of Imidazole valium 0.2 mg/kg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral administration | Other | Premedicate--Oral administration of a mixture at preoperative 30 minutes: ketamine 3 mg/kg, midazolam 0.5 mg/kg and atropine 0.02 mg/kg, plus 50% glucose solution to 0.5ml /kg. |
| Measure | Description | Time Frame |
|---|---|---|
| Sedation Score | Try to break away from family membersan,an expected average of 3 min;Successfully break away from the family members and accept the face mask and venipuncture,an expected average of 5 min |
| Measure | Description | Time Frame |
|---|---|---|
| Hemodynamic and anesthetic depth monitoring (Heart rate, blood pressure, pulse oxygen saturation, bispectral index(BIS) | Heart rate, blood pressure, pulse oxygen saturation, bispectral index(BIS) | From premedication to 10 min after extubation up to 4 hours |
| Stress index monitoring (The concentration of Plasma cortisol and blood sugar) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| NIU XIAOLI | The second affiliated hospital of xi 'an jiaotong university | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 9830555 | Background | Haas U, Motsch J, Schreckenberger R, Bardenheuer HJ, Martin E. [Premedication and preoperative fasting in pediatric anesthesia. Results of a survey]. Anaesthesist. 1998 Oct;47(10):838-43. doi: 10.1007/s001010050633. German. | |
| 9024042 | Background | Kain ZN, Mayes LC, Bell C, Weisman S, Hofstadter MB, Rimar S. Premedication in the United States: a status report. Anesth Analg. 1997 Feb;84(2):427-32. doi: 10.1097/00000539-199702000-00035. |
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| Intramuscular injection | Other | Premedicate--At preoperative 30 minutes intramuscular injection of atropine 0.02 mg/kg, 5 minutes before entering the operation room, intramuscular injection of ketamine 5 mg/kg. |
|
| Rectal perfusion | Other | Premedicate--At preoperative 30 minutes rectal infusion of midazolam 0.5mg/kg |
|
| Dripping nose | Other | Premedicate--At preoperative 30 minutes dripping nose of Imidazole valium 0.2 mg/kg |
|
| Anesthesia induction(midazolam,fentanyl,propofol,atracurium) | Drug | After entering the operation room ,all cases intravenous midazolam 0.05 mg/kg, fentanyl 3μg/kg, closed-loop target controlled infusion propofol and atracurium . |
|
| Intubation | Procedure | Intubation when the trachea-oesophageal fistula(TOF) value fell 15%, BIS value dropped to 40. |
|
| Anesthesia maintenance(midazolam,fentanyl,propofol,atracurium) | Drug | All cases intravenous midazolam 0.05 mg/kg, fentanyl 3μg/kg, closed-loop target controlled infusion propofol and atracurium . |
|
The concentration of Plasma cortisol and blood sugar |
| From anesthesia induction to 10 min after the start of surgery up to 30 min |
| Postoperation recovery assess (Wake up agitation score (PAED)、Steward score 、Postoperative recovery score) | Wake up agitation score (PAED)、Steward score 、Postoperative recovery score | 10 min after extubation |
| Postoperative behavior assessment (Postoperative behavior scale (PHBQ) | Postoperative behavior scale (PHBQ) | 1 day after the operation,7 day after the operation |
| ID | Term |
|---|---|
| D000284 | Administration, Oral |
| D007273 | Injections, Intramuscular |
| D007440 | Intubation |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D007267 | Injections |
| D008919 | Investigative Techniques |
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