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Anticholinergic drugs have traditionally been used for their antisialagogue properties. But use of anticholinergic drugs can interfere with thermoregulation via inhibition of the parasympathetically mediated sweat secretion. Sweating inhibition can reduce heat elimination, and children's thermoregulation depend more on sweating than adults and they can become hyperthermic when given these agents.
The investigators evaluated the fever-causing effects of adjunctive anticholinergics in children under general anesthesia using ketamine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anticholinergic premedication | Experimental | Premedication with 0.005mg/Kg of glycopyrrolate |
|
| Control group | No Intervention | Same volume of normal saline |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Glycopyrrolate | Drug | Intravenously administered 0.005mg/Kg of glycopyrrolate in intervention group |
|
| Measure | Description | Time Frame |
|---|---|---|
| Body temperature | measured body temperature at three times in both ears and the highest value was selected. | every 30 minutes from base line ( up to 90min ) |
| Measure | Description | Time Frame |
|---|---|---|
| Oral secretion (VAS) | Oral secretion during the whole procedure was recorded by the researcher | up to operative end |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Won Joo Choe, M.D. Ph.D | Inje Univ. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ilsan Paik hospital | Goyang-si | Gyeonggi-do | 411-706 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27225859 | Derived | Kim KW, Choe WJ, Kim JH, Kim KT, Lee SI, Park JS, Kim JW, Heo MH. Anticholinergic premedication-induced fever in paediatric ambulatory ketamine anaesthesia. J Int Med Res. 2016 Aug;44(4):817-23. doi: 10.1177/0300060515595649. Epub 2016 May 25. |
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| ID | Term |
|---|---|
| D005334 | Fever |
| ID | Term |
|---|---|
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D006024 | Glycopyrrolate |
| ID | Term |
|---|---|
| D000644 | Quaternary Ammonium Compounds |
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D009861 | Onium Compounds |
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| D011759 |
| Pyrrolidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |