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The quality of induction with sevoflurane, along with its ability to generate optimal conditions for Laryngeal Mask Airway (LMA) insertion without supplemental opioids or muscle relaxants, has also been well documented. An ideal inhalation induction technique besides being rapid and comfortable for the patient should be economical. To achieve rapidity, use of vital capacity breaths with 8% sevoflurane is a more popular method of induction compared with the conventional incremental induction.
100 pediatric patients (age range, 1 to 8 years) scheduled for lower abdominal surgery under anesthesia will be included. All children in both groups will be premedicated with midazolam, 0.5 mg/kg orally, about 30 minutes before the induction of anesthesia. A parent or guardian accompanied the child into the operating room to allow the child to remain calm and cooperative for inhalation induction. Before induction, pulse oximetry and electrocardiogram monitoring will be attached. For each group, inhalation induction was initiated using a face mask using "tidal volume" and "vital capacity" breathing in high sevoflurane concentration (8%).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Supine group | Active Comparator | Anesthesia induction with sevoflurane for the patient while he is in supine position. |
|
| Right lateral group | Active Comparator | Anesthesia induction with sevoflurane for the patient while he is in right lateral position position. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| supine position | Procedure | Anesthesia induction with sevoflurane for the patient while he is in supine position. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Induction time | The time from starting induction of anesthesia until successful insertion of the LMA (seconds) | an expected 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| LMA trials (Number of patients in each group required insertion of an LMA more than once) | Number of patients in each group required insertion of an LMA more than once | an expected 60 minutes |
| Blood pressure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| sayed abd elshafy, MD | associate professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Asyut | Asyut Governorate | Egypt |
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| ID | Term |
|---|---|
| D016683 | Supine Position |
| ID | Term |
|---|---|
| D011187 | Posture |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Right lateral position | Procedure | Anesthesia induction with sevoflurane for the patient while he is in right lateral position. |
|
Systolic, diastolic and mean blood pressure "mm Hg"
| Duration of from starting induction of anesthesia till LMA an expected average of 60 minutes |
| Heart rate | Heart rate "beats per minute" | Duration of from starting induction of anesthesia till LMA an expected average of 60 minutes |
| Oxygen saturation | Oxygen saturation % | Duration of from starting induction of anesthesia till LMA an expected average of 60 minutes |