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Comparison of two different sevoflurane expelling methods on emergence agitation in infants following sevoflurane

Yunliang Yang1, Tieying Song1, Hong Wang1

  • 1Department of Anesthesiology, The First Hospital of Shijiazhuang 36 Fanxi Road, Chang'an District, Shijiazhuang 50011, Hebei Province, China.

International Journal of Clinical and Experimental Medicine
|July 2, 2015
PubMed

Insights

Emergence agitation in infants after sevoflurane anesthesia was lower with a low fresh gas flow expelling method compared to decreasing sevoflurane concentration. This method reduces postoperative agitation and harm.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery

Background:

  • Emergence agitation is a common complication in pediatric anesthesia.
  • Sevoflurane is frequently used for general anesthesia in infants.
  • Optimizing anesthetic emergence is crucial for patient recovery.

Purpose of the Study:

  • To compare the efficacy of two sevoflurane expelling methods on emergence agitation in infants.
  • To evaluate the impact of anesthetic emergence strategies on postoperative behavior.

Main Methods:

  • 100 infants (1-3 years) undergoing cleft lip/palate repair were randomized into two groups.
  • Group N: Sevoflurane concentration decreasing expelling.
  • Group D: Low fresh gas flow expelling. Postoperative outcomes were recorded.

Main Results:

  • No significant differences in anesthesia or extubation times between groups.
  • Group D showed lower postoperative agitation incidence and severity (P < 0.05).
  • Group N exhibited higher blood pressure and heart rates during sevoflurane expelling (P < 0.05).

Conclusions:

  • Low fresh gas flow sevoflurane expelling is associated with reduced emergence agitation in infants.
  • Avoiding sevoflurane maintenance during expelling minimizes postoperative agitation and adverse effects.
  • This finding supports optimizing anesthetic emergence protocols for pediatric patients.
Abstract

Keywords:
Infantsemergence agitationmethods of expelling inhalational anestheticssevoflurane

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