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'Fruit-flavoured' mask for isoflurane induction in children
R P Lewis1, M J Jones, R J Eastley
1Department of Anaesthesia, Leicester Royal Infirmary.
Anaesthesia
|December 1, 1988
Summary
Disguising the odor of isoflurane with fruit flavoring made children quieter during inhalational induction but did not change movement or complications. The overall quality of anesthesia induction remained unaffected by the flavoring.
Area of Science:
- Anesthesiology
- Pediatric Anesthesia
Background:
- Inhalational induction with isoflurane can be challenging due to its pungent odor.
- Masking unpleasant odors may improve patient cooperation during pediatric anesthesia.
Purpose of the Study:
- To evaluate the effect of fruit-flavored isoflurane on the quality of inhalational induction in children.
- To assess patient cooperation, movement, and respiratory complications during masked induction.
Main Methods:
- A double-blind, randomized trial involving 41 children aged 3-10 years.
- Facemasks were coated with fruit extract (intervention) or water (placebo).
- Children's behavior, movement, and respiratory events were monitored during induction.
Main Results:
- Children receiving fruit-flavored isoflurane were significantly quieter than the placebo group.
- No significant differences were observed in the degree of movement during induction.
- The incidence of respiratory complications (breath-holding, laryngospasm, coughing) was similar between groups.
- Anesthetist's overall assessment of induction quality showed no difference.
Conclusions:
- Fruit flavoring can reduce noise during inhalational induction but does not improve movement or overall anesthetic quality.
- This simple modification warrants further investigation, though its clinical benefit is not yet proven.
- The necessity of masking isoflurane's odor in pediatric anesthesia requires further evidence.