British Journal of Anaesthesia, Vol 81, Issue 6 960-962, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia
H. Viitanen, P. Annila, M. Rorarius, M. Paloheimo and G. Baer
We studied recovery from halothane anaesthesia in 93 children, aged 1-3 yr,
undergoing day-case adenoidectomy. Children were allocated randomly to
receive thiopental 5 mg kg-1 (group TH), alfentanil 10 micrograms kg- 1 and
propofol 3 mg kg-1 (group PAH) or 5% halothane (group HH) for induction of
anaesthesia. In group TH, tracheal intubation was facilitated with
succinylcholine (suxamethonium) 1.5 mg kg-1. In groups PAH and HH, tracheal
intubation was performed without neuromuscular block, and succinylcholine
was used only if required. Anaesthesia was maintained with 1-3% halothane
during spontaneous respiration. Times to achieving predetermined recovery
end-points were recorded. Quality of recovery was assessed using a score of
1-9 (best to worst) for sedation, crying, restlessness and agitation. A
postoperative questionnaire was used to determine the well-being of the
child at home, 24 h after operation. Emergence from anaesthesia (response
to non- painful stimuli) occurred earlier in group HH (mean 9 (SD 6) min)
than in groups PAH (13 (6) min, P < 0.01) and TH (18 (14) min, P <
0.01). Sitting up, walking and home readiness were achieved earlier in
groups PAH and HH than in group TH (P < 0.05 for each variable).
Children in group TH were more sedated during the first 30 min after
anaesthesia than those in the two other groups (P < 0.05) while
emergence-related delirium was more common in group HH than in group TH (P
< 0.01). Well- being at home was similar in all groups. We conclude that
induction of halothane anaesthesia with propofol-alfentanil or halothane
provided more rapid recovery and earlier discharge than that with
thiopental.
SHORT COMMUNICATIONS
Recovery after halothane anaesthesia induced with thiopental, propofol- alfentanil or halothane for day-case adenoidectomy in small children
Department of Surgery and Anaesthesia, Central Hospital of Seinajoki, 60220 Seinajoki, Finland; University of Tampere, Medical School, Tampere, Finland; Department of Anaesthesiology, Tampere University Hospital, Tampere, Finland; Eye Hospital, Helsinki University Central Hospital, Helsinki, Finland
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