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Effect of ice popsicle treatment on emergence agitation in children undergoing oral surgery with sevoflurane anaesthesia: A prospective randomized controlled study.
Liang, Hui-Hong; Lu, You-Wei; Ou, Xing-Xu; Shi, Hui; She, Ying-Jun; Zhang, Mei-Xue.
Affiliation
  • Liang HH; Department of Anaesthesiology and Operation Room Nursing, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, 9 Jinsui Road, Guangzhou 510623, China.
  • Lu YW; Department of Anaesthesiology and Operation Room Nursing, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, 9 Jinsui Road, Guangzhou 510623, China.
  • Ou XX; Department of Anaesthesiology and Perioperative Medicine, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, 9 Jinsui Road, Guangzhou 510623, China.
  • Shi H; Institute of Paediatrics, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, 9 Jinsui Road, Guangzhou 510623, China.
  • She YJ; Department of Anaesthesiology and Perioperative Medicine, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, 9 Jinsui Road, Guangzhou 510623, China.
  • Zhang MX; Department of Anaesthesiology and Operation Room Nursing, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, 9 Jinsui Road, Guangzhou 510623, China. Electronic address: 13710665765@163.com.
J Pediatr Nurs ; 72: 9-15, 2023.
Article in En | MEDLINE | ID: mdl-37030043
ABSTRACT

PURPOSE:

Emergence agitation is a common postoperative complication during recovery in children. The purpose of this study is to explore whether the use of ice popsicle could prevent emergence agitation in children undergoing oral surgery with sevoflurane anaesthesia. DESIGN AND

METHODS:

In this prospective randomized controlled study, 100 children undergoing oral surgery were randomly assigned to Group 1 which received ice popsicle after emergence (intervention, n = 50) or Group 2 which received verbal encouragement from their parents (control, n = 50). The primary outcome was the 2-hour postoperative incidence of EA.

RESULTS:

Group 1 had a significant lower incidence of emergence agitation (22% vs 58%, P < 0.001) compared with Group 2. The mean agitation score was significantly lower in Group 1 vs Group 2 at 10  minutes (1.64 vs 2.12, P = 0.024) and 20 min (1.60 vs 2.14, P = 0.004) after emergence. The peak agitation and pain scores were significantly lower in Group 1 than in Group 2 (P < 0.001).

CONCLUSIONS:

Findings from this study suggest that ice popsicle is an effective, cheap, pleasurable, and easily administered method for alleviating emergence agitation in paediatric patients after oral surgery under general anaesthesia. These results are worthy of confirmation in other surgeries. PRACTICE IMPLICATIONS This approach is highly accepted by both children and their parents, and our findings support the effectiveness of ice popsicle in relieving emergence agitation and pain after oral surgery in children. CLINICAL TRIALS REGISTRATION Chinese Clinical Trial Registry, ChiCTR1800015634.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Anesthetics, Inhalation / Oral Surgical Procedures / Emergence Delirium / Methyl Ethers Type of study: Clinical_trials / Risk_factors_studies Limits: Child / Humans Language: En Journal: J Pediatr Nurs Journal subject: ENFERMAGEM / PEDIATRIA Year: 2023 Document type: Article Affiliation country:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Anesthetics, Inhalation / Oral Surgical Procedures / Emergence Delirium / Methyl Ethers Type of study: Clinical_trials / Risk_factors_studies Limits: Child / Humans Language: En Journal: J Pediatr Nurs Journal subject: ENFERMAGEM / PEDIATRIA Year: 2023 Document type: Article Affiliation country: