Literature DB >> 22440372

Assessment of induction, recovery, agitation upon awakening, and consumption with the use of two brands of sevoflurane for ambulatory anesthesia.

Cíntia Reina Grisan Tomal1, Ana Gabriela Padua Dias da Silva, Américo Massafuni Yamashita, Pamela Vieira de Andrade, Márcia Tamiko Hirano, Maria Angela Tardelli, Helga Cristina Almeida Silva.   

Abstract

BACKGROUND AND OBJECTIVES: Due to its pharmacological characteristics, sevoflurane is the ideal anesthetic for short-duration procedures. There are two brands of sevoflurane in the Brazilian market, Sevocris® and Sevorane®, with different formulations and packaging. The objective of this study was to assess whether there are differences between the two anesthetics regarding induction, maintenance, recovery, and consumption.
METHODS: One hundred and thirty children were included, divided into two groups according to the brand used: Group 1 was assigned to sevoflurane Cristália® and Group 2 to sevoflurane Abbott®. The following parameters were assessed: heart rate, systolic and diastolic blood pressure, fraction of inspired and expired sevoflurane, BIS values, tympanic temperature, induction and recovery time, agitation upon awakening measured by the PAED scale, and anesthetic consumption by weighing the vaporizers. Anesthesia was induced with 1 MAC and increased every three breaths at 0.5 MAC, up to 3 MAC.
RESULTS: There was no difference between groups regarding the duration of the procedure, the anesthesia, and the parameters evaluated at induction. In Group 1, the number of children who required additional bolus of sevoflurane for anesthesia maintenance was higher than in Group 2 (p<0.05). The fraction of inspired and expired sevoflurane at the end of the procedure was lower in Group 1 (p<0.001). Upon awakening, BIS value was lower in Group 1 (p=0.045). Other parameters evaluated in recovery showed no difference between groups. The use of anesthesia was similar between groups.
Copyright © 2012 Elsevier Editora Ltda. All rights reserved.

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Year:  2012        PMID: 22440372     DOI: 10.1016/S0034-7094(12)70115-0

Source DB:  PubMed          Journal:  Rev Bras Anestesiol        ISSN: 0034-7094            Impact factor:   0.964


  3 in total

1.  Emergence agitation prevention in paediatric ambulatory surgery: A comparison between intranasal Dexmedetomidine and Clonidine.

Authors:  Anindya Mukherjee; Anjan Das; Sandip Roy Basunia; Surajit Chattopadhyay; Ratul Kundu; Raghunath Bhattacharyya
Journal:  J Res Pharm Pract       Date:  2015 Jan-Mar

2.  Measurement of consumption of sevoflurane for short pediatric anesthetic procedures: Comparison between Dion's method and Dragger algorithm.

Authors:  Preet Mohinder Singh; Anjan Trikha; Renu Sinha; Anuradha Borle
Journal:  J Anaesthesiol Clin Pharmacol       Date:  2013-10

3.  Investigation of the Optimum Time for Intravenous Access After Anesthesia Induction with Sevoflurane in Pediatric Patients Without Premedication.

Authors:  Zeynep Nur Orhon; Cem Orhon
Journal:  Medeni Med J       Date:  2020-06-30
  3 in total

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