scholarly journals Mother's recorded voice on emergence can decrease postoperative emergence delirium from general anaesthesia in paediatric patients: a prospective randomised controlled trial

2018 ◽  
Vol 121 (2) ◽  
pp. 483-489 ◽  
Author(s):  
S. Byun ◽  
S. Song ◽  
J.H. Kim ◽  
T. Ryu ◽  
M.Y. Jeong ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
General Anaesthesia ◽  
Controlled Trial ◽  
Emergence Delirium ◽  
Paediatric Patients ◽  
Randomised Controlled

Intranasal dexmedetomidine to facilitate mask induction and prevent emergence delirium.

2021 ◽  
Author(s):  
Michiel Denis ◽  
Hans Goethuys ◽  
Elly Vandermeulen ◽  
Dieter Mesotten ◽  
Joris Vundelinckx
Keyword(s):  
Day Care ◽  
Recovery Room ◽  
Controlled Trial ◽  
Perioperative Period ◽  
Control Group ◽  
Care Hospital ◽  
Implementation Study ◽  
Emergence Delirium ◽  
Paediatric Patients ◽  
Randomised Controlled

Abstract Background As children are exposed to stress and anxiety during the perioperative period, pre-anaesthetic medication to facilitate induction of anaesthesia without prolonging recovery is needed. Dexmedetomidine is increasingly being used for sedation in the intensive care units and for procedural anaesthesia outside the operating room. However, the effectiveness of pre-operative sedation with intranasal dexmedetomidine in paediatric patients undergoing ambulatory surgery has not yet been well characterised. Aims To identify the effectiveness of intranasal dexmedetomidine in facilitating mask induction and preventing emergence agitation. Methods In a single centre retrospective implementation study, we compared intranasal dexmedetomidine (2 µg/kg) administration, sequentially in all paediatric patients undergoing minor urological surgery between January 2019 and July 2019 with a period in which dexmedetomidine was not administered. The outcome measures were tolerance of mask induction, post-operative sedation and the Paediatric Anaesthesia Emergence Delirium scale (PAED) score. Results The 53 children in the control group were compared with 50 children in the dexmedetomidine group during implementation. The incidence of sedation on mask induction was greater in patients given dexmedetomidine compared to those who did not receive premedication (60% versus 0%, p<0.0001). The proportion of children who were asleep but easily arousable in the recovery room and in day-care hospital was greater in the dexmedetomidine group compared to the control group. (32% versus 7% in the recovery room; p=0.004, and 20% versus 2% in day-care hospital, p = 0.002). The PAED scores did not differ between the two groups, neither in the recovery room nor in day-care hospital. Conclusion In paediatric patients undergoing small urologic surgery, premedication with intranasal dexmedetomidine in a dose of 2µg/kg provides adequate sedation and anxiolysis on mask induction and in the postoperative period. These results from an implementation study need to be confirmed in a multicentre blinded randomised controlled trial.

scholarly journals Protocol of a randomised controlled trial assessing the impact of physical activity on bone health in children with inflammatory bowel disease

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e036400
Author(s):  
Jérémy Vanhelst ◽  
Stéphanie Coopman ◽  
Julien Labreuche ◽  
Claire Dupont ◽  
Valérie Bertrand ◽  
...  
Keyword(s):  
Physical Activity ◽  
Inflammatory Bowel Disease ◽  
Randomised Controlled Trial ◽  
Bone Health ◽  
Bowel Disease ◽  
Controlled Trial ◽  
Whole Body ◽  
Paediatric Patients ◽  
Inflammatory Bowel ◽  
Randomised Controlled

IntroductionLow bone mineral density (BMD) is a frequent issue in children and adolescents with inflammatory bowel disease (IBD). Several studies in healthy populations have reported a positive impact of physical activity (PA) on bone health. Recently, an observational study in paediatric patients with IBD showed a significant positive relationship between daily PA and BMD. However, intervention studies investigating a causal relationship between PA and BMD are warranted to confirm these results. The aim of this randomised controlled trial will be to investigate the effect of a PA programme on BMD in paediatric patients with IBD.Methods and analysisThis trial is a multicentre (four centres), randomised, controlled, blinded end-point study. Eighty children with IBD will be randomly assigned in a 1:1 ratio to receive a programme with adapted physical exercises (intervention group) or usual PA (control group) during a 9-month period. The primary outcome is the change from baseline at 9 months (the end of the study) in whole-body BMD assessed by dual-energy X-ray absorptiometry. Secondary efficacy outcomes include the changes from baseline at 9 months in: BMD assessed in the lumbar spine and trochanter; daily PA (time spent in moderate-to-vigorous PA); body composition (fat mass and fat-free mass); fatigue resistance; quality of life and activity of IBD.Ethics and disseminationThe study was approved by the Research Ethics Committee in France (Comité de Protection des Personnes, Sud-Ouest and Outre-Mer III, Bordeaux, France, No 2018/27). All procedures will be performed according to the ethical standards of the Helsinki Declaration of 1975, as revised in 2008, and the European Union’s Guidelines for Good Clinical Practice. Written informed consent will be obtained from the parents or legal guardian and from the children. Research findings will be disseminated in peer-reviewed journals and scientific meetings.Trial registration numberNCT03774329.

Sign in / Sign up

Export Citation Format

Share Document