Comparison of intravenous and inhalation anesthesia on postoperative behavior changes in children undergoing ambulatory endoscopic procedures: A randomized clinical trial

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorQUINTAO, Vinicius Caldeira
dc.contributor.authorCARLOS, Ricardo Vieira
dc.contributor.authorCARDOSO, Priscilla Ferreira Neto
dc.contributor.authorZEFERINO, Suely Pereira
dc.contributor.authorKULIKOWSKI, Leslie Domenici
dc.contributor.authorLEE-ARCHER, Paul
dc.contributor.authorCARMONA, Maria Jose Carvalho
dc.date.accessioned2023-04-14T17:19:52Z
dc.date.available2023-04-14T17:19:52Z
dc.date.issued2023
dc.description.abstractBackgroundEarly and delayed behavioral changes are well recognized after anesthesia. Intravenous anesthesia may prevent emergence delirium. However, it has not been evaluated as a preventive strategy for delayed postoperative behavior changes. AimsWe aimed to determine whether intravenous anesthesia is effective at reducing postoperative behavior changes in children undergoing ambulatory endoscopic procedures when compared to inhalation anesthesia. MethodsThis randomized, double-blinded controlled trial was approved by the local IRB. Children aged 1-12 years who underwent ambulatory endoscopic procedures were recruited. Preoperative anxiety was evaluated through the modified Yale Preoperative Anxiety Scale. All children underwent face mask inhalation induction with sevoflurane. After a peripheral line was placed, each child was allocated to sevoflurane or propofol maintenance. Emergence delirium was evaluated through the Pediatric Anesthesia Emergence Delirium scale. The child was discharged home, and behavioral changes were assessed through the Posthospitalization Behavior Questionnaire for Ambulatory Surgery on Days 1, 7, and 14. ResultsOverall, 175 children were enrolled. On Day 1 after the procedure, 57 children presented at least one negative behavior. On Days 7 and 14, 49 and 44 children presented at least one negative behavior, respectively. The median number of negative behaviors was similar between the groups. Post hoc analyses showed a moderate correlation between emergence delirium and negative postoperative behavior on Day 7 (r = .34; p = <.001) and an increase of 3.31 (95% CI 1.90; 4.36 p < .001) points in the mean summed score of new negative behaviors for individuals with emergence delirium. ConclusionThe incidence of postoperative behavior changes in children undergoing ambulatory endoscopic procedures was similar when comparing intravenous with inhalation anesthesia. Children who experience emergence delirium might show a greater incidence of negative postoperative behavior changes.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipSao Paulo Research Foundation [2017/25047-0]
dc.identifier.citationPEDIATRIC ANESTHESIA, v.33, n.3, p.229-235, 2023
dc.identifier.doi10.1111/pan.14602
dc.identifier.eissn1460-9592
dc.identifier.issn1155-5645
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/52812
dc.language.isoeng
dc.publisherWILEYeng
dc.relation.ispartofPediatric Anesthesia
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright WILEYeng
dc.subjectanesthesiaeng
dc.subjectchild behavioreng
dc.subjectemergence deliriumeng
dc.subjectpostoperative complicationseng
dc.subject.otherpreoperative anxietyeng
dc.subject.otherpediatric anesthesiaeng
dc.subject.otheremergence deliriumeng
dc.subject.otherhospitalizationeng
dc.subject.otherinductioneng
dc.subject.otherrecoveryeng
dc.subject.wosAnesthesiologyeng
dc.subject.wosPediatricseng
dc.titleComparison of intravenous and inhalation anesthesia on postoperative behavior changes in children undergoing ambulatory endoscopic procedures: A randomized clinical trialeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryAustrália
hcfmusp.affiliation.countryisoau
hcfmusp.author.externalLEE-ARCHER, Paul:Queensland Childrens Hosp, Dept Anesthesia, Brisbane, Qld, Australia
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcVINICIUS CALDEIRA QUINTAO
hcfmusp.contributor.author-fmusphcRICARDO VIEIRA CARLOS
hcfmusp.contributor.author-fmusphcPRISCILLA FERREIRA NETO CARDOSO
hcfmusp.contributor.author-fmusphcSUELY PEREIRA ZEFERINO
hcfmusp.contributor.author-fmusphcLESLIE DOMENICI KULIKOWSKI
hcfmusp.contributor.author-fmusphcMARIA JOSE CARVALHO CARMONA
hcfmusp.description.beginpage229
hcfmusp.description.endpage235
hcfmusp.description.issue3
hcfmusp.description.volume33
hcfmusp.origemWOS
hcfmusp.origem.pubmed36371675
hcfmusp.origem.scopus2-s2.0-85143420744
hcfmusp.origem.wosWOS:000888906400001
hcfmusp.publisher.cityHOBOKENeng
hcfmusp.publisher.countryUSAeng
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hcfmusp.scopus.lastupdate2024-05-10
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