| Appropriate Dose of Fentanyl for the Prevention of Emergence Agitation after Sevoflurane Anesthesia in Pediatric Patients undergoing Tonsillectomy. |
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Hee Cheol Jin, Se Jin Lee |
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Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, Bucheon, Korea. jhc0503@schbc.ac.kr |
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| Abstract |
BACKGROUND
We designed this study to find the appropriate dose of fentanyl for the prevention of emergence agitation in pediatric tonsillectomy patients under sevoflurane anesthesia.
METHODS
Sixty pediatric patients receiving sevoflurane anesthesia for tonsillectomy was assigned to 3 groups.
Fentanyl 0.5microgram/kg (group 1), 1.0microgram /kg (group 2), or 1.5microgram/kg (group 3) was administered intravenously 10 min before the end of surgery. Agitation score was checked at the postanesthesia care unit.
RESULTS
The results showed a lower incidence of severe agitation in groups 2 and 3 than in group 1. There was no difference between groups 2 and 3.
CONCLUSIONS
For preventing emergence agitation after sevoflurane anesthesia, we recommend using fentanyl in a dose of more than 1.0micrgram/kg. |
| Key Words:
agitation; emergence; fentanyl; pediatric; sevoflurane |
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