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Early intravenous cannulation in children during sevoflurane induction
Summary Background : It has been shown that early placement of an intravenous line in children anesthetized with halothane is equally safe compared with later placement. Whether this is true of sevoflurane is not known. Methods : Pediatric patients, age 1–18 years, undergoing elective general anesth...
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| Published in: | Pediatric anesthesia 2004-10, Vol.14 (10), p.820-824 |
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| container_issue | 10 |
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| container_title | Pediatric anesthesia |
| container_volume | 14 |
| creator | Schwartz, Donald Connelly, Neil Roy Gutta, Srinivasa Freeman, Katharine Gibson, Charles |
| description | Summary
Background : It has been shown that early placement of an intravenous line in children anesthetized with halothane is equally safe compared with later placement. Whether this is true of sevoflurane is not known.
Methods : Pediatric patients, age 1–18 years, undergoing elective general anesthesia via an inhalation induction were randomized to intravenous placement either 30 or 120 s following loss of lid reflex. Movement on intravenous placement and incidence of laryngospasm were determined. Difficulty with intravenous placement was recorded.
Results : Movement on intravenous placement was more prevalent in the early group than in the late group (P |
| doi_str_mv | 10.1111/j.1460-9592.2004.01315.x |
| format | article |
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Background : It has been shown that early placement of an intravenous line in children anesthetized with halothane is equally safe compared with later placement. Whether this is true of sevoflurane is not known.
Methods : Pediatric patients, age 1–18 years, undergoing elective general anesthesia via an inhalation induction were randomized to intravenous placement either 30 or 120 s following loss of lid reflex. Movement on intravenous placement and incidence of laryngospasm were determined. Difficulty with intravenous placement was recorded.
Results : Movement on intravenous placement was more prevalent in the early group than in the late group (P < 0.0001). There was no laryngospasm in the late group and eight cases in the early group (P < 0.004). Children who had laryngospasm were older (P < 0.02) and weighed more (P < 0.04). Older children in the early group were more likely to have significant movement.
Conclusion : Following an inhalation induction with sevoflurane in children, movement with intravenous placement was greater, and the incidence of laryngospasm was higher, when the intravenous access was attempted 30 s rather than 120 s following loss of lid reflex. We recommend waiting two min following the loss of lid reflex before attempting intravenous placement in children receiving an inhalation induction with sevoflurane.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1111/j.1460-9592.2004.01315.x</identifier><identifier>PMID: 15385009</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Anesthesia ; Anesthesia, Inhalation ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; anesthesia: sevoflurane ; Anesthetics, Inhalation ; Biological and medical sciences ; Catheterization ; Child ; Child, Preschool ; Eyelids - physiology ; Female ; Humans ; induction: sevoflurane ; Infant ; Intraoperative Complications - epidemiology ; Laryngismus - epidemiology ; laryngospasm ; Male ; Medical sciences ; Methyl Ethers ; Monitoring, Intraoperative</subject><ispartof>Pediatric anesthesia, 2004-10, Vol.14 (10), p.820-824</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright 2004 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4335-abd157af4f9bc1383723dcd877e8dd61cf4d414a3f8d1beee5dce8fc50debb4a3</citedby><cites>FETCH-LOGICAL-c4335-abd157af4f9bc1383723dcd877e8dd61cf4d414a3f8d1beee5dce8fc50debb4a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16114470$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15385009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schwartz, Donald</creatorcontrib><creatorcontrib>Connelly, Neil Roy</creatorcontrib><creatorcontrib>Gutta, Srinivasa</creatorcontrib><creatorcontrib>Freeman, Katharine</creatorcontrib><creatorcontrib>Gibson, Charles</creatorcontrib><title>Early intravenous cannulation in children during sevoflurane induction</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>Summary
Background : It has been shown that early placement of an intravenous line in children anesthetized with halothane is equally safe compared with later placement. Whether this is true of sevoflurane is not known.
Methods : Pediatric patients, age 1–18 years, undergoing elective general anesthesia via an inhalation induction were randomized to intravenous placement either 30 or 120 s following loss of lid reflex. Movement on intravenous placement and incidence of laryngospasm were determined. Difficulty with intravenous placement was recorded.
Results : Movement on intravenous placement was more prevalent in the early group than in the late group (P < 0.0001). There was no laryngospasm in the late group and eight cases in the early group (P < 0.004). Children who had laryngospasm were older (P < 0.02) and weighed more (P < 0.04). Older children in the early group were more likely to have significant movement.
Conclusion : Following an inhalation induction with sevoflurane in children, movement with intravenous placement was greater, and the incidence of laryngospasm was higher, when the intravenous access was attempted 30 s rather than 120 s following loss of lid reflex. We recommend waiting two min following the loss of lid reflex before attempting intravenous placement in children receiving an inhalation induction with sevoflurane.</description><subject>Adolescent</subject><subject>Anesthesia</subject><subject>Anesthesia, Inhalation</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>anesthesia: sevoflurane</subject><subject>Anesthetics, Inhalation</subject><subject>Biological and medical sciences</subject><subject>Catheterization</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Eyelids - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>induction: sevoflurane</subject><subject>Infant</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Laryngismus - epidemiology</subject><subject>laryngospasm</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methyl Ethers</subject><subject>Monitoring, Intraoperative</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNqNkE1P3DAQhq2Kqrul_QtVLnBLsOOPJIceFsSXRAEJEKgXy7HHrRdvQu0N7P77Ot0Ve60vHs08rz16EMoILkg6R_OCMIHzhjdlUWLMCkwo4cXqA5q-D_ZSTTjPuWB8gj7HOMeJKkX5CU0IpzXHuJmis1MV_Dpz3TKoV-j6IWZadd3g1dL1Xepn-rfzJkCXmSG47lcW4bW3fgiqgzQ2gx7BL-ijVT7C1-29jx7OTu9PLvKrm_PLk9lVrhmlPFetIbxSltmm1YTWtCqp0aauKqiNEURbZhhhitrakBYAuNFQW82xgbZN_X10uHn3JfR_BohLuXBRg_dpm7S7FKLBQnCawHoD6tDHGMDKl-AWKqwlwXJ0KOdyVCVHVXJ0KP85lKsU_bb9Y2gXYHbBrbQEHGwBFbXyNqnQLu44QQhjFU7c9w335jys_3sBeTu7HquUzzd5F5ewes-r8CxFRSsuH6_P5fHTz7sfx5WQt_QvQJqeOg</recordid><startdate>200410</startdate><enddate>200410</enddate><creator>Schwartz, Donald</creator><creator>Connelly, Neil Roy</creator><creator>Gutta, Srinivasa</creator><creator>Freeman, Katharine</creator><creator>Gibson, Charles</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200410</creationdate><title>Early intravenous cannulation in children during sevoflurane induction</title><author>Schwartz, Donald ; Connelly, Neil Roy ; Gutta, Srinivasa ; Freeman, Katharine ; Gibson, Charles</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4335-abd157af4f9bc1383723dcd877e8dd61cf4d414a3f8d1beee5dce8fc50debb4a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Anesthesia</topic><topic>Anesthesia, Inhalation</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>anesthesia: sevoflurane</topic><topic>Anesthetics, Inhalation</topic><topic>Biological and medical sciences</topic><topic>Catheterization</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Eyelids - physiology</topic><topic>Female</topic><topic>Humans</topic><topic>induction: sevoflurane</topic><topic>Infant</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Laryngismus - epidemiology</topic><topic>laryngospasm</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methyl Ethers</topic><topic>Monitoring, Intraoperative</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwartz, Donald</creatorcontrib><creatorcontrib>Connelly, Neil Roy</creatorcontrib><creatorcontrib>Gutta, Srinivasa</creatorcontrib><creatorcontrib>Freeman, Katharine</creatorcontrib><creatorcontrib>Gibson, Charles</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwartz, Donald</au><au>Connelly, Neil Roy</au><au>Gutta, Srinivasa</au><au>Freeman, Katharine</au><au>Gibson, Charles</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early intravenous cannulation in children during sevoflurane induction</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2004-10</date><risdate>2004</risdate><volume>14</volume><issue>10</issue><spage>820</spage><epage>824</epage><pages>820-824</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>Summary
Background : It has been shown that early placement of an intravenous line in children anesthetized with halothane is equally safe compared with later placement. Whether this is true of sevoflurane is not known.
Methods : Pediatric patients, age 1–18 years, undergoing elective general anesthesia via an inhalation induction were randomized to intravenous placement either 30 or 120 s following loss of lid reflex. Movement on intravenous placement and incidence of laryngospasm were determined. Difficulty with intravenous placement was recorded.
Results : Movement on intravenous placement was more prevalent in the early group than in the late group (P < 0.0001). There was no laryngospasm in the late group and eight cases in the early group (P < 0.004). Children who had laryngospasm were older (P < 0.02) and weighed more (P < 0.04). Older children in the early group were more likely to have significant movement.
Conclusion : Following an inhalation induction with sevoflurane in children, movement with intravenous placement was greater, and the incidence of laryngospasm was higher, when the intravenous access was attempted 30 s rather than 120 s following loss of lid reflex. We recommend waiting two min following the loss of lid reflex before attempting intravenous placement in children receiving an inhalation induction with sevoflurane.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>15385009</pmid><doi>10.1111/j.1460-9592.2004.01315.x</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Anesthesia Anesthesia, Inhalation Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy anesthesia: sevoflurane Anesthetics, Inhalation Biological and medical sciences Catheterization Child Child, Preschool Eyelids - physiology Female Humans induction: sevoflurane Infant Intraoperative Complications - epidemiology Laryngismus - epidemiology laryngospasm Male Medical sciences Methyl Ethers Monitoring, Intraoperative |
| title | Early intravenous cannulation in children during sevoflurane induction |
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