Listening to recorded mother’s voice versus intravenous dexmedetomidine to minimize postoperative emergence delirium in children after hypospadias repair surgeries: A prospective randomized trial
Soliman, O., Nabil, F., Osman, H. (2022). Listening to recorded mother’s voice versus intravenous dexmedetomidine to minimize postoperative emergence delirium in children after hypospadias repair surgeries: A prospective randomized trial. EKB Journal Management System, 38(1), 614-621. doi: TEJA-2022-0147
Omar Soliman; Fatma Nabil; Hany M. Osman. "Listening to recorded mother’s voice versus intravenous dexmedetomidine to minimize postoperative emergence delirium in children after hypospadias repair surgeries: A prospective randomized trial". EKB Journal Management System, 38, 1, 2022, 614-621. doi: TEJA-2022-0147
Soliman, O., Nabil, F., Osman, H. (2022). 'Listening to recorded mother’s voice versus intravenous dexmedetomidine to minimize postoperative emergence delirium in children after hypospadias repair surgeries: A prospective randomized trial', EKB Journal Management System, 38(1), pp. 614-621. doi: TEJA-2022-0147
Soliman, O., Nabil, F., Osman, H. Listening to recorded mother’s voice versus intravenous dexmedetomidine to minimize postoperative emergence delirium in children after hypospadias repair surgeries: A prospective randomized trial. EKB Journal Management System, 2022; 38(1): 614-621. doi: TEJA-2022-0147

Listening to recorded mother’s voice versus intravenous dexmedetomidine to minimize postoperative emergence delirium in children after hypospadias repair surgeries: A prospective randomized trial

Egyptian Journal of Anaesthesia
Volume 38, Issue 1, December 2022, Pages 614-621    PDF (1.57 M)
DOI: TEJA-2022-0147
Authors
Omar Soliman; Fatma Nabil; Hany M. Osman
Abstract
Background
Emergence delirium (ED) is a common problem after pediatric general anesthesia. Despite being self-limited, it may be hazardous. The aim of this study was to compare listening to recorded mother’s voice versus intravenous dexmedetomidine on incidence and severity of emergence delirium after hypospadias repair surgeries.
Methods
This prospective, double-blind, randomized trial included 99 children (4–9 years), who underwent hypospadias repair surgeries. Patients were randomly distributed into three equal groups: group MV (listening to recorded mother’s voice), group D (receiving dexmedetomidine), or group C (control). The primary outcomes were the incidence of ED and its severity using the pediatric anesthesia emergence delirium scale (PAED) at the post-anesthesia care unit (PACU).
Results
The incidence of ED was significantly variable among the three groups (P = 0.003). The percentages were 13.3% in group MV, 6.7% in group D, and 40% in group C. Upon arrival to the PACU, the PAED score was significantly lesser in group MV versus group C (P = 0.006), and in group D versus group C (P < 0.001), However, it was comparable in group MV and group D (P = 0.478). Similar significant results were detected 10, 20, and 30 minutes after arrival to the PACU.
Conclusion
This study showed that listening to the recorded mother’s voice was comparable to intravenous dexmedetomidine in decreasing the incidence and subsiding severity of emergence delirium in children after hypospadias repair surgeries. Both modalities were also helpful in minimizing preoperative anxiety. Early postoperatively, dexmedetomidine had an extra advantage related to postoperative analgesia.
Clinical trials registry
ClinicalTrials.gov (NCT04941508).
Keywords
children; Emergence delirium; hypospadias; mother’s recorded voice; Dexmedetomidine
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