The effect of nebulized lidocaine hydrochloride on emergence from sevoflurane anesthesia in children undergoing Tonsillectomy | ||||
| Egyptian Journal of Anaesthesia | ||||
| Volume 29, Issue 4, October 2013, Page 351-356 PDF (794.66 K) | ||||
| DOI: 10.1016/j.egja.2013.06.001 | ||||
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| Authors | ||||
| Riham Hasanein; Wael El-Sayed | ||||
| Abstract | ||||
| Background Sevoflurane-related emergence agitation (EA) is considered a significant problem that interferes with children’s recovery; our aim was to evaluate the efficacy of nebulized lidocaine hydrochloride when given before sevoflurane anesthesia in attenuating EA in children undergoing tonsillectomy. Materials and methods A randomized clinical study was conducted on eighty children ASA I and II who underwent tonsillectomy. The children were randomized to one of two groups according to the nebulizer contents. Lidocaine group (group L) received nebulized solution of 4 mg/kg lidocaine hydrochloride and placebo group (group P) received nebulized solution contains 0.9% normal saline. Results The number of agitated patients were significantly lowered in the lidocaine group compared to the placebo group; value (0.012). Conclusion The use of nebulized lidocaine before sevoflurane anesthesia for pediatric patients undergoing tonsillectomy attenuated the sevoflurane-related EA with no side effects. | ||||
| Keywords | ||||
| Lidocaine; Nebulization; Sevoflurane; Emergence Agitation; Tonsillectomy | ||||
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