Anxiety during inhalation induction in paediatrics: Sitting versus supine position, a randomised trial - 20/03/18
, Aude Thévenin b, Bénédicte Mille-Zemmoura b, Joseph Moënne-Loccoz b, Francis Remérand a, Marc Laffon bCet article a été publié dans un numéro de la revue, cliquez ici pour y accéder
Abstract |
Study objective |
We evaluated if the sitting or supine positions affect anxiety levels induced by the application of a facemask in children.
Design |
Prospective, randomised study.
Setting |
Paediatric hospital, operating room.
Patients |
Two to twelve years old children, 1–3 ASA status, undergoing inhalation anaesthesia for elective surgery.
Intervention |
Children were randomly assigned to a sitting or supine position. After monitoring equipment was established, inhalation was inducted by the application of the mask.
Measurements |
Child anxiety was then assessed with the modified Yale Preoperative Anxiety Scale (mYPAS) before the application of the facemask and following mask application.
Main results |
Overall, 99 children in the sitting group and 103 in the supine group were analysed. The mYPAS score was not different in both groups before the application of facemask (40 [28–51] versus 40 [28–53]; P=0.99). It increased (P=0.005) to a similar extent in both groups following mask application without difference between groups (48 [38–60] versus 48 [35–63]; P=0.95). Side effects were not different between both groups.
Conclusion |
In children undergoing inhalation induction, sitting or supine positions did not modify anxiety induced by the application of a facemask, nor adverse effects; therefore, children should be allowed to choose their preferred position.
Le texte complet de cet article est disponible en PDF.Keywords : Sitting position, Inhalation anaesthesia, Paediatric anaesthesia, Anxiety, Mask
Plan
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