Comparison of Emergence and Recovery in Different Age Pediatric Patients Undergoing Ambulatory Surgical Procedures

Abstract

INTRODUCTION: In this study, we aimed to investigate the effects of children's age on awakening and recovery in ambulatory pediatric surgery cases. METHODS: The data of patients who underwent ambulatory surgical procedures were reviewed retrospectively, and the files of ASA I patients who used sevoflurane as an induction and maintenance agent and were placed in a laryngeal mask for airway maintenance were reviewed. Patients who used neuromuscular blockers during anesthesia were not included in the study. The patients were divided into two groups according to their age, as Group K (age of 36 months and below) (n=34) and Group B (age of over 36 months) (n=28). Hemodynamic data of the patients, laryngeal mask removal times at the end of surgery, and extubation times were evaluated. The Aono's 4-Point Scale, which evaluates the agitation of the patients in the recovery unit, and the Steward Recovery Score, which evaluates the recovery quality, were examined. RESULTS: There was no difference according to age in terms of laryngeal mask removal times and eye opening times. Aono's 4-Point Scale and Steward Recovery Scale were found to be higher in children aged 36 months and below in recovery unit. DISCUSSION AND CONCLUSION: While the laryngeal mask removal times and extubation times were similar in all age groups we examined in our study, recovery was faster in younger patients and emergence agitation was observed more frequently.

Keywords

• ambulatory surgical procedures
• emergence agitation
• recovery.