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[Propofol for paediatric patients in ear, nose and throat surgery. Practicability, quality and cost-effectiveness of different anaesthesia procedures for adenoidectomy in infants]

AbstractBACKGROUND: The aim of this study was an improvement in patient comfort, reduction of anaesthesia costs and room contamination by the use of propofol for adenoidectomy. METHODS: A total of 103 infants (aged 1-5 years) undergoing elective adenoidectomy were randomized for anaesthesia with sevoflurane-nitrous oxide/oxygen (group 1), sevoflurane-air/alfentanil (group 2), alfentanil-propofol under induction with sevoflurane (group 3) or alfentanil-propofol (group 4). RESULTS: Using propofol, postoperative agitation and emesis were significantly less and the anaesthesia costs as well as the need for analgesics was reduced compared to inhalative anaesthesia. CONCLUSIONS: The use of propofol for preschool children undergoing ear, nose and throat (ENT) surgery seems to be advantageous because of less postoperative agitation, emesis and costs.
AuthorsK Auerswald, K Behrends, U Burkhardt, D Olthoff (Affiliation: Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum, Liebigstrasse 20a, 04103 Leipzig AöR. Karen.Auerswald at medizin.uni-leipzig.de)
JournalDer Anaesthesist (Anaesthesist) Vol. 55 Issue 8 Pg. 846-53 (Aug 2006) ISSN: 0003-2417 [Print] Germany
Vernacular TitlePropofoleinsatz für Hals-Nasen-Ohren-Eingriffe im Kindesalter. Praktikabilität, Qualität und Kosteneffektivität verschiedener Narkoseverfahren zur Adenotomie bei Kindern.
PMID16773342 (Publication Type: Comparative Study, English Abstract, Journal Article, Randomized Controlled Trial)
Chemical References
  • Anesthetics, Inhalation
  • Anesthetics, Intravenous
  • Methyl Ethers
  • Nitrous Oxide
  • Propofol
  • sevoflurane
  • Alfentanil
Topics
  • Adenoidectomy (economics)
  • Alfentanil (economics)
  • Anesthesia, Inhalation (economics)
  • Anesthesia, Intravenous (economics)
  • Anesthetics, Inhalation (economics)
  • Anesthetics, Intravenous (economics)
  • Child, Preschool
  • Cost-Benefit Analysis
  • Drug Costs
  • Female
  • Humans
  • Infant
  • Male
  • Methyl Ethers (economics)
  • Nitrous Oxide (economics)
  • Otorhinolaryngologic Surgical Procedures (economics)
  • Postoperative Complications (economics, epidemiology)
  • Postoperative Nausea and Vomiting (economics, epidemiology)
  • Propofol (economics)
  • Psychomotor Agitation (economics, epidemiology)

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