Akademik Veri Yönetim Sistemi
Sağlık Bilimleri Üniversitesi 1. Uluslararası Anesteziyoloji ve Reanimasyon Sempozyumu, İstanbul, Türkiye, 3 - 04 Aralık 2021, ss.260-262
SO-18 The Effect Of Intravenous Paracetamol On Emergence Agitation In PreschoolAged Children Under Sevoflurane Anesthesia For Strabismus Surgery Yeliz Kiliç1 , Haluk Hüseyin Gürsoy2 , Sema Şanal Baş1 , Ayten Bilir1 , Mehmet Sacit Güleç1 1Eskişehir Osmangazi University, Department of Anesthesiology and Reanimation 2Eskişehir Osmangazi University, Department of Ophthalmology INTRODUCTION - PURPOSE: Emergency agitation (EA) is a complex disorder characterized by various negative behavioral disorders, and is more frequent in preschool-aged children. Paracetamol is often used in the management of postoperative pain due to low side effect profile, especially in pediatric patients.The effect of intravenous (IV) paracetamol on EA has not been clearly demonstrated, especially in preschool-aged population.The aim of this study was to evaluate the effectiveness and safety of IV paracetamol on EA in pediatric patients undergoing sevoflurane anesthesia for strabismus surgery MATERIALS AND METHODS: A total of 27 pediatric patients were included in the study. The patients were classified as preschool-aged children aged 2-6 years (Group 1, n= 15) and children above 6 years (Group 2, n = 12.The two groups were then compared each other in terms of basic characteristics, FLACC and PAED scores. Postoperative pain level was measured by Face, Legs, Activity, Cry, Consolability (FLACC) scale. EA was assessed with Pediatric Anesthesia Emergence Delirium (PAED) scale. RESULTS: Twenty seven pediatric patients with a mean age of 5.7 (2-11) years were enrolled in the study. There were 18 (66.7%) males and 9 (33.3%) females. The majority of patients had ASA 1 status (n= 22, 81.5%) while the remaining patients were classified as ASA 2 (n= 5, 18.5%). IV paracetamol was the single analgesic in the management of postoperative analgesia. The patients were classified according to age; Group 1 (n= 15) consisted of children aged 2-6 while children above 6 years included in Group 2 (n= 12). There were no significant differences in all FLACC and PAED scores between the groups (p > 0.05). The incidence of EA was also similar between the two patient groups (p > 0.05).