Kasaba T, Nonoue T, Yanagidani T, Maeda M, Kosaka Y
Department of Anesthesia, Tottori Prefectural Central Hospital.
Masui. 1991 Apr;40(4):552-6.
The effects of the rectal premedication and the mother's presence on induction of anesthesia were studied with 67 children between the ages of 1 and 6 years. All children were induced with mask using nitrous oxide-oxygen-halothane. Children's emotional states during induction were categorized as excellent, good or fair. Rating of excellent or good was considered to indicate satisfactory induction. Forty-seven children were accompanied by their mother. Twenty-two of them were premedicated with rectal bromazepam (3 mg), while another twenty-five children were not premedicated. Satisfactory induction after premedication was performed on 78% of the 1-3 year olds and 100% of the 4-6 year olds, whereas without rectal premedication, satisfactory induction was achieved in 42% of the 1-3 year olds and 69% of the 4-6 year olds. Rectal premedication was important for satisfactory induction. Another twenty of all children were premedicated with rectal bromazepam (3 mg) and induced without mother presence. Satisfactory induction was performed on 38% of the 1-3 year olds and 100% of the 4-6 year olds. Mother's presence tended to lead to satisfactory induction. Furthermore, we sought feedback from the mothers about their presence during induction of anesthesia. Almost all of the mothers said they appreciated the opportunity to be present, with the exception of four mothers (8.5%) who reported feeling of some anxiety to be in an operating room.
对67名1至6岁儿童进行了研究，以探讨直肠术前用药和母亲在场对麻醉诱导的影响。所有儿童均采用氧化亚氮 - 氧气 - 氟烷面罩诱导麻醉。诱导过程中儿童的情绪状态分为优、良或尚可。优或良的评级被认为表示诱导满意。47名儿童有母亲陪伴。其中22名儿童术前直肠给予溴西泮（3毫克），另外25名儿童未进行术前用药。术前用药后，1至3岁儿童中有78%诱导满意，4至6岁儿童中有100%诱导满意；而未进行直肠术前用药时，1至3岁儿童中有42%诱导满意，4至6岁儿童中有69%诱导满意。直肠术前用药对诱导满意很重要。所有儿童中另外20名术前直肠给予溴西泮（3毫克），且在无母亲在场的情况下诱导麻醉。1至3岁儿童中有38%诱导满意，4至6岁儿童中有100%诱导满意。母亲在场往往会导致诱导满意。此外，我们征求了母亲们关于她们在麻醉诱导期间在场的反馈。几乎所有母亲都表示她们很感激有机会在场，只有4名母亲（8.5%）报告在手术室感到有些焦虑。
