Department of Anaesthesiology and Critical care, CHRU de Tours, avenue de la République, 37170 Chambray-lès-Tours, France.
Department of Paediatric Anaesthesia, CHRU, 37000 Tours, France.
Anaesth Crit Care Pain Med. 2018 Oct;37(5):435-438. doi: 10.1016/j.accpm.2018.02.010. Epub 2018 Feb 21.
We evaluated if the sitting or supine positions affect anxiety levels induced by the application of a facemask in children.
Prospective, randomised study.
Paediatric hospital, operating room.
Two to twelve years old children, 1-3 ASA status, undergoing inhalation anaesthesia for elective surgery.
Children were randomly assigned to a sitting or supine position. After monitoring equipment was established, inhalation was inducted by the application of the mask.
Child anxiety was then assessed with the modified Yale Preoperative Anxiety Scale (mYPAS) before the application of the facemask and following mask application.
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.
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.
我们评估了在儿童中应用面罩时，坐位或仰卧位是否会影响由此引起的焦虑水平。
前瞻性、随机研究。
儿科医院，手术室。
2 至 12 岁，ASA 分级 1-3 级，择期手术行吸入麻醉的儿童。
儿童随机分配至坐位或仰卧位。在建立监测设备后，通过应用面罩进行吸入诱导。
在应用面罩之前和之后，使用改良耶鲁术前焦虑量表（mYPAS）评估儿童焦虑。
总共分析了坐位组的 99 名儿童和仰卧位组的 103 名儿童。在应用面罩之前，两组的 mYPAS 评分无差异（40 [28-51] 与 40 [28-53]；P=0.99）。在应用面罩后，两组的评分均增加（P=0.005），且增加程度相似，两组之间无差异（48 [38-60] 与 48 [35-63]；P=0.95）。两组之间的不良反应无差异。
在接受吸入诱导的儿童中，坐位或仰卧位不会改变面罩应用引起的焦虑，也不会产生不良反应；因此，应允许儿童选择自己喜欢的体位。
