Sripadungkul Darunee, Thanayongpibul Raya, Kasemsiri Cattleya, Wongwai Phanthipha, Boonkamjad Sutida, Litu Duangned
Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Department of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
J Multidiscip Healthc. 2024 Oct 4;17:4637-4644. doi: 10.2147/JMDH.S475544. eCollection 2024.
Ophthalmologic examinations under anesthesia (EUA) were employed in pediatric patients due to lower cooperation levels and associated discomfort during comprehensive eye examinations. There remains uncertainty regarding the necessity of intravenous (IV) placement during general anesthesia. The primary aim of the study is to investigate the impact of general anesthesia, with and without IV access, on operation time in pediatric patients undergoing EUA. Secondary objectives include assessing cardiovascular and respiratory complications and measuring parental satisfaction in both the IV and No IV groups.
This prospective observational analytic study, conducted as a cross-sectional study, took place between October 2019 and October 2020, in Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Thailand. We included healthy pediatric patients aged 2 to 7 years undergoing elective ambulatory EUA.
Eighty-two patients, with 41 in the IV group and 41 in the No IV group, were enrolled and included for analysis. The No IV group showed a significantly shorter median operation time (7.99 (6.63, 9.36) minutes) compared to the IV group (10.9 (9.05, 12.28) minutes), with a median difference of -2.74 minutes (95% CI -3.76, -1.69, < 0.001). In both groups, no cardiovascular or respiratory complications occurred, and there was no need for emergency IV access or drug administration. Children without IV access had higher parental satisfaction in extreme satisfaction (100% vs 48.78%; < 0.001).
Providing general anesthesia for EUA without IV access in healthy pediatric patients, leading to shorter operation times and heightened parental satisfaction, can be conducted safely.
The trial registration number is TCTR20191021001 from the Thai Clinical Trials Registry.
由于小儿患者在全面眼科检查时配合度较低且会伴有不适，因此在小儿患者中采用了麻醉下眼科检查（EUA）。全身麻醉期间静脉（IV）置管的必要性仍存在不确定性。本研究的主要目的是调查全身麻醉（有无静脉通路）对接受EUA的小儿患者手术时间的影响。次要目标包括评估心血管和呼吸系统并发症，并测量静脉置管组和无静脉置管组家长的满意度。
本前瞻性观察性分析研究作为一项横断面研究，于2019年10月至2020年10月在泰国孔敬大学医学院麻醉科进行。我们纳入了年龄在2至7岁、接受择期非住院EUA的健康小儿患者。
共纳入82例患者，其中静脉置管组41例，无静脉置管组41例，并纳入分析。与静脉置管组（10.9（9.05，12.28）分钟）相比，无静脉置管组的中位手术时间显著缩短（7.99（6.63，9.36）分钟），中位差异为-2.74分钟（95%CI -3.76，-1.69，<0.001）。两组均未发生心血管或呼吸系统并发症，也无需紧急静脉置管或给药。无静脉通路的患儿家长在极度满意度方面更高（100%对48.78%；<0.001）。
在健康小儿患者中为EUA提供无静脉通路的全身麻醉，可安全进行，且手术时间更短，家长满意度更高。
试验注册号为泰国临床试验注册中心的TCTR20191021001。
