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Comparing topical administration of lidocaine alone and in combination with alfentanil in children undergoing bronchoscopy
INTRODUCTION: Airway surgery and endoscopy in pediatric patients are always associated with challenges in anesthesia management. Deep anesthesia is required for preventing patient bucking during the procedure but patient breath should be maintained; in this regard, a combination of general and topic...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140266/ https://www.ncbi.nlm.nih.gov/pubmed/34041174 http://dx.doi.org/10.4103/jfmpc.jfmpc_1719_20 |
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author | Takzare, Alireza Ariana, Parastou Malekianzadeh, Bita Goudarzi, Mehrdad Espahbodi, Ebrahim |
author_facet | Takzare, Alireza Ariana, Parastou Malekianzadeh, Bita Goudarzi, Mehrdad Espahbodi, Ebrahim |
author_sort | Takzare, Alireza |
collection | PubMed |
description | INTRODUCTION: Airway surgery and endoscopy in pediatric patients are always associated with challenges in anesthesia management. Deep anesthesia is required for preventing patient bucking during the procedure but patient breath should be maintained; in this regard, a combination of general and topical anesthesia can be beneficial. There is also evidence of the peripheral effects of opioids. The main objective of this study is to compare using lidocaine topically alone and combined with alfentanil opioids with respect to the central effects of opioids. METHODS: In this study, 40 ASA class I and II children, aged 1–6 years, who were candidates for flexible diagnostic bronchoscopy were divided into two groups through block randomization using the random number table after obtaining parents' consent in complete health conditions. In this clinical trial, for collecting the data a special data collection form was used at the bedside of patients undergoing bronchoscopy at Pediatric Medical Center in 2017. Data including demographic information (age, weight, gender), duration of anesthesia, blood pressure before and after drug administration, duration of bronchoscopy, and recovery time were recorded in a form. FINDINGS: In terms of demographic variables, there were not any significant differences between the two studied groups, indicating that the groups were matched and randomized appropriately. Although there were not any significant differences between the two groups of using lidocaine alone and in combination with alfentanil in other variables, in the recovery time a significant difference was observed between the two groups, with a mean of 13.05 min in the lidocaine group and 18.75 min in the lidocaine combined with alfentanil group. CONCLUSION: Topical administration of opioid with lidocaine through bronchoscopy had no impact on blood pressure, heart rate, anesthesia duration, and the frequency of perioperative complications. |
format | Online Article Text |
id | pubmed-8140266 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-81402662021-05-25 Comparing topical administration of lidocaine alone and in combination with alfentanil in children undergoing bronchoscopy Takzare, Alireza Ariana, Parastou Malekianzadeh, Bita Goudarzi, Mehrdad Espahbodi, Ebrahim J Family Med Prim Care Original Article INTRODUCTION: Airway surgery and endoscopy in pediatric patients are always associated with challenges in anesthesia management. Deep anesthesia is required for preventing patient bucking during the procedure but patient breath should be maintained; in this regard, a combination of general and topical anesthesia can be beneficial. There is also evidence of the peripheral effects of opioids. The main objective of this study is to compare using lidocaine topically alone and combined with alfentanil opioids with respect to the central effects of opioids. METHODS: In this study, 40 ASA class I and II children, aged 1–6 years, who were candidates for flexible diagnostic bronchoscopy were divided into two groups through block randomization using the random number table after obtaining parents' consent in complete health conditions. In this clinical trial, for collecting the data a special data collection form was used at the bedside of patients undergoing bronchoscopy at Pediatric Medical Center in 2017. Data including demographic information (age, weight, gender), duration of anesthesia, blood pressure before and after drug administration, duration of bronchoscopy, and recovery time were recorded in a form. FINDINGS: In terms of demographic variables, there were not any significant differences between the two studied groups, indicating that the groups were matched and randomized appropriately. Although there were not any significant differences between the two groups of using lidocaine alone and in combination with alfentanil in other variables, in the recovery time a significant difference was observed between the two groups, with a mean of 13.05 min in the lidocaine group and 18.75 min in the lidocaine combined with alfentanil group. CONCLUSION: Topical administration of opioid with lidocaine through bronchoscopy had no impact on blood pressure, heart rate, anesthesia duration, and the frequency of perioperative complications. Wolters Kluwer - Medknow 2021-03 2021-04-08 /pmc/articles/PMC8140266/ /pubmed/34041174 http://dx.doi.org/10.4103/jfmpc.jfmpc_1719_20 Text en Copyright: © 2021 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Takzare, Alireza Ariana, Parastou Malekianzadeh, Bita Goudarzi, Mehrdad Espahbodi, Ebrahim Comparing topical administration of lidocaine alone and in combination with alfentanil in children undergoing bronchoscopy |
title | Comparing topical administration of lidocaine alone and in combination with alfentanil in children undergoing bronchoscopy |
title_full | Comparing topical administration of lidocaine alone and in combination with alfentanil in children undergoing bronchoscopy |
title_fullStr | Comparing topical administration of lidocaine alone and in combination with alfentanil in children undergoing bronchoscopy |
title_full_unstemmed | Comparing topical administration of lidocaine alone and in combination with alfentanil in children undergoing bronchoscopy |
title_short | Comparing topical administration of lidocaine alone and in combination with alfentanil in children undergoing bronchoscopy |
title_sort | comparing topical administration of lidocaine alone and in combination with alfentanil in children undergoing bronchoscopy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140266/ https://www.ncbi.nlm.nih.gov/pubmed/34041174 http://dx.doi.org/10.4103/jfmpc.jfmpc_1719_20 |
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