84638
document
Evaluation of postural stability by computerised posturography following outpatient paediatric anaesthesia . Comparison of propofol/alfentanil/N2O anaesthesia with thiopentone/halothane/N2O anaesthesia . Simple clinical tests , like Romberg 's test or a walking test , have proved to be inadequate guidelines for safe discharge after outpatient anaesthesia . A randomised study was therefore planned to compare postural stability measured by computerised posturography in 31 oral midazolam-atropine premedicated children aged 6.9 ( s.e . 0.4 ) years who had been anaesthetised with either propofol/alfentanil/N2O or thiopentone/halothane/N2O . The sway velocity of the children was measured before premedication and 1 , 2 and 3 h after the end of anaesthesia . Results show that sway velocity had returned to baseline values 3 h after the end of anaesthesia in all children who had received propofol/alfentanil/N2O and in 12 of the 15 children who had received thiopentone/halothane/N2O . The quantified version of the Romberg test performed with eyes open or closed was not impaired after anaesthesia , compared with the control values , indicating that in children poor equilibrium is not compensated by vision . The clinical recovery with respect to the times to eye opening , to responding to command or to being fully awake did not differ between the two anaesthesia methods . On the basis of recovery assessed by postural stability , propofol/alfentanil/N2O anaesthesia was not preferable to thiopentone/halothane/N2O anaesthesia after minor paediatric otolaryngological surgery .
84639
Intervention_Physical
computerised posturography
84640
Intervention_Pharmacological
paediatric anaesthesia
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Intervention_Pharmacological
propofol/alfentanil/N2O anaesthesia with thiopentone/halothane/N2O anaesthesia
84642
Intervention_Pharmacological
oral midazolam-atropine
84643
Intervention_Pharmacological
anaesthetised
84644
Intervention_Pharmacological
propofol/alfentanil/N2O
84645
Intervention_Pharmacological
thiopentone/halothane/N2O
84646
Intervention_Pharmacological
propofol/alfentanil/N2O
84647
Intervention_Pharmacological
thiopentone/halothane/N2O
84648
Intervention_Pharmacological
propofol/alfentanil/N2O anaesthesia
84649
Intervention_Pharmacological
thiopentone/halothane/N2O anaesthesia
84650
Intervention_Surgical
otolaryngological surgery .
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Outcome_Other
postural stability
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Outcome_Other
safe discharge
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Outcome_Mental
sway velocity
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Outcome_Mental
sway velocity
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Outcome_Other
Romberg test
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Outcome_Physical
eye opening
84657
Participant_Condition
outpatient
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Participant_Age
paediatric
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Participant_Condition
anaesthesia .
84660
Participant_Age
31 oral midazolam-atropine premedicated children aged 6.9 ( s.e .
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Participant_Condition
anaesthetised with either propofol/alfentanil/N2O or thiopentone/halothane/N2O