Korean J Anesthesiol.  2004 Sep;47(3):317-320. 10.4097/kjae.2004.47.3.317.

Appropriate Dose of Fentanyl for the Prevention of Emergence Agitation after Sevoflurane Anesthesia in Pediatric Patients undergoing Tonsillectomy

• Jin HC
• Lee SJ

• KMID: 2299096
• DOI: http://doi.org/10.4097/kjae.2004.47.3.317

Abstract

BACKGROUND: We designed this study to find the appropriate dose of fentanyl for the prevention of emergence agitation in pediatric tonsillectomy patients under sevoflurane anesthesia.
METHODS
Sixty pediatric patients receiving sevoflurane anesthesia for tonsillectomy was assigned to 3 groups. Fentanyl 0.5microgram/kg (group 1), 1.0microgram /kg (group 2), or 1.5microgram/kg (group 3) was administered intravenously 10 min before the end of surgery. Agitation score was checked at the postanesthesia care unit.
RESULTS
The results showed a lower incidence of severe agitation in groups 2 and 3 than in group 1. There was no difference between groups 2 and 3.
CONCLUSIONS
For preventing emergence agitation after sevoflurane anesthesia, we recommend using fentanyl in a dose of more than 1.0micrgram/kg.

Keyword

agitation; emergence; fentanyl; pediatric; sevoflurane

MeSH Terms

Anesthesia*
Dihydroergotamine*
Fentanyl*
Humans
Incidence
Tonsillectomy*
Dihydroergotamine
Fentanyl