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Target‐controlled inhalation induction with sevoflurane in children: a prospective pilot study
Author(s) -
FRITSCH NICOLAS,
NOUETTEGAULAIN KARINE,
BORDES MARYLINE,
SEMJEN FRANCOIS,
MEYMAT YVES,
CROS ANNEMARIE
Publication year - 2009
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2008.02802.x
Subject(s) - sevoflurane , medicine , inhalation , anesthesia , sufentanil , prospective cohort study , intubation , anesthetic , surgery
Summary Background: Target‐controlled inhalation induction (TCII) with sevoflurane is becoming possible with new anesthesia platforms. Although TCII has already been performed in adults, it remains to be evaluated in children. Methods: In a prospective study, we compared TCII using the Felix AInOC™ anesthetic station (Taema, Anthony, France) to our standard protocol inhalation induction in children scheduled for elective surgery under general anesthesia. After preoxygenation, sevoflurane induction was performed in both groups without priming of the circuit. Sufentanil was administered after venous line placement. Results: In the TCII group, no overdosage or underdosage was observed except in two children where TCII failed owing to high agitation, and the number of adjustments was lower compared with our standard protocol inhalation induction (1(1–2.5[0–5]) vs 6(5–6[4–10]) respectively). Moreover, the delay to obtain target end‐tidal sevoflurane concentration was shorter in the TCII group (2(1.6–2.7[1.3–4]) min vs 3.4(2.5–3.8[2.3–6.5]) min respectively). No significant difference in the delay of loss of consciousness or in the conditions for intubation or laryngeal mask placement was observed between the groups. Conclusion: The Felix AInOC™ allows TCII to be performed satisfactorily in children. Manual inhalation induction induced a higher number of adjustments and overdosages.