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Article: Electrogastrographic changes in children who undergo day-surgery anesthesia

TitleElectrogastrographic changes in children who undergo day-surgery anesthesia
Authors
Issue Date1999
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal of Pediatric Surgery, 1999, v. 34, p. 1336-1338 How to Cite?
AbstractBackground/Purpose: Postoperative Nausea And Vomiting Is Common After General Anesthesia. The Timing Of Resuming Oral Input Is Arbitrary. This Study Aims To Estimate The Duration Of Emetic Effects Of General Anesthesia After Day Surgery In Children With Electrogastrography (Egg). Methods. Children Between The Age Of 3 And 12 Years Undergoing Elective Nonabdominal Surgery Were Recruited. The Standard Anesthesia Protocol Of Thiopentone (5 Mg/Kg), O2 (30%), N2o (70%), And Isoflurane (1.5%) Was Adopted Caudal Block Was Applied To The Patients. A Laryngeal Mask Was Used A Mobile Electrogastrogram (Egg) Machine (Synectic; International Medtronic Synectics, Stockholm, Sweden) Was Attached To The Epigastrium Of The Patient At Least 1 Hour Before The Operation And The Recording Continued Through The Operation And For A Further 2 Hours After The Operation. The First Half Hour Of Preoperative Recording Was Taken As Normal Control Period. The Results Were Analyzed Using Paired T Test Results: Twenty Patients Who Underwent Circumcision Under General Anesthesia Were Studied The Mean Age Was 6.6 Years. The Mean Anesthetic Duration Was 33.2 Min. The Tachygastria Component (Associated With Nausea And Vomiting) Became Prominent Immediately After Reduction And Returned To Normal 1 Half Hour After Cessation Of General Anesthesia. The Dominant Frequency Instability Coefficient Of Egg (Dfic) And The Dominant Power Instability Coefficient (Dpic) Peaked During The First Half Hour Period Postoperatively And Returned To Baseline 1 Hour Postoperatively (Dpic, P > .05). Bradygastria Became Prominent During The Periods 1 Half-Hour Before And 1 Half-Hour After The General Anesthesia And Returned To Baseline 1 Hour Postoperatively (P < .05). Conclusions: Significant Egg Changes Occur During Day-Surgery General Anesthesia For Children Undergoing Nonabdominal Surgery. These Changes Return To Baseline 1 Hour After Reversal Of Anesthesia. It Is Probably Safe To Restart Feeding 1 Hour Later After Day-Surgery General Anesthesia Without Causing Nausea And Vomiting.
Persistent Identifierhttp://hdl.handle.net/10722/84455
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheng, Wen_HK
dc.contributor.authorChow, Ben_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:53:10Z-
dc.date.available2010-09-06T08:53:10Z-
dc.date.issued1999en_HK
dc.identifier.citationJournal of Pediatric Surgery, 1999, v. 34, p. 1336-1338en_HK
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84455-
dc.description.abstractBackground/Purpose: Postoperative Nausea And Vomiting Is Common After General Anesthesia. The Timing Of Resuming Oral Input Is Arbitrary. This Study Aims To Estimate The Duration Of Emetic Effects Of General Anesthesia After Day Surgery In Children With Electrogastrography (Egg). Methods. Children Between The Age Of 3 And 12 Years Undergoing Elective Nonabdominal Surgery Were Recruited. The Standard Anesthesia Protocol Of Thiopentone (5 Mg/Kg), O2 (30%), N2o (70%), And Isoflurane (1.5%) Was Adopted Caudal Block Was Applied To The Patients. A Laryngeal Mask Was Used A Mobile Electrogastrogram (Egg) Machine (Synectic; International Medtronic Synectics, Stockholm, Sweden) Was Attached To The Epigastrium Of The Patient At Least 1 Hour Before The Operation And The Recording Continued Through The Operation And For A Further 2 Hours After The Operation. The First Half Hour Of Preoperative Recording Was Taken As Normal Control Period. The Results Were Analyzed Using Paired T Test Results: Twenty Patients Who Underwent Circumcision Under General Anesthesia Were Studied The Mean Age Was 6.6 Years. The Mean Anesthetic Duration Was 33.2 Min. The Tachygastria Component (Associated With Nausea And Vomiting) Became Prominent Immediately After Reduction And Returned To Normal 1 Half Hour After Cessation Of General Anesthesia. The Dominant Frequency Instability Coefficient Of Egg (Dfic) And The Dominant Power Instability Coefficient (Dpic) Peaked During The First Half Hour Period Postoperatively And Returned To Baseline 1 Hour Postoperatively (Dpic, P > .05). Bradygastria Became Prominent During The Periods 1 Half-Hour Before And 1 Half-Hour After The General Anesthesia And Returned To Baseline 1 Hour Postoperatively (P < .05). Conclusions: Significant Egg Changes Occur During Day-Surgery General Anesthesia For Children Undergoing Nonabdominal Surgery. These Changes Return To Baseline 1 Hour After Reversal Of Anesthesia. It Is Probably Safe To Restart Feeding 1 Hour Later After Day-Surgery General Anesthesia Without Causing Nausea And Vomiting.en_US
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.titleElectrogastrographic changes in children who undergo day-surgery anesthesiaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=34&spage=1336&epage=1338&date=1999&atitle=Electrogastrographic+changes+in+children+who+undergo+day-surgery+anesthesiaen_HK
dc.identifier.emailCheng, W: weicheng@hkucc.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0022-3468(99)90006-4en_US
dc.identifier.pmid10507424-
dc.identifier.scopuseid_2-s2.0-0032823379en_US
dc.identifier.hkuros47273en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0032823379&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume34en_US
dc.identifier.issue9en_US
dc.identifier.spage1336en_US
dc.identifier.epage1338en_US
dc.identifier.isiWOS:000082595900007-

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