The safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy: a prospective randomized controlled trial

Abstract Background The feasibility and safety of administrating a small amount of oral fluid to children in the early recovery period following tonsillectomy under general anesthesia to reduce the thirst and its associated restlessness remain unknown. Methods This study was approved by the institut...

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Main Authors: Meng-Hang Wu, Chang-qing Liu, Xiao-qi Zeng, An-na Jia, Xiao-rong Yin
Format: Article
Language:English
Published: BMC 2021-01-01
Series:BMC Anesthesiology
Subjects:
Online Access:https://doi.org/10.1186/s12871-020-01230-4
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author Meng-Hang Wu
Chang-qing Liu
Xiao-qi Zeng
An-na Jia
Xiao-rong Yin
author_facet Meng-Hang Wu
Chang-qing Liu
Xiao-qi Zeng
An-na Jia
Xiao-rong Yin
author_sort Meng-Hang Wu
collection DOAJ
description Abstract Background The feasibility and safety of administrating a small amount of oral fluid to children in the early recovery period following tonsillectomy under general anesthesia to reduce the thirst and its associated restlessness remain unknown. Methods This study was approved by the institutional ethics committee and adhered to the CONSORT guidelines. Pediatric patients undergoing tonsillectomy who met the inclusion and exclusion criteria of our study were randomized into the study and control groups. In the study group, patients were given a small amount of water instantly after recovering from general anesthesia, which included the recovery of the cough and deglutition reflex, and attaining grade V of muscle strength. The control group was given a small amount of water at 4 to 6 h after the operation. The incidence of nausea and vomiting and the degree of thirst relief were measured and compared between the two groups. Results Three hundred patients were randomized into each group. There was no significant difference in the incidence of nausea and vomiting at 20 min after drinking water between the two groups (P > 0.05). The thirst score of children over 5 years old in the study group was significantly lower than that of the control group (P < 0.05). Conclusion Early administration of a small amount of oral fluid to children following tonsillectomy and recovering from general anesthesia is not only safe but also effective in reducing postoperative thirst. Trial registration Current Controlled Trials ChiCTR1800020058 , 12-12-2018.
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spelling doaj.art-84c719dcd3fc423caa309b627223ede02022-12-21T22:02:29ZengBMCBMC Anesthesiology1471-22532021-01-012111710.1186/s12871-020-01230-4The safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy: a prospective randomized controlled trialMeng-Hang Wu0Chang-qing Liu1Xiao-qi Zeng2An-na Jia3Xiao-rong Yin4Department of Liver Surgery, West China Hospital / West China School of Nursing, Sichuan UniversityWest China School of Nursing / Operating Room of Anesthesia Surgery Center, West China Hospital, Sichuan UniversityDepartment of Anesthesiology, Anesthesia Surgery Center of West China Hospital / West China School of Nursing, Sichuan UniversityDepartment of Anesthesiology, Anesthesia Surgery Center of West China Hospital / West China School of Nursing, Sichuan UniversityDepartment of Anesthesiology, Anesthesia Surgery Center of West China Hospital / West China School of Nursing, Sichuan UniversityAbstract Background The feasibility and safety of administrating a small amount of oral fluid to children in the early recovery period following tonsillectomy under general anesthesia to reduce the thirst and its associated restlessness remain unknown. Methods This study was approved by the institutional ethics committee and adhered to the CONSORT guidelines. Pediatric patients undergoing tonsillectomy who met the inclusion and exclusion criteria of our study were randomized into the study and control groups. In the study group, patients were given a small amount of water instantly after recovering from general anesthesia, which included the recovery of the cough and deglutition reflex, and attaining grade V of muscle strength. The control group was given a small amount of water at 4 to 6 h after the operation. The incidence of nausea and vomiting and the degree of thirst relief were measured and compared between the two groups. Results Three hundred patients were randomized into each group. There was no significant difference in the incidence of nausea and vomiting at 20 min after drinking water between the two groups (P > 0.05). The thirst score of children over 5 years old in the study group was significantly lower than that of the control group (P < 0.05). Conclusion Early administration of a small amount of oral fluid to children following tonsillectomy and recovering from general anesthesia is not only safe but also effective in reducing postoperative thirst. Trial registration Current Controlled Trials ChiCTR1800020058 , 12-12-2018.https://doi.org/10.1186/s12871-020-01230-4TonsillectomyRecovery from general anesthesiaOral fluidSafetyFeasibility
spellingShingle Meng-Hang Wu
Chang-qing Liu
Xiao-qi Zeng
An-na Jia
Xiao-rong Yin
The safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy: a prospective randomized controlled trial
BMC Anesthesiology
Tonsillectomy
Recovery from general anesthesia
Oral fluid
Safety
Feasibility
title The safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy: a prospective randomized controlled trial
title_full The safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy: a prospective randomized controlled trial
title_fullStr The safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy: a prospective randomized controlled trial
title_full_unstemmed The safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy: a prospective randomized controlled trial
title_short The safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy: a prospective randomized controlled trial
title_sort safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy a prospective randomized controlled trial
topic Tonsillectomy
Recovery from general anesthesia
Oral fluid
Safety
Feasibility
url https://doi.org/10.1186/s12871-020-01230-4
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