Effect of Sucrose on Sedation in Fasting Children in Waiting Room before Entrance to Operating Room

Background: Cries of the newborn could be due to pain, thirst, hungry and fear from new environment. In our study we evaluated the effect of the sucrose drops on pacifying the children prior to a painful intervention or procedure with regards to the fasting condition of the children. Methods: This t...

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Main Authors: Anahid Maleki, Mehrdad Goudarzi, Abbas Ostad Alipour, Alireza Takzare, Behrang Nooralishahi, Amir Abbas Kianfar, Alireza Ebrahim Soltani
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2015-10-01
Series:Archives of Anesthesia and Critical Care
Subjects:
Online Access:https://aacc.tums.ac.ir/index.php/aacc/article/view/13
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author Anahid Maleki
Mehrdad Goudarzi
Abbas Ostad Alipour
Alireza Takzare
Behrang Nooralishahi
Amir Abbas Kianfar
Alireza Ebrahim Soltani
author_facet Anahid Maleki
Mehrdad Goudarzi
Abbas Ostad Alipour
Alireza Takzare
Behrang Nooralishahi
Amir Abbas Kianfar
Alireza Ebrahim Soltani
author_sort Anahid Maleki
collection DOAJ
description Background: Cries of the newborn could be due to pain, thirst, hungry and fear from new environment. In our study we evaluated the effect of the sucrose drops on pacifying the children prior to a painful intervention or procedure with regards to the fasting condition of the children. Methods: This triple blind clinical trial was conducted on 60 otherwise healthy children aged less than 1 year with ASA I, who were candidates for an outpatient surgical procedure after obtaining the parents’ consent. Patients were divided in to two groups, one group received 0.5 ml oral sterile water and the other group 0.5 ml oral sucrose 24%. Heart rate and restlessness were evaluated based on the pediatric anesthesia emergence delirium (PAED) scale score system before and at 1, 3, 5, and 9 minute in both groups. Results: 60 patients were evaluated in this study, 30 patients received sterile water and 30 patients received sucrose 24%. The sex, mean age and mean weight of the patients showed no significant difference between the two groups. The  restlessness score  according to the PAED in sucrose group (8.1,7.97,8.8,9.63) is less than in the sterile water group (10.63,10.77,11,10.9) (p‹0.001). Heart rate in sucrose group is less than sterile water group in minute 3 (p=0.006). Parents’ satisfaction in the sucrose group was more than sterile water group (p‹0.001).  Conclusion: According to the findings of this study, we recommend the use of sucrose alone or with other methods (pacifier sucking, mother’s hug) to decrease restlessness   in children aged under one year whose restlessness is due to fasting.
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spelling doaj.art-8b0a10156095431690f982251ca584072022-12-22T03:21:46ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492015-10-0112Effect of Sucrose on Sedation in Fasting Children in Waiting Room before Entrance to Operating RoomAnahid Maleki0Mehrdad Goudarzi1Abbas Ostad Alipour2Alireza Takzare3Behrang Nooralishahi4Amir Abbas Kianfar5Alireza Ebrahim Soltani6Department of Anesthesiology and Critical Care, Medical Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Medical Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Medical Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Medical Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Medical Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Medical Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.Background: Cries of the newborn could be due to pain, thirst, hungry and fear from new environment. In our study we evaluated the effect of the sucrose drops on pacifying the children prior to a painful intervention or procedure with regards to the fasting condition of the children. Methods: This triple blind clinical trial was conducted on 60 otherwise healthy children aged less than 1 year with ASA I, who were candidates for an outpatient surgical procedure after obtaining the parents’ consent. Patients were divided in to two groups, one group received 0.5 ml oral sterile water and the other group 0.5 ml oral sucrose 24%. Heart rate and restlessness were evaluated based on the pediatric anesthesia emergence delirium (PAED) scale score system before and at 1, 3, 5, and 9 minute in both groups. Results: 60 patients were evaluated in this study, 30 patients received sterile water and 30 patients received sucrose 24%. The sex, mean age and mean weight of the patients showed no significant difference between the two groups. The  restlessness score  according to the PAED in sucrose group (8.1,7.97,8.8,9.63) is less than in the sterile water group (10.63,10.77,11,10.9) (p‹0.001). Heart rate in sucrose group is less than sterile water group in minute 3 (p=0.006). Parents’ satisfaction in the sucrose group was more than sterile water group (p‹0.001).  Conclusion: According to the findings of this study, we recommend the use of sucrose alone or with other methods (pacifier sucking, mother’s hug) to decrease restlessness   in children aged under one year whose restlessness is due to fasting.https://aacc.tums.ac.ir/index.php/aacc/article/view/13sucrosesedationfastingchildren
spellingShingle Anahid Maleki
Mehrdad Goudarzi
Abbas Ostad Alipour
Alireza Takzare
Behrang Nooralishahi
Amir Abbas Kianfar
Alireza Ebrahim Soltani
Effect of Sucrose on Sedation in Fasting Children in Waiting Room before Entrance to Operating Room
Archives of Anesthesia and Critical Care
sucrose
sedation
fasting
children
title Effect of Sucrose on Sedation in Fasting Children in Waiting Room before Entrance to Operating Room
title_full Effect of Sucrose on Sedation in Fasting Children in Waiting Room before Entrance to Operating Room
title_fullStr Effect of Sucrose on Sedation in Fasting Children in Waiting Room before Entrance to Operating Room
title_full_unstemmed Effect of Sucrose on Sedation in Fasting Children in Waiting Room before Entrance to Operating Room
title_short Effect of Sucrose on Sedation in Fasting Children in Waiting Room before Entrance to Operating Room
title_sort effect of sucrose on sedation in fasting children in waiting room before entrance to operating room
topic sucrose
sedation
fasting
children
url https://aacc.tums.ac.ir/index.php/aacc/article/view/13
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