Evaluation of a Device for Administering Anesthetic to Children to Reducing Induction Time - ผลการใช้วงจรให้ยาระงับความรู้สึกประดิษฐ์ ในการลดเวลาการนำสลบ

Abstract

Children aged between 3-8 years of age would not normally consent to anesthetic administering
using a respiratory mask to cover the mouth. Children resisted or refused to cooperate because they had
bad experience and fearful attitude toward the services and environment that they have never encountered
before. As such, it would affect their mental state, causing stress and creating further emotional
problems. Crying causes excretion of mucus, sputum and tears which are a catalyst to broncho-spasm
during hypnotic induction. These are dangerous complications resulting in longer hospital stay. In this
regard, the authors have developed a device to reduce fear by attaching a bubble blowing toy with the
anesthetic gas. At the time of anesthetic induction, the child would be urged to play the toy; and the
blowing process would result in inhalation of the anesthetic gas and became drowsy. Thus, anesthesia
would be successful without causing negative attitude toward the treatment. The objective of this study
was to assess the effectiveness of this anesthetic induction device. Thirty child patients were recruited
into the study; and they were divided into the study group (15 patients) using the toy device and the
control group (15 patients) using the traditional equipment. It was found that the induction time among
the study group was significantly shorter than that of the control group: an average of 5 minutes (with
the range from 3 to 8) compared to 15 minutes (with the range from 13 to 18), p-<0.001 using
independent t-test. There were no complications observed in both groups. Thus the toy device should be
widely promoted for anesthesia in children.
Key words: child anesthesia, anesthetic induction, medical innovation