About this trial
Pediatric anesthesia differs significantly from adult anesthesia due to physiological differences and increased sensitivity to anesthetic agents. In surgeries requiring nasotracheal intubation, such as dental and maxillofacial procedures, achieving optimal intubation conditions while minimizing pharmacological exposure is of considerable importance. The combination of propofol and sevoflurane is frequently preferred in pediatric anesthesia because it provides rapid induction and stable hemodynamic conditions. Therefore, this randomized controlled trial aims to evaluate nasotracheal intubation conditions following propofol-sevoflurane induction with reduced pharmacological exposure in pediatric patients. The study is expected to contribute to clinical practice by enhancing patient safety while reducing anesthetic drug use.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
elective dental surgery ASA 1-3 Age 1-10
Disqualifiers
anticipated difficult intubation
vocal cord pathology or disease
hoarssness
Trial design
Parallel
Treatments tested in this trial
reduced pharmacologic exposure
Drugpatients in group R will undergo combination of sevoflurane and propofol only anesthesia induction
conventional anesthetic induction
Drugin group C, conventional anesthetic regimen will be used for anesthesia induction
Treatment groups
Trial outcomes
Primary outcomes
intubating conditions
the intubating score, based on GCRP guidelines, provides 3 levels of intubating conditions: poor, good and excellent. 'good' and 'excellent' conditions are considered as acceptable and are studied for two groups.
Secondary outcomes
Hemodynamic changes during intubation
Mean arterial pressure (mmHg)
postoperative side effects
laryngospasm (yes/no)
Hemodynamic changes during intubation
Systolic Blood Pressure (mmHg)
Hemodynamic changes during intubation
Diastolic blood pressure (mmHg)
Locations
Sponsors and contacts
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