TY - JOUR
T1 - The mask or the needle? Which induction should we go for?
AU - Sommerfield, David
AU - von Ungern-Sternberg, Britta S.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - PURPOSE OF REVIEW: This review summarizes the current evidence available to guide anaesthetists along the decision-making process between inhalational and intravenous anaesthesia when caring for paediatric patients. RECENT FINDINGS: A recent large randomized controlled trial in children with risk factors demonstrated a significant benefit of intravenous induction over inhalational induction with regards to respiratory adverse events. This difference is particularly pronounced in those with respiratory symptoms. SUMMARY: For children scheduled for elective surgery, intravenous induction has significant advantages with regards to reduced respiratory adverse events and for less postoperative behavioural disturbances, it may be associated with more anxiety at the time of induction. The anaesthetist in charge of the patient needs to weigh up the balance between the clinical risk of respiratory adverse events, the 'veins on offer', the level of anxiety and previous experiences of the child and his/her parents.
AB - PURPOSE OF REVIEW: This review summarizes the current evidence available to guide anaesthetists along the decision-making process between inhalational and intravenous anaesthesia when caring for paediatric patients. RECENT FINDINGS: A recent large randomized controlled trial in children with risk factors demonstrated a significant benefit of intravenous induction over inhalational induction with regards to respiratory adverse events. This difference is particularly pronounced in those with respiratory symptoms. SUMMARY: For children scheduled for elective surgery, intravenous induction has significant advantages with regards to reduced respiratory adverse events and for less postoperative behavioural disturbances, it may be associated with more anxiety at the time of induction. The anaesthetist in charge of the patient needs to weigh up the balance between the clinical risk of respiratory adverse events, the 'veins on offer', the level of anxiety and previous experiences of the child and his/her parents.
UR - http://www.scopus.com/inward/record.url?scp=85065511560&partnerID=8YFLogxK
U2 - 10.1097/ACO.0000000000000729
DO - 10.1097/ACO.0000000000000729
M3 - Article
C2 - 30893121
AN - SCOPUS:85065511560
SN - 0952-7907
VL - 32
SP - 377
EP - 383
JO - Current Opinion in Anaesthesiology
JF - Current Opinion in Anaesthesiology
IS - 3
ER -