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Anaesthetic agents in paediatric day case surgery: do they affect outcome?

Published online by Cambridge University Press:  16 August 2006

E. W. Moore ,
B. J. Pollard  and
R. E. Elliott
E. W. Moore
Affiliation:
University of Liverpool, University Department of Anaesthesia, Liverpool, UK
B. J. Pollard
Affiliation:
Manchester Royal Infirmary, University Department of Anaesthesia, Manchester, UK
R. E. Elliott
Affiliation:
University of Manchester, School of Pharmacy and Pharmaceutical Sciences, Manchester, UK
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Abstract

Both the numbers of children undergoing day case surgery and the type of procedures performed in this way are increasing. This expansion will only be beneficial if anaesthesia and surgery are provided with minimal postoperative morbidity e.g. postoperative delirium or nausea and vomiting. The choice of anaesthetic technique is considered critical to optimizing the service provided to patients and for this reason much research has addressed this question. This review considers the effect of anaesthetic technique on postoperative outcome in paediatric day case surgery. The outcome measures reviewed by this article are induction of anaesthesia, effects on the cardiovascular system, recovery from anaesthesia and postoperative nausea and vomiting. In each section both quantitative and qualitative outcome measures are discussed. Comparisons are made between sevoflurane and halothane, sevoflurane and propofol, propofol and halothane, desflurane and halothane and the presence or absence of nitrous oxide.

Keywords

anaesthesiapaediatricsurgeryday caseanaesthetics volatilesevofluranehalothanedesfluraneanaestheticsINTRAVENOUSpropofolanaesthetic gasesnitrous oxide
Type
Review
Information
European Journal of Anaesthesiology , Volume 19 , Issue 1 , January 2002 , pp. 9 - 17
Copyright
2002 European Society of Anaesthesiology

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