Journal of clinical anesthesia · 2025
The effect of repeated maternal voice orientation on postoperative emergence agitation in children following tonsillectomy and adenoidectomy: A randomized controlled trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Wang Zeyang, Wang Xiaohan, Yang Yu, He Xueqing, Jia Wensen, Yao Xiangyu, Sheng Xinfang, Jiao Hao
Аннотация
STUDY OBJECTIVE: Evaluate the efficacy of repeated maternal voice orientation in reducing the incidence of emergence agitation (EA) in pediatric patients undergoing elective tonsillectomy and adenoidectomy.
DESIGN: Randomized controlled trial.
SETTING: A tertiary hospital.
PATIENTS: 360 children aged 5-12 years undergoing elective tonsillectomy and adenoidectomy.
INTERVENTIONS: Patients were randomized into three groups: maternal voice orientation group (Group O), maternal voice awakening group (Group A), and a control group (Group C) receiving silent recordings.
MEASUREMENTS: The primary outcome was the incidence of EA, defined by a Pediatric Anesthesia Emergence Delirium (PAED) score of 12 or higher. Secondary outcomes included the severity of EA (PAED score > 14), postoperative pain (assessed using FLACC and NRS scales), and recovery profiles in the Post-Anesthesia Care Unit (PACU).
MAIN RESULTS: Maternal voice orientation (Group O) significantly reduced the incidence of EA compared to the control group and Group A, especially notable in the 5-8 year subgroup. Group O showed the lowest PAED scores immediately post-extubation and at 10 min.
CONCLUSIONS: Repeated maternal voice orientation effectively reduces the incidence and severity of EA among pediatric patients, supporting its inclusion in pediatric anesthesia recovery protocols to improve postoperative outcomes.
DESIGN: Randomized controlled trial.
SETTING: A tertiary hospital.
PATIENTS: 360 children aged 5-12 years undergoing elective tonsillectomy and adenoidectomy.
INTERVENTIONS: Patients were randomized into three groups: maternal voice orientation group (Group O), maternal voice awakening group (Group A), and a control group (Group C) receiving silent recordings.
MEASUREMENTS: The primary outcome was the incidence of EA, defined by a Pediatric Anesthesia Emergence Delirium (PAED) score of 12 or higher. Secondary outcomes included the severity of EA (PAED score > 14), postoperative pain (assessed using FLACC and NRS scales), and recovery profiles in the Post-Anesthesia Care Unit (PACU).
MAIN RESULTS: Maternal voice orientation (Group O) significantly reduced the incidence of EA compared to the control group and Group A, especially notable in the 5-8 year subgroup. Group O showed the lowest PAED scores immediately post-extubation and at 10 min.
CONCLUSIONS: Repeated maternal voice orientation effectively reduces the incidence and severity of EA among pediatric patients, supporting its inclusion in pediatric anesthesia recovery protocols to improve postoperative outcomes.