Flavored Anesthetic Masks for Inhalational Induction in Children
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To evaluate the clinical efficacy of masking the odor of inhalational agents using fruit flavors on the anxiety behavior and compliance of children for inhalational induction.
A prospective randomized double blind, placebo controlled study was conducted on 60 unpremedicated children in the age group of 4–12 y. Thirty children received anesthetic masks smeared with a flavor of child’s choice while the other 30 children were induced using masks without flavor. Anxiety was assessed using modified Yale Pre-operative Anxiety Scale (mYPAS) in the pre-op room and during inhalational induction. Mask acceptance was graded by Induction Compliance Checklist (ICC). The cost-effectiveness of flavored anesthetic masks was compared to that of commercially available pre-scented masks.
The baseline anxiety in the two groups was comparable. The number of children demonstrating high levels of anxiety at anesthetic induction was similar in flavored and non-flavored mask groups (p 0.45). The compliance to mask induction was also equally good (p 0.99). The authors found significant difference in the cost of flavored mask (INR 56.45 per mask) as compared to commercially available pre-scented masks (INR 660 per mask).
The authors observed a placebo effect that reduced the pre-op anxiety in the control group which probably made the quality of induction equivalent with flavored and non-flavored masks. Therefore, using a flavored anesthetic mask is cost-effective than using a commercially available pre-scented mask.
KeywordsAnesthetic induction Inhalational anesthesia Pediatric anesthesia Anesthetic mask Scented mask Flavored anesthetic mask
AG: Data collection, drafting the article; PJM: Conception of the idea and formulation of methodology, data analysis, interpretation and editing of the manuscript; NB: Data analysis and interpretation and critical revision of the article. Dr. G D Puri, Professor and HOD, Department of Anesthesia and Intensive Care, PGIMER, Chandigarh will act as guarantor for the paper.
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- 12.Hodges RJH. Induction of anaesthesia in young children. Lancet. 1960;82:1512–3.Google Scholar
- 13.Lerman J, Sampathi V, Watt S. Induction, maintenance and emergence from anaesthesia. In: Gregory GA, Andropoulas DB, editors. Gregory’s Pediatric Anaesthesia. 5th ed. West Sussex: Blackwell Publishing Ltd; 2012. p. 330–60.Google Scholar
- 19.Cote CJ. Pediatric anaesthesia. In: Miller RD, Cohen NH, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL, editors. Miller’s Anesthesia. 8th ed. Philadelphia: Elsevier Saunders; 2015. p. 2757–96.Google Scholar
- 20.Mathew PJ, Malik RH, Yaddanapudi S, Kohli A, Panda NB. PS-072 assessment of factors affecting pre-operative anxiety and compliance in school-going children. Arch Dis Child. 2014;99:A137–8.Google Scholar