[Propofol for paediatric patients in ear, nose and throat surgery. Practicability, quality and cost-effectiveness of different anaesthesia procedures for adenoidectomy in infants].
BACKGROUND
The aim of this study was an improvement in patient comfort, reduction of anaesthesia costs and room contamination by the use of propofol for adenoidectomy.


METHODS
A total of 103 infants (aged 1-5 years) undergoing elective adenoidectomy were randomized for anaesthesia with sevoflurane-nitrous oxide/oxygen (group 1), sevoflurane-air/alfentanil (group 2), alfentanil-propofol under induction with sevoflurane (group 3) or alfentanil-propofol (group 4).


RESULTS
Using propofol, postoperative agitation and emesis were significantly less and the anaesthesia costs as well as the need for analgesics was reduced compared to inhalative anaesthesia.


CONCLUSIONS
The use of propofol for preschool children undergoing ear, nose and throat (ENT) surgery seems to be advantageous because of less postoperative agitation, emesis and costs.
Auerswald
K
K
Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum, Liebigstrasse 20a, 04103 Leipzig AöR. Karen.Auerswald@medizin.uni-leipzig.de
Behrends
K
K
Burkhardt
U
U
Olthoff
D
D
D000233:Adenoidectomy / Q000191:economics; D015760:Alfentanil / Q000191:economics; D000769:Anesthesia, Inhalation / Q000191:economics; D000771:Anesthesia, Intravenous / Q000191:economics; D018685:Anesthetics, Inhalation / Q000191:economics; D018686:Anesthetics, Intravenous / Q000191:economics; D002675:Child, Preschool; D003362:Cost-Benefit Analysis; D016527:Drug Costs; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008738:Methyl Ethers / Q000191:economics; D009609:Nitrous Oxide / Q000191:economics; D013517:Otorhinolaryngologic Surgical Procedures / Q000191:economics; D011183:Postoperative Complications / Q000191:economics / Q000453:epidemiology; D020250:Postoperative Nausea and Vomiting / Q000191:economics / Q000453:epidemiology; D015742:Propofol / Q000191:economics; D011595:Psychomotor Agitation / Q000191:economics / Q000453:epidemiology; D000077149:Sevoflurane
D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D015760:Alfentanil; D000077149:Sevoflurane; D009609:Nitrous Oxide; D015742:Propofol