The effect of repeated maternal voice orientation on postoperative emergence agitation in children following tonsillectomy and adenoidectomy: A randomized controlled trial

IF 5 2区医学 Q1 ANESTHESIOLOGY

Journal of Clinical Anesthesia Pub Date : 2025-05-02 DOI:10.1016/j.jclinane.2025.111851

Zeyang Wang MD , Xiaohan Wang MD , Yu Yang MD , Xueqing He MD , Wensen Jia MD , Xiangyu Yao MD , Xinfang Sheng MD , Hao Jiao MD

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引用次数: 0

Abstract

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.

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重复母声定向对扁桃体和腺样体切除术后患儿术后出现躁动的影响：一项随机对照试验

研究目的评价重复母声定向在减少小儿择期扁桃体和腺样体切除术患者出现躁动（EA）发生率中的作用。设计随机对照试验。三级医院。患者360例5-12岁儿童择期扁桃体切除术和腺样体切除术。干预措施将患者随机分为三组：产妇语音定向组（O组）、产妇语音唤醒组（A组）和对照组（C组）进行无声录音。主要终点是EA的发生率，以儿童麻醉出现性谵妄（PAED）评分为12分或更高来定义。次要结局包括EA严重程度(PAED评分>；14)，术后疼痛（使用FLACC和NRS量表评估），以及麻醉后护理单位（PACU）的恢复情况。主要结果与对照组和A组相比，产妇语音定向（O组）显著降低了EA的发生率，尤其是5-8岁亚组。结论重复产妇语音定向可有效降低儿科患者EA的发生率和严重程度，支持将其纳入儿科麻醉恢复方案以改善术后预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Anesthesia 医学-麻醉学

CiteScore

7.40

自引率

4.50%

发文量

346

审稿时长

23 days

期刊介绍： The Journal of Clinical Anesthesia (JCA) addresses all aspects of anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, cost issues, and similar concerns anesthesiologists contend with daily. Exceptionally high standards of presentation and accuracy are maintained. The core of the journal is original contributions on subjects relevant to clinical practice, and rigorously peer-reviewed. Highly respected international experts have joined together to form the Editorial Board, sharing their years of experience and clinical expertise. Specialized section editors cover the various subspecialties within the field. To keep your practical clinical skills current, the journal bridges the gap between the laboratory and the clinical practice of anesthesiology and critical care to clarify how new insights can improve daily practice.