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September 6, 2007The Professional Medical JournalOpen Access

Computerized Axial Tomography

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Key result

Rectally administered thiopentone provided a 93.3% success rate for completing CT scans in children under 5 years of age, compared to a 100% success rate with general anaesthesia.

Why the study?

Does intrarectal thiopentone sodium provide safe and effective sedation compared to general anaesthesia in pediatric patients undergoing computerized tomography?

Population

60 children below 5 years of age undergoing computerized tomography

Comparison

Thiopentone sodium administered rectally vs General anaesthesia with a uniform technique

Design

Cohort

Authors

AHAmran HafizMilitary HospitalNMNaveed MasoodCombined Military HospitalFHFayyaz HussainBahauddin Zakariya University

Discussion

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Implication

Should not yet change sedation practice for pediatric CT; hypothesis-generating and requires randomized trials versus general anaesthesia.

Study Design

Type

RCT (n=60)

Blinding

Open-label

Randomization

Randomly assigned

Multicenter

No

Structured PICO

Does intrarectal thiopentone sodium provide safe and effective sedation compared to general anaesthesia in pediatric patients undergoing computerized tomography?

P
Population
60 children under 5 years of age undergoing computerized axial tomography were randomized to receive either rectal thiopentone sedation or general anaesthesia.
I
Intervention
Thiopentone sodium administered rectally
C
Comparator
General anaesthesia with a uniform technique
O
Outcome
Clinical safety, effectiveness, efficacy and potential side effects of sedationsafety

Main Result

Absolute Event Rate: 93.3% vs 100%

Intrarectal thiopentone is a safe and effective alternative to general anaesthesia for sedating pediatric patients undergoing CT scans, though general anaesthesia has a higher success rate.

Limitations

  • Small sample size
  • Single-center study
  • More studies are required regarding the safety of sedation in this specific setup

Cite This Study

Hafiz et al. (2007) conducted an RCT in Computerized axial tomography in children (n=60). Rectal thiopentone sodium vs. General anaesthesia was evaluated on Success rate of completing the CT scan. Rectally administered thiopentone provided a 93.3% success rate for completing CT scans in children under 5 years of age, compared to a 100% success rate with general anaesthesia.

synapsesocial.com/papers/6a9f887b5a8b0dbb8a04f510https://doi.org/10.29309/tpmj/2007.14.02.4881
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The choice of sedation for computed tomography in children: a prospective evaluation.1982 · 64 citations
  2. 2Rectal thiopental versus an intramuscular cocktail for sedating children before computerized tomography1980 · 35 citations
  3. 3Sedation in pediatric CT: national survey of current practice.1990 · 100 citations
  4. 4Sedation for Pediatric Patients Undergoing CT and MRI1992 · 130 citations
  5. 5Appropriateness and safety of using the intranasal route for sedation during pediatric computed tomography: A randomized controlled trial at Korle-Bu teaching hospital2025 · 2 citations