Observational Study of Extubation Criteria in Children Under 10 Years Receiving Total Intravenous or Sevoflurane Initiated Intravenous Anesthesia

What this Trial Is About

Researchers are studying extubation success in children under 10 years old who receive two different types of intravenous anesthesia Total Intravenous Anesthesia TIVA and Sevoflurane Initiated Intravenous Anesthesia SIIVA. These anesthesia methods work differently on the central nervous system and may require different criteria for safely removing breathing tubes after surgery. The study aims to understand which extubation criteria best predict success for these anesthesia types. The study observes two anesthesia techniques. TIVA uses only intravenous drugs without inhaled gases and is used if an IV line is in place before anesthesia starts. SIIVA begins with inhaled sevoflurane to induce anesthesia in patients who cannot tolerate IV insertion awake, then switches to intravenous propofol once the IV is placed and stops the inhaled gas. Both approaches are used during various surgeries requiring airway tubes. Participants will be monitored during and after surgery to see if extubation is successful on the first day and if any interventions are needed. Researchers will measure anesthetic gas concentrations to confirm appropriate emergence from anesthesia. The study collects data on extubation outcomes and airway management in children undergoing intravenous anesthesia. The total study period includes surgery and immediate recovery monitoring.

Total Intravenous Anesthesia (TIVA)/Sevoflurane Initiated Intravenous Anesthesia (SIIVA) in Pediatric Patients