Evaluation of the Effects of Venous Cannulation Sites on Postoperative Delirium in Children: Hand or Foot?

Introduction: Choosing an appropriate cannulation site is important for doctors and patients. In our clinical practice, we have observed that agitation and pain were less in the postoperative period when the cannula was inserted site. Cannulation anxiety in adults and especially in children may increase the failure of interventions by activating the sympathetic system in varying degrees we aimed to investigate whether the site of the cannula inserted following the induction of inhalation is associated with postoperative agitation and pain in preschool children who would undergo an otolaryngology operation. Methods: Pediatric patients who would undergo adenoidectomy-tonsillectomy surgery between the ages of 3 - 7 were included in our study regardless of their genders. The patients have been randomly distributed into groups (Group E—hand, Group A—foot). The evaluation was performed 0 and 30 minutes after extubation by FLAAC Pain Scala and PAED. Results: When the hand and foot groups were compared in terms of P0 (PAED 0 min. rating) values, hand group results were statistically significantly higher. Similarly, at the time of P30 (PAED 30. min rating), The Hand group was determined to be high. Conclusion: As a result of the study, we believe that choosing the feet as the cannulation site may be useful in appropriate cases in pediatric patients.