KUANG Ri yu,ZHANG Xi ying,ZHU Shi li,et al.Sevoflurane combined with remifentanil anesthesia for pediatric tracheal microscopic surgery[J].Journal of Clinical Pediatric Surgery,,12():226-228.[doi:10.3969/j.issn.1671—6353.2013.03.020]
Sevoflurane combined with remifentanil anesthesia for pediatric tracheal microscopic surgery
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第12卷
Number:
2013 03
Page:
226-228
Column:
临床研究
Date of publication:
2013-06-28
- Keywords:
- Bronchoscopy; Anesthesia; General; Anesthtics; Child
- Abstract:
- Objetive To investigate the anesthetic effect of sevoflurane combined with remifentanil intravenous anesthesia for pediatric tracheal foreign body removal surgery; and compare the advantages and disadvantages with the anesthetic method that is now commonly used in our department.Methods40 children with foreign bodies in bronchial， aged 2 to 5 years old， were randomly divided into two groups: sevoflurane and remifentanil anesthesia group (S group); ketamine and propofol combined with small doses of vecuronium anesthesia group ( K group). SpO2， HR， NBP and ECG were continuously monitored and recorded during the operation. and the operation time， recovery time， intraoperative laryngospasm and postoperative nausea and vomiting were observed and recorded.ResultsThere is significant difference of the heart rate and blood pressure before anesthesia ，before and after the tracheoscope examination in group S(P<005).There is significant difference of the heart rate and blood pressure before and after the tracheoscope examination between group S and group K(P<005). There is significant difference of recovery time between group S and group K(P<005). The muscle relaxation effect was satisfactory， the glottis was fully exposed， and there was no cough， breath holding phenomenon in both of the anesthetic methods.ConclusionSevoflurane combined with remifentanil intravenous anesthesia for pediatric foreign body removal surgery can provide satisfactory conditions for muscle relaxation， glottis is fully exposed， and there is no cough， breathhold phenomenon. That also avoid the difficulty of placing the tracheoscope， reduce the glottal airway edema and injury. It could be better to remove the severe cardiovascular response caused by tracheoscope examination and obtain stable vital signs during the operation. The children could awake quickly after stopping the anesthesia， reduce the postoperative complications.It is a more effective method of anesthesia.
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Last Update:
2013-06-30