Sufentanil reduces emergence delirium in children undergoing transthoracic device closure of vsd after sevoflurane-based cardiac anesthesia
Rev. bras. cir. cardiovasc
;
35(5): 660-655, Sept.-Oct. 2020. tab
Artículo
en Inglés
| LILACS, SES-SP
| ID: biblio-1137323
ABSTRACT
Abstract Objective:
The aim of this study was to evaluate whether sufentanil can reduce emergence delirium in children undergoing transthoracic device closure of ventricular septal defect (VSD) after sevoflurane-based cardiac anesthesia.Methods:
From February 2019 to May 2019, 68 children who underwent transthoracic device closure of VSD at our center were retrospectively analyzed. All patients were divided into two groups 36 patients in group S, who were given sufentanil and sevoflurane-based cardiac anesthesia, and 32 patients in group F, who were given fentanyl and sevoflurane-based cardiac anesthesia. The following clinical data were recorded age, sex, body weight, operation time, and bispectral index (BIS). After the children were sent to the intensive care unit (ICU), pediatric anesthesia emergence delirium (PAED) and face, legs, activity, cry, consolability (FLACC) scale scores were also assessed. The incidence of adverse reactions, such as nausea, vomiting, drowsiness and dizziness, was recorded.Results:
There was no significant difference in age, sex, body weight, operation time or BIS value between the two groups. Extubation time (min), PEAD score and FLACC scale score in group S were significantly better than those in group F (P<0.05). No serious anesthesia or drug-related side effects occurred.Conclusions:
Sufentanil can be safely used in sevoflurane-based fast-track cardiac anesthesia for transthoracic device closure of VSD in children. Compared to fentanyl, sufentanil is more effective in reducing postoperative emergence delirium, with lower analgesia scores and greater comfort.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Anestésicos por Inhalación
/
Delirio del Despertar
/
Anestesia en Procedimientos Quirúrgicos Cardíacos
/
Defectos del Tabique Interventricular
/
Adyuvantes Anestésicos
/
Éteres Metílicos
Tipo de estudio:
Estudio observacional
/
Factores de riesgo
Límite:
Niño
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Rev. bras. cir. cardiovasc
Año:
2020
Tipo del documento:
Artículo
Institución/País de afiliación:
Fujian Medical University/CN
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