Hemodynamic Response and Recovery Profile of Remifentanil Anesthesia in Pediatric Strabismus Surgery / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 174-178, 2006.
Artículo
en Coreano
| WPRIM
| ID: wpr-119960
ABSTRACT
BACKGROUND:
This study evaluated the hemodynamic response and recovery profile of remifentanil-N2O anesthesia, compared with sevoflurane-N2O anesthesia in pediatric strabismus surgery.METHODS:
Fifty-seven healthy children aged 1-9 years undergoing strabismus surgery were randomly assigned to two groups, group R or group S. None of the children was premedicated with an anticholinergic agent. Anesthesia was induced with intravenous ketamine 1.0 mg/kg. A laryngeal mask airway (LMA) was placed with rocuronium 0.4 mg/kg. Anesthesia was maintained with sevoflurane 2.0-3.0 vol% and N2O 66% in group S, and with remifentanil 0.75 microgram/kg over 1 min followed by remifentanil 0.5 microgram/kg/min and N2O 66% in group R. At the end of surgery, the anesthetic agents were discontinued, and the early emergence, recovery, and side effects were assessed.RESULTS:
During anesthesia, the heart rate and blood pressure were lower in group R (P < 0.05). The incidence of an oculocardiac reflex was similar in both groups. The times to spontaneous ventilation and the removal of LMA were similar in the two groups. The times from eye opening to command, orientation and full recovery were faster in group R (P < 0.05). The incidence of postoperative nausea and vomiting was similar in both groups. The incidence of coughing was lower in group R (P < 0.05). Mild pruritus developed in 17.2% of patients in group R.CONCLUSIONS:
In pediatric strabismus surgery, remifentanil provided similar hemodynamic stability, and an earlier and smoother recovery, compared with sevoflurane anesthesia.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Prurito
/
Reflejo Oculocardíaco
/
Ventilación
/
Presión Sanguínea
/
Estrabismo
/
Incidencia
/
Máscaras Laríngeas
/
Náusea y Vómito Posoperatorios
/
Tos
/
Frecuencia Cardíaca
Tipo de estudio:
Estudio de incidencia
/
Estudio pronóstico
Límite:
Niño
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
2006
Tipo del documento:
Artículo
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