Development of elevated body temperature during surgery under different general anesthesias in pediatric patients with congenital ptosis
10.3760/cma.j.cn131073.20220910.00907
- VernacularTitle:先天性上睑下垂患儿不同全麻术中体温升高的发生
- Author:
Chunhui HU
1
;
Chao CHEN
;
Liwei LI
;
Wanyue ZHANG
;
Jianjun YANG
;
Zhentao SUN
Author Information
1. 郑州大学第一附属医院麻醉与围术期医学部，郑州 450000
- Keywords:
Anesthesia, general;
Anesthesia, intravenous;
Anesthesia, inhalation;
Child;
Blepharoptosis;
Congenital abnormalities;
Blepharoplasty;
Intraoperative complic
- From:
Chinese Journal of Anesthesiology
2023;43(9):1059-1061
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the development of elevated body temperature during surgical correction under different general anesthesias in the pediatric patients with congenital ptosis.Methods:Sixty American Society of Anesthesiologists Physical Status classification Ⅰ pediatric patients with blepharoptosis of both sexes, aged 2-10 yr, undergoing elective surgery for blepharoptosis correction, were divided into total intravenous anesthesia group(TIVA group) and combined intravenous-inhalational anesthesia group(CIIA group) using a random number table method, with 30 cases in each group. Anesthesia was induced with intravenous propofol 1-2 mg/kg, cisatracurium 0.15-0.25 mg/kg and fentanyl 2-3 μg/kg in both groups, and then the patients were endotracheally intubated. Anesthesia was maintained with intravenous infusion of propofol 50-200 μg·kg -1·min -1 and remifentanil 0.2-0.05 μg·kg -1·min -1 in TIVA group and with intravenous infusion of propofol 25-75 μg·kg -1·min -1 and remifentanil 0.2-0.5 μg·kg -1·min -1 and inhalation of 1%-1.5% sevoflurane in CIIA group. After completion of anesthesia induction, the nasopharyngeal temperature was continuously monitored until the end of surgery, and the occurrence of elevation in intraoperative body temperature (≥37.5 ℃) was recorded. Results:The incidence of elevated body temperature was 20% and 40% in TIVA group and CIIA group, respectively. Body temperature ≥39.0 ℃ did not occur in two groups. There was no significant difference in the incidence of elevated body temperature and constituent ratio of degree of elevation in body temperature between the two groups ( P>0.05). Conclusions:When total intravenous anesthesia and combined intravenous-inhalational anesthesia are used in the surgery for blepharoptosis correction in the pediatric patients with congenital ptosis, concurrent mild hypothermia is a non-small probability event, but it is safe to evaluate it in terms of the occurrence of malignant hyperthermia.
