Effect of induction and maintenance of intravenous or inhalation anesthesia on respiratory system adverse events in children after extubation
10.3969/j.issn.1671-8348.2024.20.012
- VernacularTitle:静脉或吸入麻醉诱导与维持对拔管后儿童围手术期呼吸系统不良事件的影响
- Author:
Mudan ZHU
1
;
Chunlan ZHANG
Author Information
1. 铜陵市人民医院麻醉科,安徽铜陵 244000
- Keywords:
intravenous anesthesia;
inhalation anesthesia;
children;
adenotonsillectomy;
perioperative respiratory system adverse events
- From:
Chongqing Medicine
2024;53(20):3108-3112,3119
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of intravenous or inhalation anesthesia on perioperative re-spiratory system adverse events(PRAE)in children after extubation.Methods A total of 100 children pa-tients with elective tonsillectomy or adenoidectomy under general anesthesia endotracheal intubation in this hospital from July to December 2023 were selected as the study subjects and divided into the intravenous anes-thesia group and inhalation anesthesia group according to the random number table method,50 cases in each group.The intravenous anesthesia group used propofol for venous induction and maintenance,while the inha-lation anesthesia group used sevoflurane inhalation for induction and maintenance.The incidence rate of PRAE after extubation,anesthetic maintenance stage quality,incidence rates of postoperative nausea,vomiting and agitation were recorded in both groups.Results Compared with the inspiration anesthesia group,the PRAE incidence rate(16.0％vs.42.0％),hypoxia incidence rate(14.0％vs.38.0％)and pediatric anaesthesia e-mergence delirium(PAED)score[5(2,8)points vs.6(4,11)points]in the venous anesthesia group were low-er,the extubation time was longer[(19.6±10.6)min vs.(14.9±8.9)min],postanesthesia care unit(PACU)stay time was shorter[(25.4±5.2)min vs.(27.9±6.4)min],the differences were statistically significant(P＜0.05).The proportions of intubation time,intubation times＞once and the swallow and limb activity dur-ing anesthetic maintenance had no statistical difference between the two groups(P＞0.05).The heart rate had no statistical difference among 4 time points of before and after induction,after intubation and after extu-bation(P＞0.05).Compared with before induction,the heart rate after extubation was significantly increased,and the difference was statistically significant(P＜0.05).Conclusion The incidence rate of PARE in pediatric ve-nous anesthesia is lower.
