Clinical application of nasopharyngeal airway in daytime inhalation anesthesia for pediatric patients in oral maxillofacial surgery
10.3969/j.issn.1001-3733.2024.05.014
- VernacularTitle:鼻咽通气道在颌面外科日间小儿吸入麻醉手术中的临床应用
- Author:
Tiecheng ZHANG
1
;
Fei CHENG
;
Yanli ZHAO
;
Wei JIN
;
Runsheng PEI
;
Guicai LIU
Author Information
1. 226001,南通市口腔医院麻醉科
- Keywords:
Nasopharyngeal airway;
Inhalation anesthesia;
Pediatric patients;
Maxillofacial surgery;
Day sur-gery
- From:
Journal of Practical Stomatology
2024;40(5):683-686
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical application effects of different anesthesia maintenance methods in daytime pediatric sur-gery in oral maxillofacial surgery.Methods:80 children underwent anethesia for daytime surgery in oral maxillofacial region were en-rolled and divided into 2 groups(n=40).The maintenance dose of propofol was 2-3(mg·kg)/h in venous group,that was 3％to 4％sevofluranenas in opharyngeal airway-assisted inhalation group.The heart rate,mean arterial pressure,oxygen saturation,postoperative wake-up time and incidence of adverse reactions after the local anesthesia(T1),intraoperative(T2)and end-of-surgery(T3)were re-corded and compared between the 2 groups.Results:No statistical difference in heart rate change between the 2 groups at different time points(P＞0.05).The average arterial pressure decrease and the decrease of oxygen saturationin in the inhalation group were lower than those of the venous group(P＜0.01).The incidence of adverse events in the inhalation group were lower than that of the intravenous group(P＜0.05).Conclusion:Nasopharyngeal airway-assisted inhalation anesthesia has definite sedative effect in daytime pediatric pa-tients in oral maxillofacial surgery with less influence on the circulatory system and fewer adverse events.
