Application study of rSO2-BIS monitoring in children with supracondylar fracture of humerus
10.3969/j.issn.1673-9701.2024.27.005
- VernacularTitle:rSO2-BIS监测在儿童肱骨髁上骨折手术中的应用研究
- Author:
Chunfang LUO
1
;
Yinghui FENG
;
Zhengbing ZHANG
;
Kai XU
;
Ming LI
;
Weidong OUYANG
Author Information
1. 江西省儿童医院麻醉科,江西南昌 330000
- Keywords:
Supracondylar fracture of humerus;
Regional cerebral oxygen saturation;
Bispectral index;
Multimodal anesthesia management;
Postoperative adverse reaction;
Postoperative adverse behavior
- From:
China Modern Doctor
2024;62(27):22-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of regional cerebral oxygen saturation(rSO2)-bispectral index(BIS)monitoring anesthesia in children undergoing surgery for supracondylar fractures of the humerus.Methods A total of 60 children with supracondylar fractures of the humerus undergoing surgery in Department of Orthopedi,Jiangxi Provincial Children's Hospital were chosen and randomly number table method segmented into control group and observation group from January 2020 to December 2022,30 cases in each group.After anesthesia,children in observation group were carried out with rSO2-BIS monitoring,while children in control group were given routine anesthesia management.Results The dosage of propofol and long chain fat emulsion/remifentanil injection in observation group were significantly lower than those in control group(P＜0.05),while there was no difference in heart rate,blood oxygen saturation and mean arterial pressure at various time points during awakening(P＞0.05);The recovery rate of postoperative analgesics of observation group was lower than that of control group,and the extubation time of observation group was shorter than that of control group(P＜0.05);The incidence of postoperative adverse reactions and behaviors in observation group were lower than those in control group(P＜0.001).The dosage of propofol and long chain fat emulsion/remifentanil injection,as the independent risk factors inducing the occurrence of postoperative adverse reactions and adverse behaviors were proved by multivariate analysis.rSO2-BIS monitoring is a key factor in reducing postoperative adverse behaviors and reactions in pediatric patients(P＜0.05).Conclusion The use of rSO2-BIS monitoring during surgery for supracondylar fractures of the humerus in children can reduce the incidence rate of postoperative adverse behaviors and adverse reactions,thereby improving postoperative efficacy.
