The Comparison of Postoperative Recovery Time and Ventilatory Support Time in the Pediatric Open - heart Patients Anesthetized With Morphine or Fentanyl.
10.4097/kjae.1989.22.4.516
- Author:
Sung Ryang CHUNG
1
;
Kwang Woo KIM
Author Information
1. Department of Anesthesiology, Dongguk University Pohang Hospital, Korea.
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Pediatric open-heart surgery;
Morphine;
Fentanyl;
Postoperative ventilatory support
- MeSH:
Anesthesia;
Consciousness;
Fentanyl*;
Heart*;
Humans;
Morphine*;
Thiopental
- From:Korean Journal of Anesthesiology
1989;22(4):516-520
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In a randomized study of 16 pediatric patients undergone open-heart surgery, the postoperative recovery time and ventilatory support time of the patients anesthetized with fentany (fentanyl group, n=8) was compared with those of the patients anesthetized with morphine (morphine group, n=8). All patients were premedicated with 0.1 mg/kg of morphine and 0.008mg/kg of glycoppyrolate i.m. 1hr prior to anesthesia. In morphine group, anesthesia was induced with morphine 0.5mg/kg and thiopental 3 mg/kg and in fentanyl group with fentanyl 5 ug/kg and thiopental 3 mg/kg. Anesthesia was maintained with assigned opiate based upon cardiovascular signs. The total doses of opiates are 3.2mg/kg in morphine group and 34.3pg/kg in fentanyl group. In fentanyl group the time to regain consciousness (107+/-53min), ventilatory support time (209+/-53min) and the time from end of operation to extubation (589+/-82min) are significantly shorter than in morphine group (142+/-41min, 838+/-220min, 1470+/-269min, respectively). From the above results fentanyl is more suitable i.v. anesthetic agent for open-heart surgry in respect of postoperative ventilatory care.
