Effects of removing laryngeal mask airway in anaesthetized state on emergence agitation after sevoflurane anaesthesia in children
10.3760/cma.j.issn.1673-4904.2013.06.007
- VernacularTitle:临床麻醉深度下拔除喉罩对小儿七氟烷麻醉苏醒期躁动的影响
- Author:
Yue TIAN
;
Lihong ZHANG
;
Jingjing JIANG
;
Yang LIU
- Publication Type:Journal Article
- Keywords:
Child;
Laryngeal mask;
Anesthesia;
Agitation;
Sevoflurane
- From:
Chinese Journal of Postgraduates of Medicine
2013;(6):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of removing laryngeal mask airway (LMA) in anaesthetized state on emergence agitation after sevoflurane anaesthesia in children.Methods Ninety children with subumbilical operation,ASA Ⅰ or Ⅱ grade,were divided into three groups by random digits table with 30 cases each:ET-A group (endotracheal tube and extubation while awake),ET-D group (endotracheal tube and deep extubation) and LMA-D group (insertion of LMA and deep removal).The incidence of preoperative emotional bad,anaesthesia time,sevoflurane administration time,emergence agitation,the numbers of treated with propofol and/or fentanyl and postoperative anaesthesia care unit(PACU)retention time were measured.Results There was no significant difference in incidence of preoperative emotional bad,sevoflurane administration time and anaesthesia time among the three groups (P ＞ 0.05).The incidence of emergence agitation,the numbers of treated with propofol and/or fentanyl and PACU retention time in LMA-D group were significantly lower than those in ET-A group [26.7％(8/30) vs.66.7％(20/30),8cases vs.20 cases and (23.9 ± 4.9) min vs.(32.9 ± 5.8) min,P ＜ 0.01].Conclusion Insertion of LMA and removing LMA in anaesthetized state can decreased emergence agitation in children after sevoflurane anaesthesia,especially suitable for the children who do not suitable for drug treatment.
