Comparision of cisatracurium and succinylcholine for children on tracheal foreign body removal
- VernacularTitle:顺式阿曲库铵与琥珀胆碱用于小儿气管异物取出术的比较
- Author:
Honggeng WANG
;
Yanhui WANG
;
Pingping SHI
;
Rupin CHEN
- Publication Type:Journal Article
- Keywords:
Cisatracurium;
Succinylcholine;
Airway foreign body;
Bronchoscope operation
- From:
The Journal of Clinical Anesthesiology
2014;(12):1196-1198
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the muscular relaxation effect and side effects of Cisatracuri-um and Succinylcholine for children on tracheal foreign body removal.Methods Forty ASA Ⅰ pediat-ric patients,undergoing electivetracheal foreign body removal,were randomly divided into two groups:group C,received cisatracurium 0.2 mg/kg for induction,0.05 mg/kg for maintenance,n=20;group S,received succinycholine 2 mg/kg for induction,0.4 mg/kg for maintenance,n=20.All patients were performed with controlled ventilation assisted by high-frequency jet ventilation (HFJV).We recorded bronchoscope condition,muscle relaxant supplements,extubation time and the incidence of muscle soreness in postoperative 24 h.Results There was no significant difference in bronchoscope condition between these two groups.The extubation time were significantly longer in group C than in group S (P<0.05).The incidence of muscle soreness in postoperative 24 h were sig-nificantly higher after the operation in group S than that in group C (P<0.01).All patients in group S needed muscle relaxant supplements,but none in group C (P <0.01).Conclusion Both Cisatra-curium and succinylcholine can provide good muscle relaxation effect on tracheal foreign body remov-al,but cisatracurium prolong the extubation time,and succinylcholine increase the incidence of muscle soreness.