Clinical evaluation of different doses of brachical plexus anesthesia in the emergency suture of hand trauma in preschool children
10.3969/j.issn.1671-8348.2016.07.018
- VernacularTitle:不同剂量罗哌卡因臂丛神经阻滞对学龄前儿童急诊手外伤缝合术的临床评价
- Author:
Tao XU
;
Qi SI
;
Geng WANG
- Publication Type:Journal Article
- Keywords:
brachical plexus;
anesthesia;
children;
ropivacaine
- From:
Chongqing Medicine
2016;45(7):921-922,925
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effects of different doses of brachical plexus anesthesia in the emergency suture of hand trauma in preschool children .Methods Forty preschool children with hand trauma were choosen ,who were undergoing e‐mergency suture by general anesthesia combined with brachical plexus anesthesia .They were divided into group A(1 mg/kg ,n=20) and group B(2 mg/kg ,n=20) ,body movement during skin incision ,local injection with lidocaine ,propofol dose ,surgical time and wake up time were compared .Results There was no significant differences between the two groups in surgical time(P>0 .05) ,the cases of body movement during skin incision and local injection with lidocaine were 8 children ,which was higher than 2 children in group B(all P<0 .01) ,ropivacaine dose(14 .5 ± 5 .5)mg in group A were lower than group B (31 .6 ± 7 .2)mg(P<0 .01) ,propofol dose in group A(75 .6 ± 15 .2)mg were higher than group B(32 .7 ± 8 .6)mg(P<0 .01) ,wake up time in group A(11 .2 ± 3 .3)min were longer than group B(5 .9 ± 2 .3)min (P< 0 .01) .Conclusion The clinical effect of ropivacaine 2 mg/kg was superior than 1 mg/kg in brachical plexus anesthesia .
