Comparison of Sevoflurane or Propofol combined with Remifentanil in pediatric fiberoptic bronchoscopy via laryngeal mask airway
10.3969/j.issn.1007-1989.2016.02.013
- VernacularTitle:七氟醚或丙泊酚复合瑞芬太尼用于小儿经喉罩纤维支气管镜检查的比较
- Author:
Shanshan WANG
;
Zhijie ZHANG
;
Bin QI
;
Weijing FENG
- Keywords:
Sevoflurane;
Propofol;
Remifentanil;
laryngeal mask;
fiberoptic bronchoscopy;
children
- From:
China Journal of Endoscopy
2016;22(2):53-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy of Sevoflurane-Remifentanil anesthesia in pediatric fiberoptic bron-choscopy (FOB) compared with a Propofol-Remifentanil regimen. Methods 60 children scheduled for fiberoptic bronchoscopy were randomly divided into two groups ( = 30 in each group): In group S, patients received Sevoflu-rane inhalation and intravenous infusion with Remifentanil. In group P, patients received total intravenous anesthesia with Propofol and Remifentanil. Standard laryngeal mask airways (LMA) were inserted into all children in two groups after anesthesia and fiberoptic bronchoscopy was carried out via LPA. MAP, HR, SpO2, PETCO2 and BIS were record-ed before anesthesia (T0, baseline), before FOB (T1), 2 min after FOB (T2). Then assess the effect of general anesthe-sia. Procedure time, recovery time and incidence of adverse events were also recorded. Results HR, MAP and SpO2 at T1 and SpO2 at T2 in group P were significantly lower than those in group S. PETCO2 at T1 and MAP, HR, PETCO2 at T2 in group P were significantly higher than those in group S. Better quality of anesthesia, less respiratory depression, and less interruption needed during procedure were found in group S. Conclusion Compared with Propofol-based to-tal intravenous anesthesia, Sevoflurane inhalation via laryngeal mask combined with intravenous Remifentanil pro-vides a superior profile in pediatric fiberoptic bronchoscopy.
