Application of Controlled Hypotension in Pediatric Patent Ductus Arteriosus Operations
- VernacularTitle:控制性降压麻醉在动脉导管未闭术中的应用
- Author:
yong-hang, LIAO
;
ji-cheng, WEI
;
xian-ling, TANG
- Publication Type:Journal Article
- Keywords:
controlled hypotension;
patent ductus arteriosus;
sodium nitroprusside
- From:Journal of Applied Clinical Pediatrics
2004;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of sodium nilroprusside(SNP) with remifentanil or fentanyl used for controlled hypotension during the pediatric patent ductus arteriosus (PDA) operations. Methods Sixty children undergoing operation were randomly divided into SNP with fentanyl (A group) or remifentanil (B group). Hemodynamic changes in different times and adverse reactions were observed. Results In B group, heart rate was stable and blood pressure declined quickly. The dose of SNP was fewer and hemodynamic changes and recovery from anesthesia were better in B group than in A group. Conclusion Remifentanil could potentiate the hypotensive effect of SNP and decrease adverse reaction.
