Efficacy of different methods of anesthesia on children underwent hypospadias surgery.
10.11817/j.issn.1672-7347.2015.09.010
- Author:
Shenghui YANG
1
;
Zongbin SONG
1
;
Qulian GUO
1
Author Information
1. Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha 410008, China.
- Publication Type:Journal Article
- MeSH:
Anesthesia;
methods;
Anesthesia, Epidural;
Anesthesia, General;
Anesthetics, Inhalation;
Blood Pressure;
Child;
Hemodynamics;
Humans;
Hypospadias;
surgery;
Laryngeal Masks;
Male;
Methyl Ethers;
administration & dosage;
Postoperative Complications;
Sevoflurane
- From:
Journal of Central South University(Medical Sciences)
2015;40(9):1008-1011
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To assess the efficacy of different methods of anesthesia on children underwent hypospadias surgery.
METHODS:A total of 90 children (2-6 years old, 11.5-21.0 kg weight) with I or II grade of hypospadias based on ASA standard, who scheduled for hypospadias angioplasty, were randomly divided into 3 groups: Group I, general anesthesia combined epidural anesthesia; Group II, laryngeal mask airway under general anesthesia; Group III, laryngeal mask airway under general anesthesia combined epidural block. All children were inhaled sevoflurane to keep bispectral index value in a range from 45 and 60. The Group I adopted epidural anesthesia after intravenous induction of anesthesia; the Group II was inserted laryngeal mask after induction; the Group III was inserted laryngeal mask after induction and adopted epidural block. The anesthesia efficacy, hemodynamic changes, adverse reaction and the postoperative complications were observed in the 3 groups.
RESULTS:Compared with the Group I or the Group II, the blood pressure and heart rate ran more smoothly in the Group III, and the postoperative agitation and incidence of adverse events were also significantly reduced (all P<0.05).
CONCLUSION:The laryngeal mask airway under general anesthesia combined epidural block is a better choice for children scheduled for hypospadias angioplasty.
