The application value of preoperative nebulized inhalation of esketamine in pediatric snoring surgery under general anesthesia
10.3969/j.issn.1671-8348.2025.10.001
- VernacularTitle:术前雾化吸入艾司氯胺酮在全身麻醉小儿鼾症手术中的应用价值
- Author:
Kai CAO
1
;
Zhenhua XU
;
Jianyong LIU
;
Dongjuan ZHOU
;
Qin RUI
Author Information
1. 苏州大学附属张家港医院麻醉手术室,江苏苏州 215600
- Keywords:
esketamine;
paediatric snoring;
general anaesthesia;
awakening;
choking;
agitation
- From:
Chongqing Medicine
2025;54(10):2241-2245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of preoperative nebulized inhalation of esket-amine in pediatric snoring surgery under general anesthesia.Methods A total of 145 children who were sched-uled to undergo elective pediatric snoring surgery in this hospital from January to December 2023 were select-ed and divided into the control group,the NC group and the ES group by random number table method,with 48,49,48 cases in each group,respectively.The control group was given routine preoperative preparations,the NC group was nebulized and inhaled normal saline before the operation,and the ES group was nebulized and inhaled esketamine solution before the operation.The awakening time,extubation time,post-anesthesia care u-nit(PACU)stay time,direct care time,choking cough score after awakening,visual analogue scale(VAS)for pain,restlessness score,incidence of restlessness and occurrence of adverse reactions were compared among the three groups of children.Results Compared with the control group and the NC group,the recovery time,ex-tubation time,PACU stay time,direct care time,choking cough score after awaking,VAS,restlessness score and the incidence of restlessness in the ES group were significantly decreased(P＜0.05).There was no statis-tically significant difference in the above indicators between the NC group and the control group(P＞0.05).No adverse reactions occurred in any of the three groups of children during the recovery period from general anesthesia.Conclusion Preoperative nebulized inhalation of esketamine can effectively accelerate the recovery and extubation time of children undergoing general anesthesia for snoring surgery,alleviate choking,pain and restlessness reactions,and reduce direct care time.
