About remifentanil and propofol anesthesia for pediatric tonsil surgery clinical observation.docVIP

 PAGE \* MERGEFORMAT 9 About remifentanil and propofol anesthesia for pediatric tonsil surgery clinical observation [Abstract] Objective: To study the remifentanil and propofol anesthesia for pediatric tonsillectomy the efficacy and safety. Methods: 120 patients with ASA I ~ Ⅱ grade children were randomly divided into two groups, were randomly divided into Switzerland fentanyl, propofol group (RP group, n = 60) and sodium oxybate ketamine group (γ K group, n = 60). anesthetic induction, RP group received remifentanil lμg / kg, propofol 2 mg / kg, succinylcholine chloride 1 mg / kg, γ K group received sodium oxybate 80 mg / kg, ketamine 1 ~ 2 mg / kg, succinylcholine chloride, l mg / kg. two groups of children After induction of anesthesia and tracheal intubation were retained spontaneous breathing. RP group of continuous infusion of propofol 4 ~ 6 mg / (kg.h), remifentanil 0.05 ~ 0.1μg / (kg · min), and in accordance with children whether the body movement to adjust the infusion rate, the end of surgery or discontinued. γ K groups according to whether the body movement in children with intermittent intravenous injection of ketamine 1 ~ 2 mg / kg, if necessary, additional sodium oxybate. to maintain depth of anesthesia, recording technique respiration, mean arterial pressure, heart rate, postoperative recovery and complications. Results: RP group after induction and intraoperative mean arterial blood pressure, heart rate was significantly lower than γ K group (P lt;0.05), after extubation, the room faster than 7 K group (P lt;0.05), the incidence of adverse reactions was significantly less than γ K group (P lt;0.05). Conclusion: Remifentanil combined with propofol in pediatric tonsillectomy patients can blood pressure, heart rate remained at a stable low state. [Keywords:] Remifentanil; propofol; tonsil surgery With the development of oral medicine, children’s age at surgery tonsils gradually reduced, improper anesthesia tonsillectomy in children can gr