Nerve block combined with sevoflurane in pediatric groin surgery.doc

 PAGE \* MERGEFORMAT 7 Nerve block combined with sevoflurane in pediatric groin surgery [Keywords:] nerve block, sevoflurane, children, inguinal surgery Often difficult for children with pediatric surgery and residual fear memory with the factors, the use of general anesthesia. We use ilioinguinal - iliohypogastric nerve blocks (ilioinguinal / iliohypogastic nerve block, INB compound sevoflurane anesthesia in pediatric groin surgery and with the traditional comparison of ketamine anesthesia, understanding both induction time, recovery time of surgery and complications difference. 1 Data and methods 1.1 Case Selection Select the inguinal region in children undergoing elective surgery, 80 cases aged 1 to 10 years old, ASA I class. Randomly divided into 2 groups, each of the 40 cases. Test group for the INB combined inhalation anesthetic sevoflurane, ketamine anesthesia control group. Two groups in age, body weight, children with disease, operative time there was no significant difference. Table 1. 1.2 Anesthesia A group of children adjust after the burglary, the oxygen flow anesthesia machine 4 L / min, sealed mask inhalation of 8% sevoflurane induction in children after loss of eyelash reflex oxygen flow adjusted to 2 L / min, and adjust the vaporizer 3%. open vein, intravenous atropine 0.02 ~ 0.03 mg/kg.0.375% bupivacaine 1% lidocaine and 0.4 ~ 0.6 mL / kg to Schulte-Steinberly method [1] on the affected side of the line INB. confirmation from INB effective after surgery. In order to ensure similar anesthetic effect of INB and effective, the group all INB completed by the same anesthesiologist. intraoperative control groups according to body movement or heart rate increased more than 20% before the induction of increased sevoflurane concentration, withdrawal of surgery. B group after the intramuscular injection of ketamine in children burglary, 4 ~ 5 mg / kg, to be open after the children sleep vein, intravenous atropine 0.02 ~ 0.03 mg / kg