Title: Effects of different total intravenous anesthesia on the stimulation and restlessness of pediatric tonsillectomy
Abstract: Objective To investigate the effects of remiefntanil and fentanyl on the stimulation and restlessness of pediatric tonsillectomy.Methods A total of 85 pediatric patients were randomly divided into 2 groups :group A(remifentanil and propofol total intravenous anesthesia,40 cases),group B(fentanyl and propofoltotal intravenous anesthesia,45 cases).The cervical venous blood samples were obtained at four time points.The duration and the charaeteristies of postoperative recovery were investigated between two group.Results(1)MAP at T1 and T2 in group A were significantly lower than that at T0(P0.05),MAP at T2 in group B were significantly higher than that at T0(P0.05).MAP in group B were significantly higher than those in group A at T1 and T2(P0.05).(2)HR at T1 and T2 in group A were significantly lower than that at T0(P0.05),HR at T2 and T3 in group B were significantly higher than that at T0(P0.05).At T2 and T3,HR in group B were significantly higher than those in group A(P0.05).(3)The level of cortisol at T1,T2 and T3 in group A were significantly lower than that at T0(P0.05),the level of cortisol at T1 in group B was significantly higher than that at T0(P0.05).At T3 the level of cortisol was significantly lower than that at T0(P0.05).The level of cortisol in B groups at T1 and T2 were significantly higher than those in A group(P0.05).The levels of cortisol in B groups at T3 was significantly lower than that in A group(P0.05).(4)The duration of postoperative recovery in A group was shorter than that in B group.Conclusion Remiefntanil and propofol total intravenous anesthesia may reduce the stress reaction,better hemodynamic stability and recovery profile.It ’s a better method for pediatric tonsillectomy.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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