在儿童的下肢骨折手术中使用sevoflurane吸入麻醉
Alternative therapies in health and medicine
|November 2, 2023
概括
塞沃弗兰吸入麻醉为儿科下肢骨折手术患者提供了更好的血液动力稳定性和更快的恢复. 这种方法还可以减少手术后的疼痛,与胺麻醉相比.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 整形外科手术 整形外科手术
背景情况:
- 儿童的下肢骨折手术需要仔细的麻醉管理.
- 在儿科整形手术过程中,血液动力学稳定性和疼痛控制是至关重要的.
研究的目的:
- 为了评估sevoflurane吸入麻醉对儿童下肢骨折手术的血液动力学对基胺麻醉的影响.
- 为了比较两种麻醉技术之间的麻醉质量,发病,恢复和术后疼痛.
主要方法:
- 一项随机对照试验,涉及187名接受下肢骨折手术的儿科患者.
- 患者被分为两组:sevoflurane吸入麻醉 (实验) 和Ketamine基本麻醉 (控制).
- 血液动力学指数 (SaO2,MAP,HR,SBP,DBP),麻醉开始/恢复时间和视觉模拟尺度 (VAS) 疼痛评分进行了比较.
主要成果:
- 与氨酸组相比,sevoflurane组的SaO2和MAP较高,HR,SBP和DBP较低 (P < .05).相比,氨酸组的SaO2和MAP较高,HR,SBP和DBP较低.
- 在sevoflurane组中观察到麻醉阻断的更快开始和恢复 (P < .05).
- 在手术后24小时,48小时和72小时,sevoflurane组中记录了显著较低的VAS得分 (P < .05).
结论:
- 塞沃弗兰吸入麻醉在儿科下肢骨折手术中提供了卓越的血液动力稳定性.
- 它有助于更快的麻醉开始和恢复,同时有效地减少术后疼痛.
- 塞沃弗兰是一种有利的麻醉选择,用于儿童骨科下肢手术.
更多相关视频
04:56In Vitro Method to Control Concentrations of Halogenated Gases in Cultured Alveolar Epithelial Cells
Published on: October 23, 2018
6.6K
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.5K
相关概念视频
Inhalational Anesthetics: Overview
308
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
308
Local Anesthetics: Clinical Application as Spinal Anesthesia
646
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
646
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
435
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
435
Local Anesthetics: Clinical Application as Epidural Anesthesia
438
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
438
General Anesthesia: Overview
225
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
225
Stages of General Anesthesia
468
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
468
