Recovery After Anesthesia for Short Pediatric Oncology Procedures: Propofol and Remifentanil Compared with Propofol, Nitrous Oxide, and Sevoflurane
Autor: | Michael R. J. Sury, Hilary Glaisyer |
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Rok vydání: | 2005 |
Předmět: |
Male
Methyl Ethers medicine.medical_specialty Nitrous Oxide Remifentanil Sevoflurane chemistry.chemical_compound Bolus (medicine) Piperidines Neoplasms Humans Medicine Child Propofol Inhalation business.industry Hemodynamics Nitrous oxide Surgery Treatment Outcome Anesthesiology and Pain Medicine chemistry Child Preschool Anesthesia Anesthesia Recovery Period Anesthetics Inhalation Anesthetic Anesthesia Intravenous Female Anesthesia Inhalation business Anesthetics Intravenous medicine.drug |
Zdroj: | Anesthesia & Analgesia. 100:959-963 |
ISSN: | 0003-2999 |
DOI: | 10.1213/01.ane.0000147667.06156.df |
Popis: | Anesthesia techniques in children undergoing short painful oncology procedures should allow rapid recovery without side effects. We compared the recovery characteristics of two anesthetic techniques: propofol with sevoflurane and nitrous oxide and a total IV technique using propofol and remifentanil. Twenty-one children, undergoing two similar painful procedures within 2 wk were studied in a single-blind manner within patient comparison. The order of the techniques was randomized. Propofol and remifentanil involved bolus doses of both propofol 3-5 mg/kg and remifentanil 1-4 microg/kg. Propofol with sevoflurane and nitrous oxide involved propofol 3-5 mg/kg with 2%-8% sevoflurane and 70% nitrous oxide. The primary outcome variable was the time taken to achieve recovery discharge criteria; other recovery characteristics were also noted. The mean age of the children was 6.5 yr (range, 2.5-9.8 yr). Nineteen had lymphoblastic leukemia and two had lymphoma. All children had intrathecal chemotherapy and one had bone marrow aspiration. Most procedures lasted |
Databáze: | OpenAIRE |
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