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Remifentanil and fentanyl anesthesia in pediatric otolaryngology Comparison

Naloxone,[link widoczny dla zalogowanych], cyclosporine); F group, 9 patients were antagonistic drugs. Postoperative agitation: R group,[link widoczny dla zalogowanych], 2 patients,[link widoczny dla zalogowanych], F 8 cases,[link widoczny dla zalogowanych], no postoperative nausea and vomiting. Wrapped in a comparison of two groups of children with hemodynamic (blood) Note: 'with the R group P <0.05; compared with T0 P <0.053 discussed ATH tonsil resection or simple, simple gland resection is the kind of body the most common ENT surgery in children, because children can not cope, surgical site unique, easy bleeding and other characteristics, II Fou-bed has been using general anesthesia, and strive to achieve a smooth anesthesia, analgesia perfect, less bleeding postoperative recovery completely, to avoid aspiration and airway obstruction. In the past used fentanyl, propofol, short-acting muscle relaxant IV induction, propofol, isoflurane maintained. After discontinuation of surgery, and some clear results are poor, and even irritability, increased postoperative bleeding, the incidence of aspiration. Consideration is due to the maintenance of anesthesia, inhalation of high concentrations of isoflurane: Some short operation time, the residual effect of anesthetic drugs may lead to delayed recovery, irritability, cough, causing the wound bleeding again, or because the airway protective reflex recovered slowly, resulting in aspiration and airway obstruction. To prevent the above from happening, only prolong extubation time or application antagonist drugs in order to ensure fully awake. Reduce postoperative complications. Remifentanil surgery and day surgery in a short application, advantage is particularly conspicuous, is the ideal clinical short-acting intravenous anesthetics. ... The total treatment time and input half-life and independent of time. Elimination half-life of 3-10min, removal rate of about 4Oml · kg - I · min one clearance from sex, weight or age effects, not dependent on the liver and kidney function _2J. Propofol and remifentanil are short-acting anesthetics, they complement each other between the dynamic model of medicine (analgesic, sedative), combined with propofol and remifentanil total intravenous anesthesia for the most promising combination. In this study, remifentanil and propofol as an anesthetic drugs, anesthesia induction observed changes in blood pressure between the two groups do not. Remifentanil group heart rate lower than the fentanyl group: intraoperative hemodynamic changes in the two groups was no significant difference: while the two groups after extubation after discontinuation of blood pressure, heart rate when compared with people room to improve in varying degrees: extubation time in the remifentanil group was significantly lower than the fentanyl group, the fentanyl group, recovery time is about twice the remifentanil group. This study suggests that. Although inhalation of isoflurane is commonly used anesthetic drugs more rapidly in the wake emit about 7-10min ~ 1, almost the prototype excreted through the respiratory tract. But they are in the distribution of muscle and adipose tissue time constant up to 77min and 3465min, accumulate in the tissues of isoflurane in the wake of the release will persist for some time, which will affect the quality of awakening. Remifentanil group after discontinuation of 2 ~ 3min the eyes open. Breathing recovery time and extubation time were significantly shorter in the fentanyl group, and completely sober. For some d ~ Jt, the age is still small, the conscious performance of crying, and restlessness indistinguishable. Remifentanil group no postoperative airway obstruction and aspiration occur, there is no re-bleeding due to the second burglary, the surgical field bleeding (fentanyl group, 3 cases of burglary bleeding again.) Rapid emergence coincides with the expected recovery time is two important goals of anesthesia. Remifentanil can help accomplish these goals. Because it does not provide enough hypnosis, it must be combined with analgesics. Used propofol. SHAN Shi-min, etc. f4. The results show that: remifentanil or fentanyl and propofol induction of anesthesia, endotracheal intubation conditions and hemodynamic changes (compared to not using muscle relaxant), the results of Table Mingrui fentanyl and propofol for intravenous anesthesia than fentanyl, inhibition of cardiovascular responses to tracheal intubation, propofol and fentanyl is superior to composite applications. In short. Groups can achieve satisfactory anesthesia anesthesia, so that hemodynamic stability. But the advantages of remifentanil group, and its rapid emergence and control, and more suitable for surgery on the anesthetic requirements, including quantity and quality of anesthesia.

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