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BMC Anesthesiology

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Open Access 01-12-2024 | Remifentanil | Research

Application of propofol-remifentanil intravenous general anesthesia combined with regional block in pediatric ophthalmic surgery

Authors: Ming-Ying Li, Yu-Da Fei, Xiao-Xia Zhang, Tian-Wen Chen, Jie Li, Xiao-Li Sun, Zhen-Yuan Wang

Published in: BMC Anesthesiology | Issue 1/2024

Abstract

Objective

The aim of this study is to observe the anesthetic effect and safety of intravenous anesthesia without muscle relaxant with propofol-remifentanil combined with regional block under laryngeal mask airway in pediatric ophthalmologic surgery.

Methods

A total of 90 undergoing ophthalmic surgery were anesthetized with general anesthesia using the laryngeal mask airway without muscle relaxant. They were randomly divided into two groups: 45 children who received propofol-remifentanil intravenous anesthesia combined with regional block (LG group), and 45 children who received total intravenous anesthesia (G group). The peri-operative circulatory indicators, awakening time after general anesthesia, postoperative analgesic effect and the incidence of anesthesia-related adverse events were respectively compared between the two groups.

Results

All the children successfully underwent the surgical procedure. The awakening time after general anesthesia and removal time of laryngeal mask were significantly shorter in the LG group than in the G group (P < 0.05). There was no statistically significant difference in the heart rates in the perioperative period between the two groups (P > 0.05). There was no statistically significant difference in the incidence of intraoperative physical response, respiratory depression, postoperative nausea and vomiting (PONV) and emergence agitation (EA) between the two groups (P > 0.05). The pain score at the postoperative hour 2 was lower in the LG group than in the G group (P < 0.05).

Conclusion

Propofol-remifentanil intravenous anesthesia combined with long-acting local anesthetic regional block anesthesia, combined with laryngeal mask ventilation technology without muscle relaxants, can be safely used in pediatric eye surgery to achieve rapid and smooth recovery from general anesthesia and better postoperative analgesia. This anesthesia scheme can improve the comfort and safety of children in perioperative period, and has a certain clinical popularization value.

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Title: Application of propofol-remifentanil intravenous general anesthesia combined with regional block in pediatric ophthalmic surgery
Authors: Ming-Ying Li
Yu-Da Fei
Xiao-Xia Zhang
Tian-Wen Chen
Jie Li
Xiao-Li Sun
Zhen-Yuan Wang
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Remifentanil
Propofol
General Anesthesia
Postoperative Nausea and Vomiting
Muscle Relaxant
Muscle Relaxant
Agitation
Eye Surgery
Published in: BMC Anesthesiology / Issue 1/2024
Electronic ISSN: 1471-2253
DOI: https://doi.org/10.1186/s12871-024-02531-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Application of propofol-remifentanil intravenous general anesthesia combined with regional block in pediatric ophthalmic surgery

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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