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《Fujian Medical Journal》 2013-02
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Application of sevoflurane combined small dose cisatracurium used in children foreign body reach extraction

LIU Ge,LAI Junsong.Department of Anesthesiology,Fuzhou General Hospital of Nanjing Military Area,Fuzhou,Fujian 350025,China  
Objective To discuss the effect of sevoflurane combined small dose cisatracurium used in children foreign body reach extraction.Methods The children were randomized to two groups:group A,proposal combined ketamine;group B,sevoflurane combined small dose cisatracurium,all 16 cases in each group.We observed the differences of MAP、HR、SpO2 between group A and B at the time before induction of anesthesia(T1),at placing bronchofiberscope(T2),at 2 miniutes after placing bronchofiberscope(T3),at exit bronchofiberscope(T4).We recorded the time of placing bronchofiberscope,examination and wake-up in two groups,and the incidence of bucking during operation,respiratory depression after operation and edemaod the larynx.Results The HR of children in group B was slower than that in group A at T2,T3,T4(P0.05),the SpO2 was higher than that in group A at T2,T3,T4(P0.05),the examination time significantly shorter than those in group A(P0.05),the cases of the whole examination time ≤ 1 minute were 11 cases more than that in group A,which all succeed at one time.The incidence of bucking during operation and respiratory depression after operation was lower than that in group A(P0.05).Conclusion Its a security and feasible method of sevoflurane combined small dose cisatracurium used in children foreign body reach extraction,which can both offer good muscle loose and not to significantly increase in wake-up time.
【CateGory Index】: R726.1
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