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題 名 | The Train of Four Ratio Decreases to Zero in Anesthetized Children is the Guide to Achieve a Satisfactory Intubation Condition=麻醉中的小孩給予0.9mg/kg Rocuronium當周邊神經刺激器連續刺激四次其比率為零時是可信賴的滿意插管情況指標 |
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作 者 | 程廣義; 朱光興; 陳文甲; 湯兆舜; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 18:1 2002.01[民91.01] |
頁 次 | 頁23-29 |
分類號 | 416.5 |
關鍵詞 | 麻醉; 周邊神經刺激器; 可信賴的滿意插管情況指標; Train of four ratio; Intubation condition; Rocuronium; Vecuronium; |
語 文 | 英文(English) |
中文摘要 | 本研究的目的是探討麻醉中的小孩接受周邊神經刺激器連續刺激四 次、當第一次刺激的反應及第四次刺激的反應其比率為零時、是否為可信賴的滿 意插管情況指標。六十位接受眼科手術的小孩被隨機分為三組。病人以 thiopentone 4mg/kg及halothane和66% N2O 每分鐘兩升的氧氣接受誘導麻醉、 待潮氣末濃度1MAC halothane穩定維持三分鐘後、第一組給予0.1 mg/kg vecuronium 第二組給予0.6 mg/kg rocuronium 第三組給予0.9 mg/kg rocuronium。當周邊神經刺激器第一次刺激的反應及第四次刺激反應的比率由1.0 到 0時進行插管。由下顎放鬆程度、聲門打開程度、及插管時有無咳嗽反應給 予分數來評估插管情況。再以各項分數的總合分類為極優(excellent)、優(good)、 一般(fair)、不良(poor)四種程度的插管情況。而以極優及優的插管情況歸類為滿 意插管。給予肌肉鬆弛劑後、其刺激反應的比率到零的時間、第一組需要159.5 ± 29.3秒、第二組需要71.3 ±18.8秒、第三組需要55.7±13.9秒。且第一組與第二 組和第三組間有明顯統計上的差異(p<0.001, 第一組 vs 第二、三組)。此實驗觀 察到所有20位第三組病人、17位的第二組病人及16位的第一組病人屬於滿意 插管情況。由此可推斷、進行麻醉中的小孩、以監測adductor pollicis muscle對 連續刺激四次的反應比率為零之時表示是適當的插管時機。以及在給予麻醉病人 0.9 mg/kg rocuronium、且當連續刺激四次的反應比率為零、是一種可信賴達到滿 意插管情況的指標。 |
英文摘要 | The purpose of this study is to investigate the satisfactory (excellent or good) intubation conditions attained when the TOF ratio was zero in anesthetized children. Sixty children undergoing elective ophthalmic surgery were allocated randomly into three groups. Anesthesia was induced with thiopentone 4 mg/kg and halothane in combination with 66% N2O and O2 (2 L/min). Patients maintained spontaneous breathing with assisted ventilation to limit the values of end tidal CO2 within the range of 36~ 44 mmHg, maintained the stable end tidal expiratory 1 MAC halothane concentration for three minutes and followed by 0.1 mg/kg vecuronium in group 1, 0.6 mg/kg rocuronium in group 2, and 0.9 mg/kg rocuronium in group 3. Intubation was attempted as the TOF ratio decreased from 1.0 to 0. The intubation condition was scored by assessing the degree of jaw relaxation, vocal cord opening grades, and cough responses. The overall intubation conditions were graded as excellent, good, fair, and poor on the basis of the scores. Excellent or good intubation conditions were considered satisfactory. After neuromuscular blockade administration, TOF ratio required 160.5 ?28.9 seconds in group 1, 70.7 ?18.5 seconds in group 2, and 55.7 ?13.5 seconds in group 3 to decrease to zero. There is a significant difference between group 1 and group 2 and 3 (p<0.001, group 1 vs group 2 and group 3). All children were intubated, during which procedures satisfactory intubation conditions were observed in all of the group 3 patients, in 17 of the 20 group 2, and in 16 of the 20 group 1 patients. We concluded that zero of TOF from monitoring the adductor pollicis muscle indicated the proper moment for intubation in anesthetized pediatric patients and it was a reliable guide in adequately anesthetized children to achieve satisfactory intubation conditions following 0.9 mg/kg rocuronium administration. |
本系統中英文摘要資訊取自各篇刊載內容。