查詢結果分析
相關文獻
- Influences of Tramadol on Emergence Characteristics from Sevoflurane Anesthesia in Pediatric Ambulatory Surgery
- Comparison of Hemodynamics and Recovery of Sevoflurane and Isoflurane Anesthesia in Chinese Adult Patients
- Isoflurane低流量麻醉之臨床研究(3):麻醉需求量, 導入至外科期所需時間及甦醒時間之探討
- Emergence Delirium after Intravenous Sedation--A Potential Crisis at Dental Clinic
- 手術室病人保護性約束掙脫改善專案
- 以低周波電針器刺激犬之山根、人中穴對麻醉後甦醒效果評估
- Earlier Cessation of Desflurane Supply in Closed-circuit Anesthesia Reduces Emergence Time in Patients Undergoing Breast Surgery
- 硬脊膜外麻醉導致下半身癱瘓:病例報告
- Anesthesia for Pediatric Herniorrhaphy or Hydrocelectomy: Comparison of Propofol/Ketamine and Thiopentone/Halothane
- Intrathecal Opioids Provide Satisfactory Conditions in Labor Analgesia and Spinal Anesthesia for Cesarean Section
頁籤選單縮合
題 名 | Influences of Tramadol on Emergence Characteristics from Sevoflurane Anesthesia in Pediatric Ambulatory Surgery=當日兒童手術中Tramadol對Sevoflurane麻醉後甦醒特質之影響 |
---|---|
作 者 | 范國棟; 李宗興; 余廣亮; 湯兆舜; 盧偉; 陳佩瑜; 蘇理盈; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 16:5 2000.05[民89.05] |
頁 次 | 頁255-260 |
分類號 | 417.661 |
關鍵詞 | 兒童手術; 麻醉; 甦醒; Anesthesia; Sevoflurane; Tramadol; Pediatric; |
語 文 | 英文(English) |
中文摘要 | Sevoflurane由於其低血液溶解度、甦醒快、無刺鼻味與低呼吸道刺激性 等特質,已被使用於兒童之當日手術,不過其於甦醒過程易生躁動可能抵銷其好 處。本研究於手術結束前,經靜脈(IV)給予tramadol 1 mg/kg以評估其對sevoflurane 甦醒之影響。40位ASA第1級、年齡1至8歲之兒童,先口服術前給葯atropine 0.01 mg/kg。再以IV thiamylal (3-4 mg/kg)誘導後隨機分成兩組接受面罩麻醉(S組 -控制組,ST組-IV tramadol,每組20人)。皮膚劃刀前均予以局部浸潤1%之 lidocaine 2-3 ml,手術結束前於ST組給予IV tramadol 1 mg/kg。甦醒躁動由一位未 參與研究之麻醉醫師以VAS (visual analog scale, 0-10)評估,並記錄其他恢復時段 與麻醉後併發症。年齡、體重、性別、及手術、麻醉時間於兩組間結果相近。控 制組出現較高的甦醒躁動度(6.3 ?3.5 vs 3.2 ?2.8, P < 0.05)、躁動比率(VAS > 5, 55% vs 20%, P < 0.05)和術後疼痛(65% vs 30%, P < 0.05)。手術結束前給予IV tramadol 1 mg/kg,可減少接受sevoflurane麻醉之兒童當日手術其術後疼痛和甦醒躁動之比 率與程度。 |
英文摘要 | Sevoflurane is used for pediatric ambulatory surgery due to its low blood solubility, rapid emergence, non-pungency and low airway irritability. Nevertheless, its tendency to induce agitation during emergence may offset its benefits. The following study was designed to evaluate the effects of intravenous (IV) tramadol (1 mg/kg) on the emergence from sevoflurane anesthesia. Forty ASA I children, ranging from 1 to 8 years old, scheduled for inguinal surgery, were randomized into two groups (Group S ?control group, Group ST ?IV tramadol, 20 in each group). The patients were first premedicated with oral atropine (0.01 mg/kg), then anesthesia was induced with IV application of thiamylal (3-4 mg/kg) and maintained with mask anesthesia with sevoflurane. Topical infiltration with 2-3 ml of 1% lidocaine was applied over skin incision area. IV tramadol (1 mg/kg) was given before the end of operation in Group ST. The emergence agitation was recorded on a visual analog scale (VAS, 0-10) by a blinded anesthesiologist in the PACU (postoperative anesthesia care unit), as well as the length of other recovery stages and complications after anesthesia. The age, weight, gender, and duration of surgery and anesthesia were similar in the two groups. The emergence agitation score (6.3 ?3.5 vs 3.2 ?2.8, P < 0.05), incidences of agitation (VAS > 5, 55% vs 20%, P < 0.05), and postoperative pain (65% vs 30%, P < 0.05) were higher for the control group. IV Tramadol (1 mg/kg) before the end of operation reduced postoperative pain and the incidence and degree of emergence agitation from sevoflurane anesthesia in pediatric ambulatory surgery. |
本系統中英文摘要資訊取自各篇刊載內容。