Abstract:
Objective: To explore the effects of the target controlled infusion(TCI) for propofol combined with low density isoflurane in children undergoing minor operation.
Methods: Forty-eight ASA grade Ⅰ-Ⅱchildren aged 2-6 yr weighting 11.5-25 kg,scheduled for hernia surgery were randomly divided into three groups with 16 cases in each:Ketamine group(group A),propofol TCI group(group B),and propofol TCI combined with low density isoflurane group(group C).The children in group A were given only Ketamine during operation.Heart rate(HR),respiration rate(RR) and pulse oxygen saturation(SpO
2) were recorded before induction(T
0),skin incision(T
1),dragging peritoneum(T
2) and sewing skin(T
3).All children's reaction at the time of skin incision and dragging peritoneum was recorded.
Results: Compared with T
0,HR and RR at T
1,T
2 in group A significantly rised(P<0.05-P<0.01),but the variation of SpO
2 was not significant(P>0.05).In group B,compared with T
0,RR significantly rised at T
1(P<0.01),but HR,RR and SpO
2 declined at T
2 compared that of in group A(P<0.05).In group C,HR and RR decreased significantly at T
1,T
2 and T
3 compared with those in group Aand group B(P<0.05-P<0.01) and SpO
2 declined at the same time compared with group A(P<0.05).The children' SpO
2 in the three groups all exceeded 98% with oxygen inhaling.The time of regaining consciousness in group C reduced significantly compared with that in group A and group B(P<0.05).
Conclusions: Propofol TCI combined with low density isoflurane in preschool chileren who accepted general anesthesia is safe and satisfied with the life sign stableness and a short revival time.