Comparison of desflurane and sevoflurane on postoperative recovery quality after tonsillectomy and adenoidectomy in children

Abstract

Comparison of desflurane and sevoflurane on the postoperative recovery quality after tonsillectomy and adenoidectomy in children was carried out. A retrospective analysis was performed on the medical records of 165 children who underwent tonsil and adenoid radiofrequency ablation under low-temperature plasma and were admitted to the Xuzhou Children's Hospital, Xuzhou Medical University from February 2014 to May 2017. In total, 79 children with sevoflurane anesthesia were in the sevoflurane group, and 86 children with desflurane anesthesia in the desflurane group. The non-invasive blood pressure (NIBP), heart rate (HR) and oxygen saturation (SpO 2 ) level, the postoperative sedation (Ramsay) scores, the modified objective pain score (MOPS) of children were recorded. The pediatric anesthesia emergence delirium (PAED) scores of children were recorded. Children in the sevoflurane group had longer operation time, anesthesia time, extubation time and coincidence time than those in the desflurane group (P<0.05). At the beginning of operation (t1), 10 min after operation (t2), at the time of entering anesthesia recovery room (t3), at the time of tracheal catheter extubated (t4), 10 min after extubation (t5), and at the time of leaving the anesthesia recovery room (t6), children in the sevoflurane had higher NISBP and NIDBP, lower HR than those in the desflurane group (P<0.05). At the time of the tracheal catheter extubation (c2), 10 min after extubation (c3), 30 min after extubation (c4), children in the sevoflurane group had lower Ramsay scores and higher PAED scores than those in the desflurane group (P<0.05). More suitable as an anesthetic maintenance drug for tonsillectomy and adenoidectomy in children, desflurane has a better anesthetic effect and is safer. In addition, children with desflurane anesthesia have high postoperative recovery quality and quick recovery in the short term, with better sedative and analgesic effects. Therefore, it is worthy of promotion in clinic practice.

Evaluation of analgesic and sedative effects of remifentanil‐based fast‐track anesthesia in children undergoing transthoracic device closure of ventricular septal defects

“…The Ramsay sedation score was used to measure sedation in children, and the scoring standardization was as follows: anxious or restless, or both were scored as 1; cooperative, oriented, and tranquil were scored as 2; response to commands was scored as 3; quick response to the stimulus was scored as 4; sluggish response to the stimulus was scored as 5, and no response to the stimulus was scored as 6. A score of 1 point indicated a lack of sedation, 2–4 points indicated appropriate sedation, and 5–6 points indicated excessive sedation 7,8 …”

“…A radial artery puncture was performed to monitor arterial blood pressure directly, and a subclavian vein puncture was performed to monitor central venous pressure (CVP). Anesthesia was maintained with 2%-3% sevoflurane and 40% oxygen inhalation and a continuous remifentanil infusion at a rate of 0.5-1 µg/kg/min using an 7,8 In this study, the Wong-Baker FACES Pain Rating Scale was used to subjectively measure analgesia in children older than 3 years. 9,10 The FLACC scale was used to measure analgesia in children younger than three.…”

Effects of Low-dose Propofol or Ketamine on Coughing at Emergence from Anesthesia in Children Undergoing Tonsillectomy

“…Postoperative sedation score was recorded according to the Ramsay Sedation Score (0 = restless, 1 = calm, 2 = sleepy, 3 = drowsy with response to verbal stimuli, 4 = drowsy without response to verbal stimuli, and 5 = deep without response to painful stimuli) [14]. Postoperative nausea and vomiting were recorded as 0 = no nausea or vomiting, 1 = nausea only, and 2 = retching and/or vomiting.…”

Tracheal extubation under Narcotrend EEG monitoring at different depths of anesthesia after tonsillectomy in children: a prospective randomized controlled study

“…Tonsillar hypertrophy is the leading cause of obstructive sleep apnea-hypopnea syndrome (OSAHS) in children, impacting their growth (1)(2)(3). Surgical resection has been recognized as the major therapeutic option in clinical practice.…”