The Length Of Stay In Patients Undergoing Diagnostic MRI And CT-Scan With Intravenous Anesthesia At Outpatient Clinic Dr. Soetomo General Hospital: An Overview

Maharani, Virda; Utariani, Arie; Andriyanto, Lucky; Harjono, Bambang

doi:10.33086/jhs.v14i02.1748

Cited by 1 publication

(1 citation statement)

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“…Maharani et al noted that in pediatric laparoscopic surgery, the child was supine, the diaphragm function increased, the pulmonary functional residual capacity (FRC) decreased, and the abdominal compliance decreased. At the same time, IAP increased, the diaphragm was affected by gravity and intra-abdominal pressure, FRC decreased tidal volume and minute ventilation (MV) decreased, and the child's oxygen level was affected [ 7 ]. In addition, Lai et al believed that pneumoperitoneum could cause disharmony of ventilatory blood perfusion, increase in IAP, decrease in FRC, and easily lead to atasis.…”

Section: Literature Reviewmentioning

confidence: 99%

[Retracted] Application of Intravenous Anesthesia in Laparoscopic Hiatal Hernia Repair of Children

Zhu

Yang

et al. 2022

Contrast Media & Molecular Imaging

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In order to solve the stress problem in laparoscopic hiatal hernia repair of children, improve surgical safety, and reduce surgical risk, this study compared the perioperative changes of epinephrine, norepinephrine, IL-6, IL-10, and hemodynamics in children undergoing laparoscopic surgery under intravenous general anesthesia and general anesthesia combined with an epidural block. In this study, 40 children aged 1–3 years who planned to undergo laparoscopic ortopexy and those who planned to undergo laparoscopic high ligation of hernia sac, aged 23.84 1.6 months and weighed 14.9 1.1 kg, were randomly divided into general anesthesia combined with the epidural block group (group A) and a total intravenous anesthesia group (group B), with 20 subjects in each group. The results are as follows: There were no differences in age, gender, body weight, anesthesia time, pneumoperitoneum duration, and functional time between the two groups. Cytokines: Compared with T0, the levels of IL-6 in T2, T3, T4, and T5 groups were significantly increased ( P < 0.01). IL-10 levels: T2, T3, T4, and T5 groups were further increased, and the difference was statistically significant compared with T0 ( P < 0.01). There was no difference between groups ( P > 0.05). The recovery time in group B was shorter than that in group A ( P < 0.01), and the total amount of propofol and fentanyl in group B was less than that in group A ( P < 0.01). Through research on intravenous anesthesia treatment, it has been proved that total intravenous anesthesia can relieve perioperative pressure, reduce intravenous injection, and reduce the recovery time of children. However, its effect on cytokines is not obvious, so intravenous anesthesia is the most appropriate anesthesia mode in laparoscopic hiatal hernia repair surgery, which has practical significance.

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Section: Literature Reviewmentioning

confidence: 99%