کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2759942 1150163 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effects of Different Doses of Remifentanil Infusion on Hemodynamics and Recovery in Children Undergoing Pediatric Diagnostic Cardiac Catheterization
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Effects of Different Doses of Remifentanil Infusion on Hemodynamics and Recovery in Children Undergoing Pediatric Diagnostic Cardiac Catheterization
چکیده انگلیسی

ObjectiveThe present study aimed to compare 2 different doses of remifentanil infusion on hemodynamics, recovery period, and complications in children undergoing diagnostic pediatric cardiac catheterization.DesignA prospective study.SettingA university hospital.ParticipantsChildren undergoing diagnostic cardiac catheterization (n = 60).InterventionsChildren (2-12 years of age) scheduled for elective diagnostic cardiac catheterization under sedation were included in this study. The patients were ssigned randomly to 2 groups as follows: patients in group 1 (n = 30) received a remifentanil infusion of 0.1 μg/kg/min, and patients in group 2 (n = 30) received a remifentanil infusion of 0.2 μg/kg/min. Heart rate (HR), systolic and diastolic blood pressures (BPs), oxygen saturation (SpO2), respiratory rate (RR), sedation, and recovery scores were recorded.Measurements and Main ResultsThere were no significant differences between the groups in terms of systolic and diastolic BPs, HR, SpO2, and RR during the study period. Additional drugs were required for 15 children in group 1; however, 27 patients maintained a satisfactory level of sedation with the 0.2-μg/kg/min remifentanil infusion. The time to achieve a recovery score of ≥5 was significantly shorter in group 2 than in group 1 (4.1 ± 0.3 minutes v 6.8 ± 0.8 minutes). No postoperative complications were reported in either group.ConclusionAfter oral midazolam premedication and local prilocaine infiltration, 0.2 μg/kg/min of remifentanil provided adequate sedation without any hemodynamic compromise during pediatric diagnostic cardiac catheterization.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiothoracic and Vascular Anesthesia - Volume 25, Issue 4, August 2011, Pages 660–664
نویسندگان
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