对接受人工耳蜗植入手术儿童的麻醉技术及其相关围手术期并发症的回顾性分析--我们在一家三级医疗转诊中心的初步经验

Kriti Puri, R. Kundal, P. Varshney, Vidhi Chandra, M. Pandey, Sunil Kumar
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引用次数: 0

摘要

:人工耳蜗是治疗儿童听力损失的有利选择。然而,关于此类患者使用的麻醉技术类型及其相关并发症的数据却很有限。因此,本研究的首要目标是评估小儿人工耳蜗植入手术中三种不同全身麻醉技术的术后恶心呕吐(PONV)情况。次要目标包括评估术中和术后并发症:对2019年12月至2022年2月期间在我院接受人工耳蜗植入手术的所有13岁以下儿童进行回顾性分析。并记录了相关数据。根据本院使用的麻醉技术,将九名患者分为三组(A 组、B 组和 C 组)。A 组接受吸入剂诱导和维持,不使用非去极化肌肉松弛剂(NDMR);B 组患者接受全静脉麻醉,使用非去极化肌肉松弛剂(NDMR);C 组患者接受静脉诱导和吸入剂维持,使用非去极化肌肉松弛剂(NDMR)。共纳入 27 名患者。术中无重大并发症。A 组的两名患者和 C 组的一名患者出现了呕吐。A 组、B 组和 C 组各有一名患者出现苏醒延迟。总体而言,A 组有四例并发症,B 组有一例,C 组有两例。
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A retrospective analysis of anesthetic techniques and their related perioperative complications in children undergoing cochlear implant surgeries – our preliminary experience at a tertiary care referral centre
: Cochlear implants serve as a favorable option for treatment of hearing loss in children. However, there is limited data regarding the type of anesthetic techniques used and its associated complications in such patients. Hence, the primary objective of this study was evaluation of postoperative nausea vomiting (PONV) with three different general anesthesia techniques in pediatric cochlear implant surgeries. The secondary objectives included assessment of intraoperative and postoperative complications: A retrospective analysis of all children less than 13 years, who underwent cochlear implant surgery at our hospital between December 2019 to February 2022 was performed. Appropriate data were noted. Nine patients each were classified into three groups (Group A, B and C) on the basis of anesthetic techniques used in our institution. Group A received inhalational agent for induction and maintenance, with no Non-Depolarizing Muscle Relaxant (NDMR), Group B patients received Total Intravenous Anesthesia with NDMR and Group C received intravenous induction and inhalational agent for maintenance with NDMR. Twenty-seven patients were included. There were no major intraoperative complications. PONV was noticed in two patients of Group A and one patient of Group C. One patient belonging to Group A developed laryngospasm and desaturation. Delayed Awakening was seen in one patient each of Group A, B and C. Overall, four complications were noted in patients of Group A, one in Group B and two in Group C. All complications were mild and were managed successfully.This preliminary study suggests that peri-operative anesthetic complications with all three anesthestic techniques were comparable and safe.
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