Effect of different types of anesthesia in pediatric robot-assisted pyeloplasty
Objective:To explore the effect of different types of anesthesia in pediatric robot-assisted pyeloplasty.Methods:A total of 180 children who underwent robot-assisted pyeloplasty in the Second Affiliated Hospital of Air Force Military Medical University from January 2019 to June 2023 were selected and prospectively studied.They were randomly divided into the vein group(n=90,intravenous anesthesia)and the inhalation group(n=90,inhalation anesthesia)using a random number table.The differences in heart rate,mean arterial pressure,perioperative recovery,agitation scores,cognitive function(C-WISC score),and adverse reactoins were compared between the two groups.Results:Compared with that before anesthesia,the heart rates of patients in both groups were decreased at the immediate endotracheal intubation,the end of pneumoperitoneum and operation,and increased after extubation,and the mean arterial pressure increased after 5-min pneumoperitoneum and immediate extubation,with statistical significance(P<0.05).Compared with the inhalation group,the heart rate in the vein group changed more significantly,and the mean arterial pressure after extubation in the vein group was significantly lower,with statistical significance(P<0.05).The perioperative recovery time in the vein group was longer than that in the inhalation group,and the differences were statistically significant(P<0.05),but there was no statistical significance in the agitation score between the two groups(P>0.05).Compared with that before surgery,partial C-WISC scores of the two groups were both significantly decreased,and the difference was statistically significant(P<0.05).Compared with the inhalation group,the comprehensive score of the venin group was higher,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Compared with inhalation anesthesia in pediatric robot-assisted pyeloplasty,although has a longer recovery time,intravenous anesthesia could provide better perioperative hemodynamic stability,more safety and less influence on postoperative cognitive function of pediatric patients.
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