Clinical application of sevoflurane inhalation under a new type of mask in children undergoing general anesthesia surgery
Objective To investigate the efficacy and safety of sevoflurane inhalation anesthesia under a new type of inhalation anesthesia mask to improve anesthesia in patients undergoing general anesthesia with spon-taneous ventilation.Methods A total of 92 children with strabismus who underwent surgical treatment in the Jiaxing Hospital of Traditional Chinese Medicine from January 2020 to March 2022 were divided into an obser-vation group and a control group by treatment.The observation group was anesthetized with a new type of mask inhalation and placed with a laryngeal mask,while the control group was anesthetized with a regular mask inhalation and placed with a laryngeal mask.Both groups received mechanical ventilation and general anesthesia to explore the effec-tiveness and safety of anesthesia.Results ① Hemodynamic indexes and respiratory conditions:there was no significant difference in hemodynamic indicators(HR,MAP)between the observation group and the control group at each time point(P＞0.05);Moreover,there was no significant difference in hemodynamic indicators(HR、MAP)between the two groups at each time point(P＞0.05);There was no significant difference in respiratory status(SpO2,PETCO2 and PIP)between the two groups at different time(P＞0.05).②Placement:the induction time was short in both groups,and the laryngeal mask was successfully inserted.Between them,the observation group had a signifi-cantly higher success rate of one-time insertion than the control group(P＜0.05).③ Recovery after operation:Two groups of spontaneous breathing recovery time and waking time comparison were no significant difference(P＞0.05);However,the time of orientation recovery and the time of modified Aldrete score reaching 9 points in the observation group were significantly shorter than those in the control group,and the difference between the two groups was significant(P＜0.05).④The incidence of adverse re-actions to anes-thesia:the incidence of adverse re-actions was 9％in the observation group and 20％in the control group.Compared with the control group,the inci-dence of adverse reactions in the observation group was signifi-cantly lower(P＜0.05).Conclusions The use of sevoflurane inhalation general anesthesia under a new type of in-halation anesthesia mask has a good effect in oph-thalmic anesthesia surgery for children with strabismus.The one-time successful insertion rate of the laryngeal mask after anesthesia induction is high,and the incidence of anesthesia adverse reactions is significantly reduced.It is an effective and safe anesthesia breathing tool.
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