Article Sidebar
Published:
Apr 19, 2023Keywords:
Article Details
Submission of a manuscript to this journal is a representation that the manuscript has not been published previously and is not under consideration for publication elsewhere.
All authors named in each manuscript would be required to sign a form (to be supplied by the Editor) so that they may retain their copyright in the article but to assign to us (the Publishers) and its licensees in perpetuity, in all forms, formats and media (whether known or created in the future) to (i) publish, reproduce, distribute, display and store the contribution, (ii) translate the contribution into other languages, create adaptations, reprints, include within collections and create summaries, extracts and/or abstracts of the contribution, (iii) create any other derivative works(s) based on the contribution, (iv) to exploit all subsidiary rights in the contribution, (v) the inclusion of electronic links from the contribution to third party material where-ever it may be located, and (vi) license any thrid party to do any or all of the above.
Main Article Content
Monitored care during anesthesia with remifentanil and lidocaine in pediatric strabismus surgery: A single center experience
Abstract
Purpose: To evaluate the use of monitored anesthesia care (MAC) in pediatric strabismus surgery.
Methods: A total of 17 cases undergoing strabismus surgery with MAC were included in this study. The protocol for sedation was standardized and data were collected prospectively for an ongoing quality assurance project. Intravenous channels were established in the ward for all the children, and penehyclidine 0.01 mg/kg and ondansetron 0.1 mg/kg were injected intravenously. After communicating with children the second time, 0.05 mg/kg midazolam, 0.1 μg/kg sufentanil, and 2 mg/kg propofol were injected intravenously. Continuous intravenous pumping of remifentanil 0.1 ~ 0.2 μg/kg/min while local infiltration anesthesia was performed with 1 % lidocaine after the loss of consciousness.
Results: It took 7.0 ± 3.5 min to wake up successfully. There was no nausea, vomiting, or delirium after the operation. The children had good postoperative recovery and no bad memories, and they and their families were highly satisfied with the surgery.
Conclusion: Local anesthesia and MAC produces satisfactory sedation in most patients without switching to general anesthesia. However, it has to be fully demonstrated that MAC local anesthesia is superior to general anesthesia in pediatric strabismus surgery via multi-centered studies.
