Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\39087103
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 World+J+Gastrointest+Surg
2024 ; 16
(7
): 2065-2072
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Evaluation of the clinical effects of atropine in combination with remifentanil
in children undergoing surgery for acute appendicitis
#MMPMID39087103
Li YJ
; Chen YY
; Lin XL
; Zhang WZ
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2065-2072
PMID39087103
show ga
BACKGROUND: Acute appendicitis (AA) is the most common cause of acute abdomen in
children. Anesthesia significantly influences the surgical treatment of AA in
children, making the scientific and effective selection of anesthetics crucial.
AIM: To assess the clinical effect of atropine (ATR) in combination with
remifentanil (REMI) in children undergoing surgery for AA. METHODS: In total, 108
cases of pediatric AA treated between May 2020 and May 2023 were selected, 58 of
which received ATR + REMI [research group (RG)] and 50 who received REMI [control
group (CG)]. Comparative analyses were conducted on the time to loss of eyelash
reflex, pain resolution time, recovery time from anesthesia, incidence of adverse
events (AEs; respiratory depression, hypoxemia, bradycardia, nausea and vomiting,
and hypotension), intraoperative responses (head shaking, limb activity,
orientation recovery, safe departure time from the operating room), hemodynamic
parameters [oxygen saturation (SPO(2)), mean arterial pressure, heart rate, and
respiratory rate], postoperative sedation score (Ramsay score), and pain level
[the Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale]. RESULTS:
Compared with the CG, the RG showed significantly shorter time to loss of eyelash
reflex, pain resolution, recovery from anesthesia, and safe departure from the
operating room. Furthermore, the incidence rates of overall AEs (head shaking,
limb activity, etc.) were lower, and influences on intraoperative hemodynamic
parameters and stress response indexes were fewer. The Ramsay score at 30 min
after extubation and the FLACC score at 60 min after extubation were
significantly lower in the RG than in the CG. CONCLUSION: ATR + REMI is superior
to REMI alone in children undergoing AA surgery, with a lower incidence of AEs,
fewer influences on hemodynamics and stress responses, and better post-anesthesia
recovery.