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Effect of esmolol and lidocaine on agitation in awake phase of anesthesia among children:a double-blind,randomized clinical study

Effect of esmolol and lidocaine on agitation in awake phase of anesthesia among children: a double-blind, randomized clinical study

作     者:Jae Young Ji Jin Soo Park Ji Eun Kim Da Hyung Kim Jin Hun Chung Hea Rim Chun Ho Soon Jung Sie Hyeon Yoo Ji Jae Young;Park Jin Soo;Kim Ji Eun;Kim Da Hyung;Chung Jin Hun;Chun Hea Rim;Jung Ho Soon;Yoo Sie Hyeon

作者机构:Department of Anesthesiology and Pain MedicineSoonchunhyang University Hospital Cheonan31Soonchunhyang 6-gilDongnam-guCheonan-siChungcheongnam-do 330-721Korea 

出 版 物:《Chinese Medical Journal》 (中华医学杂志(英文版))

年 卷 期:2019年第132卷第7期

页      面:757-764页

核心收录:

学科分类:10[医学] 

基  金:supported by the Soonchunhyang University Research Fund 

主  题:Agitation Esmolol Lidocaine Sevoflurane 

摘      要:Background:Sevoflurane is widely used to anesthetize children because of its rapid action with minimal irritation of the ***,there is a high risk of agitation after emergence from *** surgery,in particular,can trigger agitation because patients have their eyes covered in the postoperative *** aim of this study was to determine whether or not esmolol and lidocaine could decrease emergence agitation in ***:Eighty-four patients aged 3 to 9 years undergoing strabismus surgery were randomly assigned to a control group(saline only),a group that received intravenous lidocaine 1.5 mg/kg,and a group that received intravenous esmolol 0.5 mg/kg and lidocaine 1.5 mg/*** was measured using the objective pain score,Cole 5-point score,and Richmond Agitation Sedation Scale score at the end of surgery,on arrival in the recovery room,and 10 and 30 min after ***:The group that received the combination of esmolol and lidocaine showed lower OPS and RASS scores than the other two groups when patients awoke from anesthesia(OPS=0(0-4),RASS=-4[(-5)-1])and were transferred to the recovery room(OPS=0(0-8),RASS=-1[(-5)-3])(P0.05).Conclusions:When pediatric strabismus surgery is accompanied by sevoflurane anesthesia,an intravenous injection of esmolol and lidocaine could alleviate agitation until arrival in the recovery room.

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