The Effect of Sevoflurane Anesthesia Induction in Congenital Heart Disease and Its Protection on Brain and Myocardium
Du Shoufeng
Shi Wenhua
Sun Junjun
Abstract:Objective To investigate the effect of sevoflurane anesthesia induction in congenital heart disease and its protection on brain and myocardium. Methods Ninety-eight children with congenital heart disease from November 2013 to November 2016 were randomly divided into two groups:control group ( n=49) induced with ketamine,and research group ( n=49) induced with sevoflu-rane. The anesthesia effect,radial artery blood oxygen content (CjvO2) and radial artery blood oxygen saturation (SjvO2),creatine ki-nase isoenzyme (CK-MB),creatine phosphokinase (CK),cardiac troponin I (cTnI),and complications were compared. Results The wake up time,extubation time in research group were less than that in control group ( P<0.05). There was no difference in preopera-tive CjvO2,SjvO2,CK-MB,CK,cTnI between two group(P>0.05). The postoperative CjvO2,SjvO2 were reduced in two groups,which were higher in research group than that in control group ( P<0.05). The postoperative CK-MB,CK,cTnI were rised,which were lower in research group than that in control group ( P<0.05). There was no difference in the complications between two group ( P>0.05). Conclusion Sevoflurane anesthesia induction can protect the brain and myocardium in congenital heart disease.
Keywords:congenital heart diseasesevofluranebrain protectionmyocardial enzymescardiac troponin Iblood oxygen contentblood oxygen saturation
Publication Date:2018-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 1397-1400 )
