Sufentanil induced anethesia in the elderly with severe burn for surgical excision cutting

Objective To explore the efficacy of sufentanil induced anesthesia in severe burn patients cutting of old crust to maintain auxiliary of remifentanil analgesia.Methods 75 elderly patients with severe burn surgery were randomly divided into remifentanil sufentanil induction of the maintenance group(SR group),fentanyl,remifentanil induced by the maintenance group(FR group),remifentanil Group(RR group).Each group includes 25 patients.Observation was done before induction(T_0),during induction and intubation(T_1),after intubation 1 min(T_2),after intubation 5 min(T_3),escharectomy 1 min(T_4),take the skin 1 min(T_5).The mean arterial pressure(MAP),heart rate(HR) values were recorded at the body movement and aware of the situation.The quality of anesthesia,after 4 hours visual analog scale score(VAS),patient-controlled intravenous analgesia(PCIA) drug use and the occurrence of postoperative complications were recorded as well.Results Hemodynamic stability during anesthesia in SR group better than that in FR and RR group(P0.01 and P0.05).The VAS score after 4 hours and PCIA drug dosage in SR group were lower than that in FR and RR group(P0.01).The postoperative agitation in SR group occurred fewer than that in FR,RR group(P0.01).No differences were found in FR and RR.The opening eyes and extubation time in SR and RR group were significantly shorter than that in FR group(P0.01),no differences in SR and RR were found.Conclusion Sufentanil induced anethesia in the elderly with severe burn for surgical excision cutting can maintain supplemental analgesia in intraoperative,keep hemodynamic stability,recovery fast and adverse reactionsreactions.