The use of Remifentanil and Propofol during total intravenous anesthesia on the operation about children's snoring

Objective To inquire into the effects of Remifentanil and Propofol during total intravenous anesthesia on the operation of children's snoring.Methods 100 patients at ASAⅠ～Ⅱ,with age from five to fifteen,were selected and randomly divided into two groups.There were fifty cases in each group.Remifentanil and Propofol for inductiond and maintenance of anesthesia were used in group one,while Fentanil,Propofol and Sevoflurane in group two.Atracurium Besilate(0.8 mg/kg) was used in two groups for induction of anesthesia.The hemodynamics during induction anesthesia and recovery profiles was compared between two groups.Results ①More patients in group two had episodes of tracheal response than in group one.②Times from stopping administration of anesthetics until full spontaneous respiration was similar for two groups.But times for eye open and tracheal extubation in group one were shorter than in group two.③There were more requirements for post operative analgesic in group one.The rates of post operative nausea or vomiting were similar.Conclusion Remifentanil and Propofol based anesthesia is associated with better hemodynamic stability and better recovery profile.Transition analgesic should be administrated immediately after the end of Remifentanil anesthesia because of its short context-sensitive half time.