Effect of Total Intravenous Anesthesia with Remifentanil-Propofol on Ophthalmologic Operation of Children

Objective To introduce the advantages of remifentanil-propofol anaesthesia in ophthalmologic operation of children.Mathod A total of 50 cases of children with Ⅰ to Ⅱ degrees of ASA were randomly divided into two groups,i.e.the observation group and control group.These children,aged from 2 to 13 years,were prepared to be operated with selective ophthalmologic operation.The observation group was induced and maintained with remifentanil-propefol,while the control group was induced with remifentanil-propofol and maintained with propofol-isoflurane.The hemodynamics changes,extuhation time and analepsia time of the two groups during anesthesia period were observed;moreover,after extubation,the incidence rates of dyspnea,restlessness during analepsia period,nausea and vomiting after operation were also observed.Result The values of SBP,DBP and HR of the groups at 1min after intubation,the beginning of the surgery,extubation period,surgery period and regaining consciousness period were.signifi-candy different(P<0.05 or P<0.01).The hemodynamics of observation group during anesthesia period was more stable than that of control group;the time from withdrawal to extubation and analepsia of observation group Was obviously shorter than that of control group(P<0.05);after operation,the incidence rate of restlessness of observation group was less than that of control group(P<0.05).Conclusion Total intravenous anesthesia with remifentanil-propofol is a kind of anesthesia method with quick effect,good stability during operation,and quick and smooth reeovery of the patients.Therefore,this anaesthesia method is deserved to be recommended in the ophthalmologic operation of children. Key words: Children; Ophthalmologic operation; Remifentanil; Propofol