Volume 22 Issue 2
Feb.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(2): 191-194
FANG Xiangxiang, JU Xuejun, JIANG Qiaomei, MENG Wei, HE Shuangba. Clinical comparison of different anesthesia methods for electronic cochlear implantation in children[J]. Chinese Journal of General Practice, 2024, 22(2): 191-194. doi: 10.16766/j.cnki.issn.1674-4152.003362
Citation: FANG Xiangxiang, JU Xuejun, JIANG Qiaomei, MENG Wei, HE Shuangba. Clinical comparison of different anesthesia methods for electronic cochlear implantation in children[J]. Chinese Journal of General Practice, 2024, 22(2): 191-194. doi: 10.16766/j.cnki.issn.1674-4152.003362
shu

Clinical comparison of different anesthesia methods for electronic cochlear implantation in children

doi: 10.16766/j.cnki.issn.1674-4152.003362
  • 1.

    Department of Anaesthesia, Nanjing Tongren Hospital, Southeast University School of Medicine, Nanjing, Jiangsu 211100, China

Funds:

 82171153

 BK20211012

  • Received Date: 2023-11-12
    Available Online: 2024-03-27
    Abstract
  •   Objective  The aim of this study was to compare the application effectiveness and safety of combined inhalation anesthesia and total intravenous anesthesia in pediatric cochlear implantation surgery.  Methods  A retrospective analysis was conducted on 100 pediatric patients who underwent cochlear implantation surgery at Nanjing Tongren Hospital from May 2018 to March 2023. They were divided into two groups based on the different anesthesia methods: combined inhalation anesthesia (control group) and total intravenous anesthesia (study group). The differences between the two groups were compared in terms of general conditions, pre-and post-operative hemodynamics and bispectral index (BIS), postoperative immediate electrical impedance, postoperative restlessness and recovery time, postoperative oxidative stress levels, and adverse reactions.  Results  There were no significant difference in age, height, weight, anesthesia time, hemodynamic indexes (SBP, DBP, HR) and BIS index between the study group and the control group (P>0.05). The immediate electrical impedance at the end of surgery in the study group was lower than that in the control group [low-frequency: (2.57±0.40) kΩ vs. (3.93±0.83) kΩ; high-frequency: (7.00±0.31) kΩ vs. (8.37±0.42) kΩ, P<0.001]. The postoperative sedation-agitation scale(RASS) and recovery time of the study group were lower than those of the control group (P<0.001). There was significant difference in postoperative oxidative stress levels between the two groups (P<0.001). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).  Conclusion  Total intravenous anesthesia is a safer and more effective approach compared to combined anesthesia for cochlear implantation surgery in children. Total intravenous anesthesia offers notable benefits in terms of intraoperative hemodynamics control, recovery time, oxidative stress levels, and postoperative impedance. Therefore, total intravenous anesthesia should be considered as the primary option in clinical practice for cochlear implantation surgery in children. However, the selection of the anesthetic modality should be carefully evaluated, considering the unique needs for each patient and the experience of the anesthesia team.

     

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    • References(20)
  • [1]
    MENDES I C, SOUSA H, MANRIQUE M, et al. Cochlear implantation in incomplete partition type Ⅲ[J]. Acta Otorrinolaringol Esp (Engl Ed), 2023, 74(1): 63-65. doi: 10.1016/j.otorri.2022.03.001
    [2]
    VELDE H M, RADEMAKER M M, DAMEN J, et al. Prediction models for clinical outcome after cochlear implantation: a systematic review[J]. J Clin Epidemiol, 2021, 137: 182-194. doi: 10.1016/j.jclinepi.2021.04.005
    [3]
    汤英华, 周懿之, 陆志强, 等. BIS指导静吸复合麻醉对老年髋关节置换术早拔管的临床价值[J]. 中国老年学杂志, 2019, 39(3): 574-576. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ201903025.htm

    TANG Y H, ZHOU Y Z, LU Z Q, et al. Clinical value of BIS guidance combined anesthesia for early extubation in elderly patients with hip replacement[J]. Chinese Journal of Gerontology, 2019, 39(03): 574-576. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ201903025.htm
    [4]
    梁玉丹, 李静洁, 刘博研, 等. 丙泊酚和七氟烷对电子耳蜗植入术婴幼儿肠道菌群多样性的影响[J]. 医学研究生学报, 2020, 33(3): 285-288. https://www.cnki.com.cn/Article/CJFDTOTAL-JLYB202003014.htm

    LIANG Y D, LI J J, LIU B Y, et al. Effects of propofol and sevoflurane on intestinal flora diversity in infants undergoing cochlear implantation[J]. Journal of Medical Postgraduates, 2020, 33(3): 285-288. https://www.cnki.com.cn/Article/CJFDTOTAL-JLYB202003014.htm
    [5]
    薛期能, 夏俊明, 陆瑾, 等. 电子耳蜗植入术患儿父母焦虑程度及其影响因素分析[J]. 复旦学报(医学版), 2023, 50(4): 556-560. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYK202304011.htm

    XUE Q N, XIA J M, LU J, et al. Levels of anxiety in parents of children undergoing cochlear implantation and its influence factors[J]. Fudan University Journal of Medical Sciences, 2023, 50(4): 556-560. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYK202304011.htm
    [6]
    刘炎, 吴哲, 任万陆. 不同麻醉方式对老年股骨颈骨折行人工股骨头置换术的效果及预后的影响[J]. 中国老年学杂志, 2021, 41(17): 3682-3685. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202117016.htm

    LIU Y, WU Z, REN W L. Effect of different anesthetic mode on aged femoral neck fracture patients performed with artificial femoral head replacement and its prognosis[J]. Chinese Journal of Gerontology, 2021, 41(17): 3682-3685. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202117016.htm
    [7]
    卢易, 陈丽芬, 刘华程, 等. 吸入和全凭静脉麻醉用于患儿纤维支气管镜检查效果的比较[J]. 临床麻醉学杂志, 2020, 36(12): 1161-1164. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202012005.htm

    LU Y, CHEN L F, LIU H C, et al. Comparison of the effects of inhalation and total intravenous anesthesia in children undergoing fiberoptic bronchoscopy[J]. Journal of Clinical Anesthesiology, 2020, 36(12): 1161-1164. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202012005.htm
    [8]
    姚博炜, 高斌, 穆婧. 右美托咪定在胃癌根治术全凭静脉麻醉用药中的应用效果及安全性分析[J]. 中国现代应用药学, 2023, 40(5): 664-667. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYD202305012.htm

    YAO B W, GAO B, MU J. Analysis of the effect and safety of dexmedetomidine in total intravenous anesthesia for radical gastrectomy[J]. Chinese Journal of Modern Applied Pharmacy, 2023, 40(5): 664-667. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYD202305012.htm
    [9]
    曾如筱, 田冶, 刘晓梅. 肺保护性通气配合静吸复合麻醉在小儿电子耳蜗植入术中的应用效果及安全性[J]. 武警医学, 2022, 33(9): 742-744, 747. https://www.cnki.com.cn/Article/CJFDTOTAL-WJYX202209002.htm

    ZENG R X, TIAN Y, LIU X M. Effect and safety of pulmonary protective ventilation combined with intravenous inhalational anesthesia in children treated with electronic cochlear implantation[J]. Medical Journal of the Chinese People' s Armed Police Force, 2022, 33(9): 742-744, 747. https://www.cnki.com.cn/Article/CJFDTOTAL-WJYX202209002.htm
    [10]
    牛晓光, 仝烨峰. 瑞芬太尼、丙泊酚复合全凭静脉麻醉对老年肋骨骨折切开复位内固定手术患者术后认知功能的影响[J]. 中国老年学杂志, 2022, 42(10): 2394-2397. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202210024.htm

    NIU X G, TONG Y F. Effect of remifentanil and propofol combined with intravenous anesthesia on postoperative cognitive function in elderly children undergoing open reduction and internal fixation of rib fracture[J]. Chinese Journal of Gerontology, 2022, 42(10): 2394-2397. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202210024.htm
    [11]
    韩宏亮, 洪道先, 陈英, 等. 异氟烷调控NF-κB/iNOS-COX2信号通路抑制三叉神经节卫星胶质细胞炎症的研究[J]. 中华全科医学, 2021, 19(11): 1831-1835. doi: 10.16766/j.cnki.issn.1674-4152.002178

    HAN H L, HONG D X, CHEN Y, et al. Inhibition of trigeminal ganglion satellite glial cell inflammation by isohalothane regulating the NF-κB/iNOS-COX2 signalling pathway[J]. Chinese Journal of General Practice, 2021, 19(11): 1831-1835. doi: 10.16766/j.cnki.issn.1674-4152.002178
    [12]
    万建见, 刘万红. 人工电子耳蜗植入术后电极阻抗和T/C值变化的临床研究[J]. 世界最新医学信息文摘, 2018, 18(27): 67-68. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201827042.htm

    WAN J J, LIU W H. A clinical study on changes of electrode impedance and T/C value after cochlear implantation[J]. World Latest Medicine Information, 2018, 18(27): 67-68. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201827042.htm
    [13]
    李雨恒, 李明月, 刘长卿. 升压药物预注射对全凭静脉麻醉下腹部手术患者升压反应性和术后恢复的影响[J]. 中国现代应用药学, 2022, 39(5): 663-668. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYD202205015.htm

    LI Y H, LI M Y, LIU C Q. Effects of vasopressors pre-infusion on vasopressor response and postoperative recovery in patients undergoing lower abdominal surgery under total intravenous anesthesia[J]. Chinese Journal of Modern Applied Pharmacy, 2022, 39(5): 663-668. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYD202205015.htm
    [14]
    刘军, 黄婉, 王卓丹, 等. 全凭静脉麻醉下镇痛-伤害性刺激指数对于腹腔镜手术疼痛刺激评估的有效性[J]. 实用医学杂志, 2019, 35(3): 403-406, 411. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYZ201903016.htm

    LIU J, HUANG W, WANG Z D, et al. Effectiveness of analgesia nociception index on pain assessment in laparoscopic surgery under total intravenous anesthesia[J]. The Journal of Practical Medicine, 2019, 35(3): 403-406, 411. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYZ201903016.htm
    [15]
    徐静, 迟放鲁. 面神经监测在小儿电子耳蜗植入术中的应用[J]. 中国眼耳鼻喉科杂志, 2020, 20(1): 13-15. https://www.cnki.com.cn/Article/CJFDTOTAL-YRBH202001007.htm

    XU J, CHI F L. Application of facial nerve monitoring in pediatric cochlear implantation[J]. Chinese Journal of Ophthalmology and Otorhinolaryngology, 2020, 20(1): 13-15. https://www.cnki.com.cn/Article/CJFDTOTAL-YRBH202001007.htm
    [16]
    孟雪, 张哲, 殷悦, 等. 不同药物及给药途径对全麻手术老年患者呼吸功能的影响[J]. 中国老年学杂志, 2019, 39(18): 4498-4501. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ201918045.htm

    MENG X, ZHANG Z, YIN Y, et al. Effects of different drugs and routes of administration on respiratory function in elderly children undergoing general anesthesia[J]. Chinese Journal of Gerontology, 2019, 39(18): 4498-4501. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ201918045.htm
    [17]
    郗昕, 韩东一, 黄德亮, 等. Nucleus 24M型人工耳蜗植入后电极阻抗的变化[J]. 临床耳鼻咽喉科杂志, 2003, 17(10): 593-595. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH200310009.htm

    XI X, HAN D Y, HUANG D L, et al. A longitudinal study of electrode impedance in Nucleus 24M cochlear implant users[J]. Journal of Clinical Otolaryngology, 2003, 17(10): 593-595. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH200310009.htm
    [18]
    刘玉梅. 舒适护理在电子耳蜗植入术患儿中的应用分析[J]. 当代护士(下旬刊), 2018, 25(7): 93-94. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ201807044.htm

    LIU Y M. Application analysis of comfort nursing in children undergoing electronic cochlear implantation[J]. Modern Nurse, 2018, 25(7): 93-94. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ201807044.htm
    [19]
    王浩然, 王迪, 曹汉忠, 等. 不同七氟醚挥发罐起始浓度设定在中流量静吸复合麻醉中的应用[J]. 中国临床医学, 2023, 30(2): 330-334. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYX202302020.htm

    WANG H R, WANG D, CAO H Z, et al. Application of different sevoflurane vaporizer initial concentration settings in middle-flow combined intravenousinhalation anesthesia[J]. Chinese Journal of Clinical Medicine, 2023, 30(2): 330-334. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYX202302020.htm
    [20]
    马东晖, 王胜春, 钟桥生. 不同右美托咪定给药时机在小儿电子耳蜗植入术中的应用效果观察[J]. 中国现代药物应用, 2020, 14(8): 189-191. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY202008092.htm

    MA D H, WANG S C, ZHONG Q S. Application of dexmedetomidine at different administration times in children undergoing electronic cochlear implantation[J]. Chinese Journal of Modern Drug Application, 2020, 14(8): 189-191. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY202008092.htm
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