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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