ObjectiveTo evaluate the use of a combined inhalation anesthetic device in children’s painless dressings;the treatment of pediatric burns is a long medical process.Repeated repeated burns and dressings cause physical and psychological traumto the children.The lack of anesthesiologists The participation of burns and dressings has brought difficulties to surgeons’operations and has seriously affected the prognosis of children.In recent years,sevoflurane has been safely used in the field of pediatric anesthesia.We have investigated the inhalation of sevoflurane through a combined inhalation anesthesia inducing device.The way to address the feasibility of pediatric burn dressing pain.MethodsSelect 60 cases of burn patients in the Department of Burns of the Chinese People’s Liberation Army 174 Hospital,using random number table method is divided into two groups,each with 30 cases;combined inhalation anesthesia induction device group(S group,n=30)and intravenous anesthesia group(K group,n=30);S group was inhaled sevoflurane 2ml/time by combined inhalation anesthesia inducing device before burn dressing change;K group was intravenously injected with ketamine 2mg/kg before the burn dressing;After the disappearance,the surgeon began dressing change;the MAP,HR,SPO2,Ramsay sedation score and FLACC analgesic score,number of additional drugs,and incidence of adverse reactions were observed before,during,and after the two groups of pediatric burn dressings.Results1.There was no significant difference in age,weight,burn area,anesthesia grade,and number of additional drugs between the two groups(P>0.05).2.There was no significant difference in preoperative MAP,HR,SPO2 between the two groups(P>0.05).There was no significant difference in MAP,HR,and SPO2between the two groups before dressing change(P>0.05);Compared with the control group,MAP,HR,and SPO2 fluctuate less in the S group during dressing change and after dressing change(P<0.05);hypoxemia occurred in both groups(SPO2<94%).Compared with group K,sleep time was slower in group S(P<0.05),and the wake-up time in group S was significantly shorter(P<0.05).3.The K group and S group completed the pediatric burn dressing change.There was no significant difference in FLACC pain scores and Ramsay sedation scores before,during,and after dressing changes between the two groups(P>0.05).4.The rate of adverse reactions in group S(40%)was lower than that in group K(80%).The proportion of impaired motility of ketamine in the process of dressing change(50%)and the proportion of increased secretion(23.3%)were statistically different.Significance(P<0.05).ConclusionBoth groups can complete painless dressing change in children,combined inhalation sedative inhalation anesthesia induction device for pediatric burn dressing,after dressing change and medicine,blood pressure heart rate pulse oxygen saturation changes,rapid recovery period;nausea and vomiting The incidence of complications such as sputum is low.The combined inhalation anesthesia inducing device is easy to manufacture and portable.It combines the functions of oxygen delivery,assisted breathing and inhalation anesthesia.It can also safely complete the inhalation anesthesia in the ward or clinic.To ensure the smooth operation of short-term surgery,under the premise of ensuring airway safety to obtain satisfactory analgesic effect,less anesthetic complications,more humane,convenient operation,suitable for clinical use. |