Combined Inhalation Anesthesia Induction Device Application In Pediatric Difficult Into The Operating Room

Objective How to let the children quiet down to receive venipuncture.How to reduce the fear of children into the operation room which face unfamiliar environment and medical staff and avoid the children crying to psychological harm from parents.the implementation of pediatric anesthesia is more safety and hommization,that has been a problem to be solved by our medical staff.Sevoflurane is widely used in pediatric anesthesia,however,sevoflurane is work through a fixed large anesthesia machine and a special inhalation evaporation jar in a special anesthesia preparation room and operation room.Hence,we developed a simple portable combined inhalation anesthesia induction device(patent number: 201520078850.3)to carry out sevoflurane inhalation anesthesia in children wite preoperative anxiety.Methods One hundred five pediatric patients undergoing elective and short operation were selected,five of whom were excluded from the operation for too long.which were randomly divided into A group and B group,each group was fifty cases.When the anesthesiologist went to the preoperative interview,they should explain the relevant content aboat combined inhalation anesthesia induction device to the parents of A group.A group intaked sevoflurane-oxygen mixed gas through combined inhalation anesthesia induction device,B group injected ketamine four or five mg per kg body weight in hips.When pediatric patients was sleep,they accessed to the operation room for venipuncture and a series of surgical preparation.Observed in two groups with sleeping time,time out of the PACU,the number of body movement cases with venipuncture,adverse reactions.Results 1.There was no significant difference in gender composition,sex,age,body mass and disease between the two groups(P>0.05).2.A group compared with B group,whose sleeping time was faster and time out of thePACU was shortened obviously,there was significant difference(P<0.001).3.The number of body movement cases with venipuncture was 45 cases in B group,that was 10 cases in A group,because of early stopping inhalation,the two groups were significantly different(P<0.001).4.There were 6 cases of postoperative agitation in A group,48 cases of in B group,the incidence of postoperative agitation in the intramuscular injection group was higher than in A group,the difference was statistically significant(P<0.001);There were 7 cases of increased secretion in A group,of 21 cases in B group,the probability of occurrence in A group was lower than B group,there was significant difference(P<0.05);Hypoxemia of A group occurred 2 cases,which was 5 cases in B group,there was no significant difference in the two groups(P>0.05);the two groups were no nausea and vomiting.Conclusion 1.Parental presence during induction of anesthesia reduces the fear and anxiety of parents,which makes anesthesia more hommization and is easier to be accepted by pediatric patient and their parents,it is worthy of clinical application.2.Combined inhalation anesthesia induction device has the advantages of convenient manufacture and carrying,which is combinded with three functions,which are supplied oxygen,assisted respiration and inhalation anesthesia.When it is applied to solve the difficulty of children into the operation room,the effect is obvious,there is less adverse reactions and safer in clinical application.