小儿室间隔缺损经胸封堵术快速通道麻醉与传统麻醉的比较
Comparison of Fast-Track and Conventional Anesthesia for Transthoracic Closure of Ventricular Septal Defects in Pediatric Patients.
作者信息
Yu Ling-Shan, Chen Qiang, Wang Zeng-Chun, Cao Hua, Chen Liang-Wan, Zhang Gui-Can
机构信息
Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China.
出版信息
Ann Thorac Cardiovasc Surg. 2019 Aug 20;25(4):205-210. doi: 10.5761/atcs.oa.18-00242. Epub 2019 Mar 12.
BACKGROUND
To compare and analyze the safety and efficacy of fast-track and conventional anesthesia for transthoracic closure of ventricular septal defects (VSDs) in pediatric patients.
METHODS
A total of 82 pediatric patients undergoing transthoracic closure of VSDs between September and December 2017 were retrospectively analyzed. The patients were divided into two groups, including 42 patients in group F (fast-track anesthesia) and 40 patients in group C (conventional anesthesia). The perioperative clinical data of both groups were collected and statistically analyzed.
RESULTS
There were no fatal complications in both groups. No complete atrioventricular block (AVB), new aortic valve regurgitation, and device closure failure were observed. No significant difference was found in preoperative general data or intraoperative hemodynamic changes between the two groups (P >0.05). However, the mechanical ventilation time, length of postoperative intensive care unit (ICU) stay, length of hospital stay, and hospitalization expenses of group F were significantly lower than those of group C (P <0.05).
CONCLUSION
It is safe and effective to use fast-track anesthesia for transthoracic closure of VSDs in pediatric patients.
背景
比较和分析小儿经胸室间隔缺损（VSD）封堵术中快通道麻醉与传统麻醉的安全性和有效性。
方法
回顾性分析2017年9月至12月期间82例行小儿经胸VSD封堵术的患者。将患者分为两组，F组（快通道麻醉）42例，C组（传统麻醉）40例。收集两组围手术期临床资料并进行统计学分析。
结果
两组均无致命并发症。未观察到完全性房室传导阻滞（AVB）、新发主动脉瓣反流和封堵器封堵失败。两组术前一般资料及术中血流动力学变化差异无统计学意义（P>0.05）。然而，F组的机械通气时间、术后重症监护病房（ICU）住院时间、住院时间和住院费用均显著低于C组（P<0.05）。
结论
小儿经胸VSD封堵术中采用快通道麻醉安全有效。
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