Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China.
J Cardiothorac Surg. 2020 Sep 29;15(1):281. doi: 10.1186/s13019-020-01339-0.
To investigate the effect of remifentanil-based fast-track anesthesia on analgesia and sedation after transthoracic device closure of ventricular septal defects (VSDs) in adult patients.
A retrospective analysis was performed on 59 patients aged 21-53 years who underwent transthoracic device closure of VSDs from January 2019 to September 2019. According to the different anesthesia strategies, the patients were divided into the R group (using remifentanil-based anesthesia, n = 33) and the S group (using sufentanil-based anesthesia, n = 26). Patient-related clinical data, postoperative analgesia, and sedation scores were collected and analyzed.
There was no significant difference in age, gender, body weight, and operation time between the group R and the group S (P > 0.05). There was also no significant difference in intraoperative hemodynamic changes, BIS scores, postoperative analgesia, and sedation scores between the two groups (P > 0.05). The duration of mechanical ventilation, the length of ICU stay, and hospital stay in the group R were significantly lower than those in the group S (P < 0.05).
Remifentanil-based fast-track anesthesia is effective for adult patients undergoing transthoracic device closure of VSDs, which may shorten the mechanical ventilation duration, the ICU and hospital stay of patients.
探讨瑞芬太尼快通道麻醉对成人经胸室间隔缺损（VSD）封堵术后镇痛和镇静的影响。
回顾性分析 2019 年 1 月至 2019 年 9 月 53 例行经胸 VSD 封堵术的 21~53 岁患者的临床资料。根据不同麻醉策略，将患者分为瑞芬太尼组（n=33）和舒芬太尼组（n=26）。记录患者一般资料、术中血流动力学变化、脑电双频指数（BIS）、术后镇痛镇静评分及术后机械通气时间、ICU 停留时间和住院时间。
两组患者年龄、性别、体质量、手术时间比较差异无统计学意义（P＞0.05）。两组患者术中血流动力学变化、BIS 评分、术后镇痛镇静评分比较差异无统计学意义（P＞0.05）。瑞芬太尼组患者术后机械通气时间、ICU 停留时间及住院时间均短于舒芬太尼组（P＜0.05）。
瑞芬太尼快通道麻醉用于成人经胸 VSD 封堵术，可缩短患者术后机械通气时间、ICU 停留时间及住院时间。
