灌注指数作为儿科患者尾侧阻滞成功预测指标的评估:一项前瞻性随机研究

IF 1.5 Q3 PHARMACOLOGY & PHARMACY
Sumedha Vashishth, Nancy Nandal, Kiranpreet Kaur, Yogender S Kadian, Sanjay Johar, Svareen Kaur, Mamta Bhardwaj, Vaishali Mahor
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引用次数: 0

摘要

尾部阻滞是儿科患者中应用最广泛的区域麻醉之一。临床体征和客观评估不够快速和可靠,无法提供良好的反馈。灌注指数(PI)被认为是评估尾侧阻滞疗效的敏感指标。我们的目的是评估PI作为儿科患者尾侧阻滞成功的指标。60名计划进行小腹及以下择期手术的儿科患者也包括在内。患者被随机分为两组(n=30):第一组在全身麻醉后接受尾侧阻滞,第二组仅接受全身麻醉。在麻醉诱导后5、10、15和20分钟记录PI、心率、平均动脉压和肛门括约肌张力(AST)。与第2组相比,从5分钟到20分钟,在所有时间间隔内,在第1组中观察到PI值持续增加。当对两组之间的平均PI进行统计学比较时,发现其具有高度显著性(P=0.001)。第1组患者的AST有进行性松弛,与第2组有显著差异(P<0.001)。我们发现PI和AST都是评估儿科患者尾侧阻滞发作成功率的良好指标,但AST所需时间略长(~20分钟)。因此,我们得出结论,PI是一种简单、经济、无创的监测方法,可以比AST更早地预测尾部发病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of perfusion index as a predictor of successful caudal block in pediatric patients: A prospective randomized study.

Background and aims: Caudal block is among the most widely administered regional anesthesia in pediatric patients. The clinical signs and objective assessments are not fast and reliable enough to provide a good feedback. Perfusion index (PI) is considered as a sensitive marker to assess the efficacy of caudal block. We aim to assess PI as an indicator for success of caudal block in pediatric patients.

Material and methods: Sixty pediatric patients scheduled for elective surgery of lower abdomen and below were included. Patients were randomly allocated into two groups (n = 30): Group 1 received caudal block after general anesthesia and Group 2 only received general anesthesia. PI, heart rate, mean arterial pressure, and anal sphincter tone (AST) were recorded at 5, 10, 15, and 20 min following induction of anesthesia.

Results: A persistent increase in the PI value was observed in Group 1 starting from 5 min till 20 min, as compared to Group 2, at all the time intervals. When mean PI was statistically compared between both the groups, it was found to be highly significant (P = 0.001). Group 1 patients have progressive laxity of AST which was found to be significantly different from Group 2 (P < 0.001).

Conclusion: We have found that both PI and AST are good indicators for assessing success of caudal block onset in pediatric patients but AST took slightly longer time (~20 mins). Therefore, we conclude that PI is simple, economical, and noninvasive monitor that predicts the caudal onset much earlier than AST.

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来源期刊
CiteScore
1.90
自引率
6.70%
发文量
129
期刊介绍: The JOACP publishes original peer-reviewed research and clinical work in all branches of anaesthesiology, pain, critical care and perioperative medicine including the application to basic sciences. In addition, the journal publishes review articles, special articles, brief communications/reports, case reports, and reports of new equipment, letters to editor, book reviews and obituaries. It is international in scope and comprehensive in coverage.
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