Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Ding Han
China
Research Article
Real-Time Systemic Hemodynamic Monitoring in Children with Congenital Heart Disease: Comparison of Two Anesthetic Induction
Protocols
Author(s): Ding Han, Ya-Guang Liu, Yi Luo, Jia Li MD and Chuan Ou-YangDing Han, Ya-Guang Liu, Yi Luo, Jia Li MD and Chuan Ou-Yang
Objective: Inhaled sevoflurane and intravascular ketamine are commonly used for congenital heart defect (CHD) children undergoing cardiac surgery. We used a new and direct systemic hemodynamic monitoring technique pressure recording analytical method (PRAM) to compare the effects of sevoflurane-midazolam-sufentanil and ketamine-midazolam-sufentanil during anesthesia induction.
Methods: Forty-three children with ventricular septal defect (2.2 ± 1.2 years) were randomized to receive sevoflurane (Group S) or ketamine (Group K) for basal anesthesia, followed by combined intravenous anesthetics and intubation. Hemodynamic data recorded by PRAM included heart rate (HR), systolic (SBP), diastolic (DBP) and mean (MBP) blood pressure, stroke volume index (SVI), cardiac index (CI), systemic vascular resistance index (SVRI), the maximal slope of.. View More»
DOI:
10.4172/2155-6148.1000731