SO SÁNH CHẤT LƯỢNG HỒI TỈNH GIỮA DESFLURANE SO VỚI SEVOFLURANE TRONG GÂY MÊ TOÀN THÂN ĐIỀU TRỊ VIÊM TỦY RĂNG Ở TRẺ EM KÉM HỢP TÁC

Abstract

This prospective study evaluates the quality of emergence in 60 uncooperative children aged 3 to 6 years who undergo general anesthesia with desflurane or sevoflurane for the treatment of pulpitis. Participants are randomly assigned to two groups: the desflurane group (D) (n = 30) and the sevoflurane group (S) (n = 30). The results show that the extubation time in group D (4,82 minutes) is significantly shorter than that in group S (6,63 minutes) (p < 0,05). The proportion of patients achieving good emergence in group D (96,67%) is significantly higher than in group S (76,67%) (p < 0,05). The incidence of postoperative nausea and vomiting in group D (6,67%) is significantly lower than that in group S (26,67%) (p < 0,05). Furthermore, the Chung discharge score at 60 minutes post-anesthesia in group D (9,45 ± 0,52) is significantly higher than that in group S (8,26 ± 1,02) (p < 0,05). These findings suggest that desflurane provides superior emergence quality compared to sevoflurane in general anesthesia for uncooperative children undergoing pulpitis treatment.