SO SÁNH HIỆU QUẢ DUY TRÌ MÊ CỦA DESFLURANE VÀ SEVOFLURANE TRONG GÂY MÊ ĐIỀU TRỊ VIÊM TỦY RĂNG Ở TRẺ EM

Abstract

Comparing the anesthetic maintenance efficacy of desflurane and sevoflurane in anesthesia for the treatment of dental pulpitis in children was carried out on 60 patients aged 3 - 6 years old under anesthesia for pulpitis treatment at the National Hospital of Odonto-Stomatology, Ha Noi from 6-2029 to 11-2029, randomly divided into 2 the group. Group S (n = 30): maintain anesthesia with sevoflurane, group D (n = 30) maintain anesthesia with desflurane. Evaluation was based on the following criteria: general characteristics, anesthetic concentration (%), anesthetic gas volume (ml), level of sedation according to RASS, pain level according to NIPE, proportion of patients with abnormal movements according to the criteria. Ellis, time to extubate, rate of patients with vomiting, nausea at time points T0: face up to induce anesthesia, T1: After intubation, T2: Time to start treatment, T3 – 7: When the treatment is 20, 40, ... 120 minutes, Tx: at the end of the treatment, turn off the anesthetic gas. The results showed that, general characteristics, volume of anesthetic gas, level of sedation, level of pain, proportion of patients with abnormal movements in group D were not significantly different (with p > 0.05) compared with group S. The time of extubation, the rate of vomiting and nausea in group D were significantly lower (p < 0.05) than in group S. So that’, using desflurane to maintain anesthesia in anesthesia treatment of dental pulpitis in children gives good anesthetic effect. The desflurance group had earlier recovery and extubation time, and a lower proportion of patients with nausea and vomiting than sevoflurane.