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KMID : 0878620010050010025
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Korean Journal of Pediatric Anesthesia
2001 Volume.5 No. 1 p.25 ~ p.29
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The Recovery Characteristics of Propofol versus Sevoflurane in Children
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Chung Chan-Jong
Won Dong-Hwang
Yun Sung-Hun
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Abstract
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Background: This study was designed to compare the recovery characteristics of sevoflurane and propofol anesthesia in children.
Methods: Children aged 3∼9 years, undergoing strabismus surgery, were randomly assigned to receive
propofol (n=20, induction with 2㎎/㎏, maintenance with 6∼10㎎/㎏/h) or sevoflurane anesthesia (n=20, induction 3 vol%, maintenance 1∼3 vol%). Glycopyrrolate 0.004㎎/㎏ and ketamine 2㎎/㎏ were injected intravenously 5 min before induction of anesthesia. A laryngeal airway mask was placed with atracurium 0.5㎎/㎏. All patients received 2O/O2 (60:40) for induction and maintenance of anesthesia. Ventilation was controlled to maintain normocapnia. Blood pressure, heart rate, emergence time, and incidence of emergence delirium were compared betweem the two groups.
Results: There were no differences in blood pressure, heart rate and incidence of oculocardiac reflex between groups. Time to removal of laryngeal airway mask was similar in both groups. Time from eye opening to verbal command was faster in the sevoflurane group (P<0.05). There was a significantly greater incidence of emergence delirium in the sevoflurane group (35%) compared to the propofol group
(5%)(P<0.05).
Conclusions: Sevoflurane anesthesia provided faster emergence and more emergence delirium compared with propofol anesthesia in children.
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KEYWORD
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Anesthesia: pediatric, Anesthetics, intravenous: propofol, Anesthetics, volatile: sevoflurane, Complication: emergence delifium
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