Rocuronium attenuates oculocardiac reflex during squint surgery in children anesthetized with halothane and nitrous oxide (CROSBI ID 143120)
Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija
Podaci o odgovornosti
Karanović, Nenad ; Jukić, Marko ; Carev, Mladen ; Kardum, Goran ; Đogaš, Zoran
engleski
Rocuronium attenuates oculocardiac reflex during squint surgery in children anesthetized with halothane and nitrous oxide
The oculocardiac reflex (OCR) may be activated during squint surgery. The aim of this study was to test whether rocuronium 0.4 mg kg(-1) could reduce the frequency of OCR, and also whether a single dose of succinylcholine 1 mg kg(-1) could affect the frequency of OCR during anesthesia with halothane in a nitrous oxide/oxygen mixture. METHODS: A total of 161 ASA I children, 3-10 years old, undergoing elective surgery of the medial rectus muscle (MRM) were randomly assigned to three groups. Group R (n = 51), received 0.4 mg kg(-1) of rocuronium intravenously before endotracheal intubation. Group S (n = 58) received 1 mg kg(-1) of succinylcholine. Group C (controls, n = 52) received no relaxant. Oculocardiac reflex was defined as a reduction in heart rate (HR) > or = 15% and/or the appearance of any other arrhythmias, during manipulation of the MRM. Analysis of variance (anova), chi-squared, Kruskal-Wallis, and Student's t-tests were used for statistical analysis ; P< 0.05 was considered statistically significant. RESULTS: In group R, OCR occurred in 15/51 (29%) of children, in group S in 31/58 (53%), and in group C in 23/52 (44%) (chi2 = 6.46, P = 0.049). In group R, the incidence of arrhythmias such as nodal rhythms, supraventricular and ventricular premature beats was 6%, compared with 22% in group S and 19% in group C (chi2 = 6.01, P = 0.040). However, there was no reduction in the occurrence of bradycardia (chi2 = 0.16, P = 0.924). CONCLUSION: Rocuronium reduced the frequency of OCR, mainly by reducing the incidence of supraventricular and ventricular premature beats
halothane; inhalational anesthesia; muscle relaxants; oculocardiac reflex; pediatric anesthesia; rocuronium; sqint surgery; strabismus; succinylcholine
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Podaci o izdanju
48 (10)
2004.
1301-1305
objavljeno
0001-5172
10.1111/j.1399-6576.2004.00523.x
Povezanost rada
Temeljne medicinske znanosti, Kliničke medicinske znanosti