Tropical Journal of Pharmaceutical Research

Original Research Article | OPEN ACCESS

Monitored care during anesthesia with remifentanil and lidocaine in pediatric strabismus surgery: A single-center experience

Shili Zhu, Shuangquan Qu , Jiangping Wang

Department of Anesthesiology, Hunan Childrenâ€™s Hospital, Hunan, China;

For correspondence:- Shuangquan Qu Email: 445437884@qq.com Tel:+8613607489215

Accepted: 24 February 2023 Published: 31 March 2023

Citation: Zhu S, Qu S, Wang J. Monitored care during anesthesia with remifentanil and lidocaine in pediatric strabismus surgery: A single-center experience. Trop J Pharm Res 2023; 22(3):605-609 doi: 10.4314/tjpr.v22i3.18

© 2023 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..

Abstract

Purpose: To evaluate the use of monitored anesthesia care (MAC) in pediatric strabismus surgery.

Methods: A total of 17 cases undergoing strabismus surgery with MAC were included in this study. The protocol for sedation was standardized and data were collected prospectively for an ongoing quality assurance project. Intravenous channels were established in the ward for all the children, and penehyclidine 0.01 mg/kg and ondansetron 0.1 mg/kg were injected intravenously. After communicating with children the second time, 0.05 mg/kg midazolam, 0.1 µg/kg sufentanil, and 2 mg/kg propofol were injected intravenously. Continuous intravenous pumping of remifentanil 0.1 ~ 0.2 µg/kg/min while local infiltration anesthesia was performed with 1 % lidocaine after the loss of consciousness.

Results: It took 7.0 ± 3.5 min to wake up successfully. There was no nausea, vomiting, or delirium after the operation. The children had good postoperative recovery and no bad memories, and they and their families were highly satisfied with the surgery.

Conclusion: Local anesthesia and MAC produces satisfactory sedation in most patients without switching to general anesthesia. However, it has to be fully demonstrated that MAC local anesthesia is superior to general anesthesia in pediatric strabismus surgery via multi-centered studies.

Keywords: Monitored anesthesia care, General anesthesia, Strabismus surgery